Planning Your First Schwartz Rounds

Leadership Team Form

Please tell us which team member is filling out this form and from which organization.(Required)
First Name
Last Name
Organization
Please identify the members of your Schwartz Rounds Leadership Team by names and roles, including Physician/Clinical Leader, Facilitator(s), and Program Coordinator(s).(Required)
(Please click on the carrot on the right of the role field to select the corresponding role. You may add additional team members by clicking the "+" sign to the right of the role field)
Name
Role
 
Who should be on your Planning Committee? Make a list of colleagues that come to mind as potential Planning Committee members. If you do not have specific names, make a list of rolesor departments you might include.(Required)
(You may add additional fields by clicking the "+" sign to the right)
Name, role, or department
 
What are some potential topics and cases? Think of two or three relevant cases or topics that you can suggest to your Planning Committee.(Required)
(You may add additional fields by clicking the "+" sign to the right)
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