Programming Proposal form: ACoP 2013

Please note: once the proposal has been submitted it may not be edited, so we suggest that you print this page out and plan your submission ahead of time.

Examples of the expected types of responses are shown below some of the form fields in italics.

Submission form closes October 12, 2012

Name: *

Email: *

Session Title: *

e.g. Application of Quantitative Modeling and Simulation to Drug Development in Disease X

Format: *

e.g.: Symposium, Roundtable, Discussion, etc.

Objectives: *

To define the basic etiology, and pathophysiology of Disease X.
To describe the challenges of drug development in Disease X.
To illustrate opportunities to facilitate drug development for Disease X through modeling and simulation.... etc.

Rationale: *

Effective treatment of Disease X is currently an unmet medical need. Development of drug candidates in this .... (keep to 100 words or less).

Target Audience: *

Research and development scientists in academia, industry, and regulatory agencies focused on Disease X.

Proposed Topics & Speakers: *

Note: speakers and topics need not be final or confirmed, but please include suggestions/ideas in your proposal

Moderator(s): name, affiliation
Presentations (25 min each):
- Presenter 1: Review of Disease X and Drug Dev. Challenges (name, affiliation)
- Presenter 2: M&S Example 1 (name, affiliation)
- Presenter 3: M&S Example 2 (name, affiliation)
Question and Answer Period (15 min)
Total time (90 min)

A/V Needs: *

LCD projector will be provided. Indicate any additional needs (speakers for video, additional mics for panel discussion, etc.)

Special Notes:

e.g. speaker X only available for evening session..