Cabin Fever

Please Check All that Apply

Speaker

Planning Committee Member

University Staff Member

Preceptor

Rural Family Medicine Resident

Other

Are you actively precepting medical learners?

University of Alberta (UofA)

University of Calgary (UofC)

N/A

Please indicate which of the following preceptor meetings you will be attending on Friday, February 2:

UCLIC Preceptor Meeting - 1:00 p.m. - 2:30 p.m.

DFM Preceptor Meeting - 4:00 p.m. - 5:00 p.m.

Breakfast will be provided in the Rockies Room of the Forte Restaurant for each day of the conference. Including yourself, please indicate how many guests - adults and children will be attending breakfast each day.

INCLUDING YOURSELF, how many adult guests will be attending the Welcome Reception on Thursday, February 1st?

INCLUDING YOURSELF, how many adult guests will be attending the Friday Mixer on Friday, February 2nd?

INCLUDING YOURSELF, how many adult guests (18+) will be attending the Awards Banquet on Saturday, February 3rd?

CHILDCARE - How many children (0-12) would you like to enroll in childcare services, during the Awards Banquet on Saturday, February 3rd?

Please list full names, ages, allergies, and dietary requirements for each child enrolled:

Please list any allergies or dietary requirements for all adults attending social events.

Do you, or your guests, have any accessibility requirements that you would like us to be aware of?

Yes

Please share your best/favourite teaching tip to help your fellow preceptors improve their instructing, feedback giving or any other skills related to precepting.

Terms & Conditions and Privacy Policy

I have read and agree to the Terms and Conditions and Privacy Policy

Attendee Registration Form

Preceptor Meetings

Breakfast

Friday, February 2

Saturday, February 3

Sunday, February 4

Social Events

Teaching Tips