2014 CREOG & APGO Annual Film Festival Call for Participation

Primary Contact First Name: *
Primary Contact Last Name: *
Degree: * Example: MD, MPH, PhD
Email: *
Are You Submitting More Than One Film: *
Title of Film: * 100 characters or less
Please select one of the following categories: *
Please select a subcategory using the ACGME competencies: *
Names and Institutional Affiliations of Authors: *
Learning Objectives of Film: * Explain the film's objectives and expected outcomes. (100 words or less)
Background: * Describe the issue this film addressed and the audience it is intended to reach. Provide specific examples of current and/or planned use of film. (250 words or less)
Current and/or Planned Use of Film at Home Institution: * 100 words or less
Funding, Including Grants & Budget: * 100 words or less
Length of Time to Make This Film * How many hours were required to make this film over what time period? (100 words or less)
Human Resources Involved in Film Production: * 100 words or less
Additional Comments: 100 words or less
Please provide the YouTube or Vimeo link to your video submission for review: * Must be 10 minutes or less in length and suitable for educational purposes.
Password to Access Private Vimeo Link (Optional): If you choose to make your Vimeo submission private, please provide us with the password.
If your film is chosen to be presented during the 2014 CREOG & APGO Annual Meeting, the link will be provided to the meeting attendees through on-line syllabus materials. The deadline for submission is 8:00 a.m. EST, Monday, August 19, 2013.