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One Time Activity Accreditation Forms

CME Process Instruction Packet PDF document 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 PDF document 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) PDF 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 PDF document 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 PDF document 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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