CME How To for Forms

CME FAQs

CME Activity Credit Application Procedure

• Accreditation Elements and Criteria
• CME Application Procedure
• CME Self Study Monitoring
• All Events & Joint Sponsorship Request Questionnaire
• CME Validation Policy
• CME Peer Review Criteria
• CME Quarterly Planning Policy
• 3 Month Planning Tool - Linking Needs to Outcomes
• CME Effectiveness – CME Policy Paper
  • CME Focus Group Quarterly Study
  • CME Participant Quarterly Impact Study
• CME Quarterly Clinical Problem Identification Worksheet
• CME Evaluation Template
• CME Attendance Sheet

Faculty/Speakers/Planners

• Faculty/Speaker/Presenter Credit Policy at Sponsored Conference
• Disclosure Form / Conflict of Interest
• Honorarium Policy
• Conflict of Interest Identification and Resolution-Speakers & Planners, Commercial Support
• Conflict of Interest Policy
• CME Faculty Selection Criteria
• Speaker Checklist
• Sample Faculty Confirmation Letter
• Sample Faculty Standards of Practice in CME Letter
• Verbal Disclosure
• Independent Contract Agreement
• MU Founcation Independent Contract Agreement
• Guidelines for Presenters
• Learning Objective Writing

West Virginia Board of Medicine

A Physician licensed in West Virginia may claim credit for teaching medical education courses or lecture to medical students, residents, or licensed physicians, or serve as a preceptor to medical students or residents:  Provided, that a physician may not count more than twenty hours (20) in this category toward the required fifty hours (50) of continuing medical education.  See your department chairperson for required documentation.

Forms for claiming credit:

• Classroom Teaching (verified by Dept. Chair)
• Precepting (verified by Dept. Chair)

Commercial Support / Grants / Activity Notice

• Standards for Commercial Support
• Definition of a Commercial Interest
• Employees of an ACCME defined Commercial Interest
• Letter of Agreement (Grant Management)
• Disclosure Form/Conflict of Interest ID (for speakers, planners, staff, spouses/partners, etc.)
• CME Activity Notice

Enduring Materials and Devices

• CME Policy on Enduring Materials
• CME Policy on Special Use Devices

Needs Assessment

• 2017
• 2016
• 2015
• 2014 Topic Specific
• 2014 Event Specific