Continuing Pharmacy Education Session Information
Please use this form if you have more than 1 session during an event. Refer to descriptions of Topic Designator and Activity type in the main application before choosing these. They do not have to be the same for each session, choose what best fits the topic.
If you need more room to add session’s information, fill out the form, save this file, clear the document, save form again under new name, fill out additional information & save. (e.g. SessionInfo_1.doc, SessionInfo_2.doc etc.)
# 1Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Patient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 2
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Patient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 3
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Patient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 5
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Pastient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 6
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Pastient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 7
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Pastient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 8
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Pastient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 9
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Pastient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician
# 10
Session Title / Topic Designator (select 1)
Session title goes here / Choose a Topic from dropdown01: Drug Therapy02: AIDS Therapy03: Law04: General Pharmacy Topics05: Pastient Safety
Date / Time / Length
Start to End / (e.g. 2hrs = 2.0)
Objectives (at least 3 measurable ones) / Activity Type
Choose Activity Type from dropdownKnowledge (Minimum 15 Minutes)Application (minimum 60 Minutes)Practice (minimum 15 hours)
List of Speakers/Instructors / Email Address / Audience
Enter First & Last Name / Pharmacists Technician