Continuing Education Provider Unit (CEPU)



Society of Trauma NursesContinuing Education Provider UnitPolicy and Procedure ManualSociety of Trauma Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. TOC \o "1-1" \u I.Continuing Education Provider Unit (CEPU) PAGEREF _Toc457426615 \h 3II.Requirements and responsibility of CEPU members PAGEREF _Toc457426616 \h 4III.CEPU member responsibilities: PAGEREF _Toc457426617 \h 5IV.Principles of High Quality Education Design PAGEREF _Toc457426618 \h 6V.Definition of CNE PAGEREF _Toc457426619 \h 6VI.Educational Design Process PAGEREF _Toc457426620 \h 6VII.Ensuring Independence and Content Integrity PAGEREF _Toc457426621 \h 10VIII.Joint Providership PAGEREF _Toc457426622 \h 12IX.Accredited Provider Statement PAGEREF _Toc457426623 \h 12X.Required Information Provided to the Learner PAGEREF _Toc457426624 \h 13XI.Ongoing Evaluation PAGEREF _Toc457426625 \h 15XII.Demonstrating positive outcomes PAGEREF _Toc457426626 \h 15XIII.Record Keeping PAGEREF _Toc457426627 \h 16XIV.Attachment 1 PAGEREF _Toc457426628 \h 18XV.Attachment 2 PAGEREF _Toc457426629 \h 19XVI.Attachment 3 Society of Trauma Nurses PAGEREF _Toc457426631 \h 25Continuing Education Provider Unit (CEPU)The Continuing Education Provider Unit (CEPU) is defined by the Society of Trauma Nurses Board Policy 4.2. Purpose of the CEPU is toSupport the delivery of continuing nursing education activitiesAssure that STN provides educational activities according to the ANCC Commission on Accreditation criteria. Set policy within the guidelines of the ANCC Commission on Accreditation and the Society of Trauma Nurses Board of Directors.Monitor the quality and consistency of the Provider Unit program. The CEPU is responsible for participating in the planning of developing individual education activities and providing contact hours to nurses for use in fulfilling their own goals for professional development, licensure, and certification. Each educational activity is led by a Nurse Planner in collaboration with at least one other planner. Contact hours may not be provided for CNE activities developed without the direct involvement of a Nurse Planner. Provider Units may jointly provide activities with other non-commercial interest organizations. Provider Units may not approve educational activities that have been planned by other organizations or individuals or without the involvement of a STN Continuing Education Provider Unit Nurse Planner.The CEPU will consist of a minimum of six (6) Nurse Planners, one being the Lead Nurse Planner. Nurse Planner for ATCNNurse Planner for TOPICNurse Planner for Annual ConferenceNurse Planner for EASTNurse Planner for Certification Preparation (Update) CourseLead Nurse PlannerOther Nurse Planners as required as STN develops new CE opportunitiesRequirements and responsibility of CEPU membersNurse PlannerRequirementsThe Nurse Planners will meet the educational and licensure requirements of the ANCC. Be a registered nurse who holds a current, unencumbered nursing license Hold a baccalaureate degree or higher in nursing In addition to the ANCC requirements the CEPU members will:Be an STN member in good standing Possess an interest in trauma nursing CE that enriches the trauma nurses’ contribution to health careHave knowledge of CE development, program criteria and guidelines Have strong communication and organizational skills ResponsibilityThe Nurse Planner is to be actively involved in all aspects of planning, implementation, and evaluation of each CNE activity. The Nurse Planner is responsible for assessing whether appropriate educational design principles are used and processes are consistent with the requirements of the ANCC Primary Accreditation Program.The Lead Nurse Planner requirements and responsibilities The Lead Nurse Planner will be appointed by the STN Board of Directors.The Lead Nurse Planner must have the educational and licensure requirements of the ANCC.Is a registered nurse with a current, unencumbered nursing licenseHolds a graduate degreeHolds a baccalaureate degree or higher in nursing ResponsibilitiesThe Lead Nurse Planner has the authority within the CEPU to ensure compliance with the ANCC Accreditation Program criteria that pertain to the operations of the organization as a CEPUHas responsibility for ensuring that the CEPU adheres to the ANCC Accreditation Program criteria for all operational aspects of providing continuing nursing education activities and criteria that pertain to the operations of the organization as a CEPUHas responsibility for the orientation of all Nurse Planners in the organization with respect to the ANCC Accreditation Program criteria. See Attachment 1 in this document. Has responsibility for ensuring each Nurse Planner understands the ANCC Accreditation Program criteria and is responsible for appropriately evaluating compliance with those criteriaHas responsibility for submitting annual report to ANCC.The Lead Nurse Planner may also function as Nurse Planner for a CNE product when necessary or appropriate. The CEPU will be responsible to an assigned member of the STN Board of Directors. Appointment to CEPU and notification of appointment to the STN Board of Directors will be in accordance with STN by-laws. CEPU member responsibilities:Prepare for and attend monthly CEPU conference callsParticipate in CNE program reviews. Assigned Nurse Planner to prepare Activity Planning Document and Educational Activity Plan as their CNE product is being developed or modified. Assigned Nurse Planner is to collaborate with STN management staff to assure all mandatory disclosures are disclosed, appropriate course evaluations are prepared and necessary Conflict of Interest forms (COI’s) are obtained and available. Assigned Nurse Planner will provide updates on their CNE product during each conference call as appropriate.Assigned Nurse Planner will prepare a summary of evaluations of their CNE product according to the annual schedule.Lead Planner will chair monthly conference call Lead planner is responsible to oversee STN Management Group maintains all records according to ANCC requirements.The CEPU will evaluate summary of evaluations prepared by STN management staff of all CE presentations for opportunities for improvement and suggestions for future programs.Principles of High Quality Education Design Addresses a professional practice gap (change in standard of care, problem in practice, or opportunity for improvement). Incorporates the active involvement of a Nurse Planner in the planning process.Analyzes educational needs (knowledge, skills, and/or practices) of registered nurses and/ or health care team members that underlie the problem or opportunity (why the problem or opportunity exists).Identifies one or more learning outcomes to be achieved by learners participating in the activity.Uses strategies that engage the learner in the educational activity and are congruent with the educational needs and desired learning outcomes.Chooses content based on evidence-based practice or best available evidence. Evaluates achievement of learning outcomes. Plans independently from the influence of commercial interest organizations.Definition of CNECNE is defined as “learning activities intended to build upon the educational and experiential bases of the professional RN for the enhancement of practice, education, administration, research, or theory development, to the end of improving the health of the public and RNs’ pursuit of their professional career goals.”Educational Design ProcessThe Nurse Planner, as a member of the planning committee, documents on the Continuing Education Planning Document (found as Attachment 2 in this document and in the CEPU Committee section of the STN Web Site.)Activity Type Provider-directed, provider-paced- The provider controls all aspects of the learning activity. The provider determines the desired learning outcome based on a needs assessment and gap analysis, selects content based on best available evidence, chooses strategies to facilitate learning, and identifies methods for collecting and analyzing evaluation data. (Examples include live activities and live webinars.)Provider-directed, learner-paced: The provider determines the desired learning outcome based on a needs assessment and gap analysis, selects content based on best available evidence, chooses strategies to facilitate learning, and identifies methods for collecting and analyzing evaluation data. The learner determines the pace at which he/she engages in the learning activity. (Examples include print articles, online courses, e-books, and self-learning modules/independent studies.)Enduring activities are provider-directed, learner-paced activities. Enduring materials have an expiration date after which no contact hours may be awarded. The expiration date of enduring material should be based on the content of the material.Providers must review content of enduring materials at least once every three years, or more frequently if indicated by new developments in the field specific to the enduring material.Review of enduring material content should be conducted for accuracy of content, current application to practice, and evidence-based practice. Upon completion of the enduring material review and appropriate revisions, a new expiration date should be established.Expiration/end date of enduring material: This is determined by the planning committee based upon the content and the potential for information to become outdated within a certain amount of time. The maximum length of time for enduring materials prior to expiration is 3 years.Considerations for Live and Enduring FormatsLive educational activities, whether in-person or on-line, are provider-directed, provider-paced activities. There is no expiration date for a live activity; however, the provider is expected to evaluate repeated activities as needed to determine that the practice gap still exists, that the underlying educational needs are still relevant for the target audience, and that content is still based on current evidence. Live activities, or portions of live activities, may be repurposed for enduring materials. If repurposed, an expiration date is assigned to the enduring activity.Professional Practice GapA professional practice gap is a change that has been made to a standard of care, a problem that exists in practice, or an opportunity for improvement.Professional practice gaps are not limited to clinical practice and may also exist in areas of professional work such as administration, education, and research.Identify and document the difference between current state and desired state.Identify if CNE can be developed to close the professional practice gap.Provide a summary of evidence gathered validating the need for this educational activityThe Nurse Planner and Planning Committee evaluate What registered nurses or members of the health care team do not know (knowledge deficit), Do not know how to do (skill deficit), Or are not able to do in practice (practice deficit),Then plan the best type of educational activity to achieve the desired state.Identify the target audienceThe target audience is defined as the specific registered nurse learners or health care team members the educational activity is intended to impact. The target audience is defined as the specific registered nurse learners or health care team members the educational activity is intended to impact.The Nurse Planner and Planning Committee determine and document the learning outcome.A learning outcome is written as a statement that reflects what the learner will be able to do as a result of participating in the educational activity. The learning outcome must be observable and measurable. The outcome addresses the educational needs (knowledge, skills, and/or practices) that contribute to the professional practice gap, and achieving the learning outcome results in narrowing or closing the gap. The learning outcome may be assessed over the short term or long term. There may be more than one learning outcome for an educational activity.Content of Activity will be documented on the Education Activity Plan (EAP). The EAP is found as Attachment 3 to this document and on the CEPU committee section of the STN web site.The Nurse Planner should begin the EAP by completing the top of the form including Title, Gaps, Current State, Desired State, and Learning Objectives using the information from the Continuing Education Planning Document.The content outline, presenter and teaching methods and learner engagement strategies table should be completed by the speaker/author.The evidence based references should be completed by the presenter/author.It is the responsibility of the Nurse Planner and Planning Committee to ensure that content is based on the most current evidence, which may include but is not limited to evidence-based practice, literature/peer-reviewed journals, clinical guidelines, best practices, and content experts’ opinion.To be considered current, written materials should be less than 6 years old unless the reference is considered a seminal/classic source.Method of calculation number of contact hours:If Live (in person or live webinar): Time spent evaluating the learning activity may be included in the total time when calculating contact hours. Total Minutes divided by 60= number of contact hours. If Enduring: Method of calculating contact hours may include: Pilot StudyHistorical Data Complexity of Content Other as appropriateIf rounding is desired in the calculation of contact hours, the provider must round down to the nearest 1/10th or 1/100th (e.g., 2.758 should be 2.75 or 2.7, not 2.8). Educational activities may also be conducted “asynchronously” and contact hours awarded at the conclusion of the activities.Evaluation of educational activity Evaluation may be formative and integrated within the educational activityEvaluation may also summative at the conclusion of the educational activity.Evaluation should assess for change in knowledge, skills or practice.Evaluation may be self reported or objective measures of change.Short-term evaluation options include Intent to change practice Active participation in learning activity Post-testReturn demonstration Case study analysis Role-play Other Long-term evaluation options includeSelf reported change in practice Change in quality outcome measure Return on investment (ROI) Observation of performanceOtherReview summative evaluation andAssess impact of educational activityModify current educational activityGuide future educational activityEnsuring Independence and Content IntegrityConflict of Interest A conflict of interest exists when an individual is in a position to control or influence the content of an educational activity and has a financial relationship with a commercial interest, the products or services of which are pertinent to the content of the educational activity.The Nurse Planner is responsible for ensuring that all individuals who have the ability to control or influence the content of an educational activity disclose all relevant relationships with any commercial interest, including but not limited to members of the Planning Committee, speakers, presenters, authors, and/or content reviewers. Relationships with commercial interest organizations are considered relevant if they existed within the past twelve months. Relationships of the individual’s spouse/partner may be considered relevant and must be reported, evaluated, and resolved. Employees of commercial interest organizations are not permitted to serve as planners, speakers, presenters, authors, and/or content reviewers if the content of the educational activity is related to the products or services of the commercial interest organization. Employees of commercial interest organizations are permitted to serve as planners, speakers, presenters, authors, and/or content reviewers if the content of the educational activity is NOT related to the products of the commercial interest organization. See STN Policy 2.8 for Policy and Procedure of Conflict of Interest in Educational mercial Support Commercial interest organization Any entity producing, marketing, reselling, or distributing health care goods or services consumed by or used on patients or an entity that is owned or controlled by an entity that produces, markets, resells, or distributes health care goods or services consumed by or used on patients. Or an entity that advocates for use of the products or services of commercial interest organizations. Exceptions are made for nonprofit or government organizations and non-health care-related companiesCommercial interest organizations may provide monetary funding or other support (Commercial Support) for continuing nursing educational activities in accordance with the fundamental principles that Commercial Support must not influence the planning, development, content, implementation, or evaluation of an educational activity. Receipt of Commercial Support must be disclosed to learners. Commercial Support may be used to pay for all or part of an educational activity and for expenses directly related to the educational activity, including but not limited to travel, honoraria, food, support for learner attendance, and location expenses. Commercial Support may be used to support more than one educational activity at the same time or multiple activities over a period of time. Commercial Support is: Financial Support—money supplied by a commercial interest organization to be used by a provider for expenses related to the educational activity. Financial support may be provided as an unrestricted grant, educational grant, donation, or scholarship; and In-kind Support—materials, space, or other nonmonetary resources or services used by a provider to conduct an educational activity, which may include but are not limited to human resources, marketing services, physical space, equipment such as audiovisual components, and teaching tools (for example, anatomic models). See STN Policy 6.6 for Policy and Procedure for Commercial Support. Joint ProvidershipAccredited Providers may jointly provide educational activities with other organizations. The jointly providing organization cannot be a commercial interest. The Accredited Provider is referred to as the provider of the educational activity; any other provider is referred to as a joint provider. In the event that two or more organizations are accredited, one will assume responsibility for adherence to the ANCC criteria and is the provider; the others are referred to as the joint providers. Materials associated with the educational activity, such as marketing materials, advertising, agendas, and certificates of completion, must clearly indicate the Accredited Provider that is awarding contact hours and is responsible for adherence to the ANCC criteria.Accredited Provider StatementAccredited Providers are required to provide the official accreditation statement to learners prior to the start of each educational activity and on each certificate of completion. The official Accredited Provider statement must be displayed clearly to the learner and worded correctly according to the most current accreditation manual. When referring to contact hours, the phrase “accredited contact hour” should never be used. Contact hours are awarded.The official ANCC accreditation statement must be written as follows:Society of Trauma Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.Certificate or Documentation of CompletionA certificate or documentation of completion is awarded to a participant who successfully completes the requirements for the individual education activity.The certificate or document must includeTitle and date of the educational activityName and address of the provider of the educational activity (web address acceptable)Number of contact hours awardedAccreditation statement Participant nameRequired Information Provided to the LearnerLearners must receive required information prior to the start of an educational activity. In live activities, required information must be provided to the learner prior to initiation of the educational content by including in Print and electronic marketing materialsPrint and electronic registration materialsPrint and electronic syllabus/handouts In enduring materials (print, electronic, or web-based activities), required information must be visible to the learner prior to the start of the educational content. Print and electronic marketing materialsPrint and electronic registration materialsInitial pages of the program manualsPrint and electronic syllabusRequired information may not occur or be located at the end of an educational activity. Required information for learners includes the followingAccreditation statement of provider responsible for educational activityNumber of contact hours Criteria that will be used to award contact hours, which may include but are not limited toActual time spent in the educational activityRequired attendance time at activity (e.g., 100% of activity, or missing no more than ten minutes of activity)Successful completion of post-test (e.g., attendee must score X% or higher) Completed evaluation formReturn demonstration. Required disclosures also include presence or absence of conflicts of interest for all individuals in a position to control content. Learners must be informed of absence or presence of any conflict of interest prior to the start of the program For individuals who have a relevant relationship, the following required information must be provided to learners prior to the start of the programName of individual; Name of commercial interestNature of the relationship the individual has with the commercial interest. If no relevant relationship exists, the activity provider must inform learners that no conflict of interest exists for any individual in a position to control the content of the educational activity. The presence or absence of relevant relationships can be disclosed onPrint or electronic syllabus/handoutsThe beginning slides of the relevant presentation.Additional required information, if applicable Commercial Support: Learners must be informed if a commercial interest has provided financial or in-kind support for the educational activity Expiration of enduring materials: Educational activities provided through an enduring format (e.g., print, electronic, web-based) are required to include an expiration date documenting the time period during which contact hours will be awardedJoint Providership: Learners are informed of the provider of the educational activity and all other organizations that participated in joint planning of the activity.Ongoing EvaluationSummary of program evaluations for enduring programs such as TOPIC, Optimal, ATCN, Webinars, and Certification Preparation Course will be prepared and analyzed annually.Summary of evaluations of live programs; such as annual conference, preconferences, etc will be prepared and analyzed within 3 months of program.Pertinent Nurse Planner will analyze summary of evaluations and provide a report to the CEPU. This report will includeAttendanceLearner evaluation of effectiveness of facultyLearner states objective(s) were metPerception of Conflict of Interest or commercial bias by learnerIntent to change practice or how the program will influence care or practice.Suggestions for future topics or programsThis report will also include the strengths of the course and opportunities for improvement.Demonstrating positive outcomesEach Program Planning Committee will develop at least one quality outcome measure that will be collected, monitored and evaluated annually. Outcomes must be written in measurable terms. Examples may includeVolume of participants in educational activities Volume of educational activities provided Change in format of CNE activities to meet the needs of learnersChange in operations to achieve strategic goals Operational improvements Quality/cost measures Succession planning for Continuing Education Provider Unit Orientation for staff and Nurse PlannersThe Provider Unit will collect, monitor, and evaluate annually at least one quality outcome specific to Nursing Professional Development. Outcomes must be written in measurable terms. Some examples includeProfessional practice behaviorsLeadership skills Critical thinking skills CollaborationTeam buildingHigh-quality care based on best available evidence Improvement in nursing practice Improvement in patient outcomes Improvement in trauma program process and performance improvement Record KeepingThe records of each continuing education program will be stored in a readily retrievable database upon completion of the program and will be stored for 6 years.The record of each program will includeThe Continuing Education Planning DocumentConflict of interest forms from all individuals in a position to control content (e.g. planners, presenters, faculty, authors, and/or content reviewers) and resolution if applicableThe Education Activity Plan (EAP)Copy of certificate Commercial Support Agreement with signature and date (if applicable)Copy of required information provided to learners in marketing, registration, manual, syllabus, and/or handouts.Accreditation statement of provider awarding contact hoursCriteria for awarding contact hoursPresence or absence of conflicts of interest for all members in a position to control content (e.g. the Planning Committee, presenters, faculty, authors, and content reviewers)Commercial support (if applicable)Expiration date (enduring materials only)Joint Providership (if applicable)Summary EvaluationCopy of Sign In Sheets/Participant listAttachment 1Society of Trauma NursesContinuing Education Provider Unit Orientation ProcessThe Lead Nurse Planner is responsible for orienting new members of the Continuing Education Provider Unit (CEPU).Society of Trauma Nurses (STN) organizational year begins May 1st. Orientation of new members to the CEPU will consist of 4 conference calls in June and a monthly call with each new member one week prior to the monthly CEPU meeting:Session 1: Introductions, explanation of the role of the CEPU in the organization, definition of terms, responsibilities of Nurse Planners, introduction to CEPU committee page on the STN web siteSession 2: Educational design process and use of STN forms to document this process. Session 3: Responsibility of STN staff re Conflict of Interest (COI), mandatory disclosures, registration and evaluation processes. Session 4: Evaluation of effectiveness of the education activity through analysis of summary evaluations, assessing opportunities for improvement with measurable quality indicator, assuring that all of the final documentation is complete. Monthly Call: Review current status of program planning, review current documentation to this point and encouragement to call if any questions. Attachment 2Society of Trauma NursesContinuing Education Activity Planning DocumentTitle of Activity: Click here to enter text.Date Form Completed: Click here to enter a date.Activity Type: ?Provider-directed, provider-paced: Live (in person or webinar)Date of live activity: Click here to enter a date.?Provider-directed, learner-paced: Enduring materialStart date of enduring material: Click here to enter a date.Expiration/end date of enduring material: Click here to enter a date.?Blended activityDate(s) of enduring materials:Date of live portion of activity: Click here to enter a date.Nurse Planner contact information for this activity. Name and credentials: Click here to enter text.Email Address: Click here to enter text.The Nurse Planner must be a currently licensed registered nurse with a baccalaureate degree or higher in nursing, and be actively involved in planning, implementing and evaluating this continuing education activity.Description of the professional practice gap (e.g. change in practice, problem in practice, opportunity for improvement)Describe the current state:Describe the desired state:Evidence to validate the professional practice gap (check all methods/types of data that apply)? Survey data from stakeholders, target audience members, subject matter experts or similar? Publication of new or modified trauma guidelines and/or research findings? Input from stakeholders such as learners, managers, or subject matter experts? Evidence from quality studies and/or performance improvement activities to identify opportunities for improvement? Evaluation data from previous education activities? Trends in literature, law and health care? Other—Describe: FORMTEXT ?????Please provide a brief summary of data gathered that validates the need for this activity:Educational need that underlies the professional practice gap (e.g. knowledge, skill and/or practices)? Knowledge? Skill? Practice? Other: ________________________________________________________________________Description of the target audience? Trauma Staff Nurses? Trauma Program Management? Trauma Advanced Practice Nurses? Trauma PI? Trauma Injury Prevention? Other: ____________________________________________Desired learning outcome(s)Check all that apply:? Nursing Professional Development?Patient Outcome? OtherContent of activity: A description of the content with supporting references or resources? See Educational Planning Table for content outline? See Educational Planning Table for supporting referencesContent for this educational activity was chosen from:? Information available from the following organization/web site (organization/web site must use current available evidence (less than 6 years or classic/seminal source) as resource for readers; may be published or unpublished content; examples – Agency for Healthcare Research and Quality, Centers for Disease Control, National Institutes of Health): ? Information available through peer-reviewed journal/resource (reference should be less than 6 years)? Clinical guidelines ? Expert resource (individual, organization, educational institution) ? Textbook reference: ? Other: ____________________________________________________.Describe time calculation for content:If live: Note: Time spent evaluating the learning activity may be included in the total time when calculating contact hours. Total Minutes _________________divided by 60=___________contact hour(s)If Enduring: Method of calculating contact hours: a. Pilot Study FORMTEXT ????? b. Historical Data FORMTEXT ????? c. Complexity of Content FORMTEXT ????? d. Other: ____________ Describe_____________________________ e. Estimated Number of Contact Hours to be awarded: __________H. Learner engagement strategies See Educational Planning Table and check all that apply. ? Integrating opportunities for dialogue or question/answer? Including time for self-check or reflection? Analyzing case studies? Providing opportunities for return demonstration? Post Test? Other: FORMTEXT ?????Criteria for Successful CompletionCriteria for successful completion for live and enduring material activities include: (Check all that apply) ? Attendance at entire event or session ? Attendance at 1 or more sessions ? Completion/submission of evaluation form ? Achieving passing score on post-test. (Passing score is: FORMTEXT ?????%)? Return demonstration ? Other - Describe: FORMTEXT ?????Description of evaluation method: Evidence that change in knowledge, skills and/or practices of target audience was assessed Short-term evaluation options:? Intent to change practice? Active participation in learning activity? Post-test? Return demonstration? Case study analysis? Role-play? Other – Describe: FORMTEXT ????? Long-term evaluation options:? Self-reported change in practice? Change in quality outcome measure? Return on Investment (ROI)? Observation of performance? Other – Describe: FORMTEXT ????? Qualified Planners and Faculty/Presenters/Authors/Content Reviewers Complete the table below for each person on the planning committee and include name, credentials, educational degree(s), role on the planning committee, and expertise that substantiates their role. Planning committees must have a minimum of a Nurse Planner and one other planner to plan each educational activity. The Nurse Planner is knowledgeable of the CNE process and is responsible for adherence to the ANCC criteria. One planner needs to have appropriate subject matter expertise for the educational activity being offered. The Nurse Planner and Content Expert must be identified. Names and credentials of activity planners, presenters, faculty, authors, and/or content reviewers (must identify Nurse Planner and content expert(s))Name of individualIndividual’s role in activityName of commercial interestNature of relationshipExample: Jane Smith, RN-BCNurse PlannerNone---Example: John Doe, PhDPresenterPfizerSpeakers Bureau Attachment 3 Society of Trauma NursesEducational Activity Planning Table – EAP Title of Activity: ________________________________________________________________________Identified Gap(s): Description of current state: __________________________________________________________Description of desired/achievable state: _____________________________________________________Gap to be addressed by this activity: FORMTEXT ????? Knowledge FORMTEXT ????? Skills FORMTEXT ????? Practice FORMTEXT ????? Other: _________________________Learning Outcome(s) _________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________CONTENT OUTLINE(Topics)TIME FRAME (if live)PRESENTERDescribe the learner engagement strategies that will be used during this program/presentation? Integrating opportunities for dialogue or question/answer? Including time for self-check or reflection? Analyzing case studies? Providing opportunities for return demonstration? Post Test? Other: FORMTEXT ?????List the evidence-based references used for developing this educational activity: References should be less than 6 years old unless a classic/seminal source._________________________________________________Completed By: Name and Credentials Date ................
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