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One Time Activity Accreditation Forms
CME Process Instruction Packet text
This packet describes each of the requirements for obtaining CME credit. It should be read before completing the program planning guide.
Activity Planning Guide text
This packet will assist you in organizing information required by the Accreditation Council for Continuing Medical Education (ACCME) and help you in planning an educational activity. It must be submitted to the Office of Continuing Medical Education before credit can be granted.
Course Evaluation (MS Word Document) text
This is a sample course evaluation form that can be modified to fit the
needs of your educational activity.
Conflict of Interest Disclosure text
The COI form records relationships with commercial entities and must be
completed by all faculty and individual involved in the planning who can control
the CME content of a CME activity. All Conflicts of Interest must be resolved
before the faculty can proceed in the planning process.
Departments within SUNY:
These forms document the agreement between SUNY CME and the commercial entity
financially supporting an educational activity. It must be completed by each
commercial entity supporting a CME activity. All other agreements or contracts
must be reviewed by the CME office.
Credit Claim Form text
Each Participant/Presenting Faculty at a CME activity is asked to complete the
Credit Claim Form for record keeping purposes. Only those participant/presenting
faculty who complete the Credit Claim Form will be awarded CME credits and receive
a certificate of completion.
Excel Participant Log (MS Excel)
Participant's demographic information will be entered into this form and electronically
submitted to the CME office. Each participant will be forwarded a certificate
of completion by the Office of Continuing Medical Education.
Revenue-Expense Report (MS Excel Document)
Final closing financial summary of the educational activity.
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