1. Presentation Title Speaker Name, Credentials Full Title Place of Business

2. Faculty Disclosure Info should be the same as what was listed on the Disclosure form that was signed and returned to CECentral.

3. Educational Need/Practice Gap Gap = Difference between current practice and optimal practice relevant to the educational need Need = The issue/problem that underlies the practice gap

4. Objectives Upon completion of this educational activity, you will be able to:

5. Expected Outcome What is the desired change/result in practice resulting from this educational intervention?