Activity Title in English^*

Activity Title in Arabic^*

Professional Medical Field^*

Specialty^*

Sub Specialty

Target Audience^*

What learning needs or gaps in knowledge, attitude, skills or performance of the intended target audience did the scientific planning committee identify for this activity?^*

Activity Objectives^*

What are the expected educational outcomes^*

Please specify how the Module will encourage leaners to employ methods of active learning to achieve the educational objective(s)^*

Please specify the extent to which the Module includes a means of confirming Leaner engagement and achievement of the educational objectives (atleast 2 must be mentioned)^*

Please specify which reliable and effectives means for the learner to provide feedback on the module is provided ad how the report on this feedback and on its response to this will be made available for review purposes.

Scientific Module