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Vanderbilt Center for Patient and Professional Advocacy
Home
What We Do
Who We Are
Our Impact
Research
In the News
Coffee Conversations
Contact Us
Please fill out the form below and someone from the Center for Patient and Professional Advocacy will contact you on how we can best serve your needs.
Organizational Affiliation
Address
Address
City/Town
State/Province
- None -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federate States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP/Postal Code
First Name
Last Name
Job Title
Email
Business Phone
Alternate Phone
Desired Course Date
Requested Topic
Addressing Behaviors that Undermine a Culture of Safety Respect & Reliability
Creating a Culture of Accountability in a Learning Environment
Disclosure of Unintended Outcomes
Pursuing Safety, Risk Prevention, and Professional Accountability (designed for Risk Managers)
Service Recovery
Other, please describe
Requested Program Length
Grand Rounds / Plenary / Keynote (50-60 minutes)
Breakout Session (90 Minutes)
Workshop (2-3 hours)
Half-Day (4 hours)
All Day (5-7 hours)
Approximate Time
Morning
Afternoon
Dinner presentation
Negotiable
Exact time, if known
Additional Information
How did you hear about us?