Core Skills for Physician Leaders
Physician Leadership Onsite Training Inquiry Form
Street Address Line 2
State / Province
Postal / Zip Code
Estimated # of participants:
Please provide a few comments related to the learning needs of your proposed group
. For example,
Is there a specific issue or challenge occurring in your organization that is relevant to this education?
Or is the education needed to facilitate general competence and basic skills for your participants?
What is the experience level of the participants?
Will the participants be from the same medical specialty or department?
Any other pertinent information related to the learning group or educational need?
Should be Empty: