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Planning Your First Schwartz Rounds

Leadership Team Form

Please tell us which team member is filling out this form:(Required)

Name

Email

What is the name of your organization?(Required)

Please identify the name of your Schwartz Rounds Leadership Team Clinical Leader(s):(Required)

(You may add additional fields by clicking the "+" sign to the right)

Name

Email

Please identify the names of your Schwartz Rounds Leadership Team Facilitators:(Required)

(You may add additional fields by clicking the "+" sign to the right)

Name

Email

Please identify the name of your Schwartz Rounds Leadership Team Program Coordinator(s):(Required)

(You may add additional fields by clicking the "+" sign to the right)

Name

Email

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 roles or departments you might include.(Required)

(You may add additional fields by clicking the "+" sign to the right)

Name, role, or department

Email (if applicable)

When should you hold Schwartz Rounds? Think about specific days and times that would work best for staff?(Required)

Where should you hold Schwartz Rounds? Think about spaces in your organization that can comfortably seat Schwartz Rounds participants. If you are hosting Virtual or Hybrid Schwartz Rounds, which meeting platforms do you have access to?(Required)

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)

How will you get the word out? Think about where people get information about organizational events. What type of marketing would work well at your organization?(Required)

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