Educational Course Proposal

ABOUT THE COURSE

Proposed Course Title

Course Description

Learning Objectives (5 Maximum)

Speaker Bio(s), including name, degrees/credentials, institution, city/state, and qualifications/experience for presenting an online course on this topic (prefer no more than 3 speakers for a one-hour course):

Proposed course format (select one):

Online 1 hour course
Series of online one-hour courses
Other

RELATED TO ANPT

Which Academy of Neurologic Physical Therapy Strategic Plan Objective does this educational activity meet? (See a copy of the Strategic Plan under "About Us" on the website.)

How does the proposed course fill an education gap?

DISCLOSURES

Have you previously developed a course on this topic? Are you currently offering this course?

Disclosure of conflict of interest: The most common (although not the only) potential conflict of interest is the endorsement or promotion of a product in presentations. If a manufacturer has provided you with equipment without a fee (or a substantially reduced fee) and you discuss the equipment in your presentation, and/or the manufacturer has provided financial support to you, this information should be disclosed to the audience. If there is a potential conflict of interest for any reason related to your presentation, we ask that you disclose it below.

I am unaware of any potential conflict of interest related to the proposed course.
I have a relationship with an entity that could cause a potential conflict of interest.

If you have a relationship with an entity that could cause a potential conflict of interest, please explain: