1. Presenter’s Institution
Presentation Title
Presenter’s Name
Presenter’s Institution

2. Disclosure [Important – Please list your disclosures and address information at the beginning of your presentation. ASTRO will also provide a disclosure slide at the beginning of each session with all faculty disclosures.]
Please list any conflicts of interest.
If none exist, please enter the following statement: “I have no conflicts of interest to disclose.”

3. Learning Objectives FOR EDUCATION SESSION AND PANEL SESSION PRESENTERS
Please list your learning objectives here. Each session must have 2-3 objectives that highlight the instructional content and/or expected learning outcomes of your presentation, to meet ACCME requirements.
Please contact your session leader if you do not have the learning objectives for your course

4. Conclusion What are the “Main Teaching Points” of this session?
What changes do you expect your audience will make as a result of your presentation?
What improvements in patient care will attendees make as a result of your lecture?
How does your lecture improve their competency? How does your lecture address barriers to care?
What key points of your session are “practice changing”? How will the audience incorporate this info into their current practice?