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School of Medicine Virginia Commonwealth University VCU Medical School

Forms and Resources for CME Planners

Department Centered and
Jointly Sponsored Activities

Your first steps in planning an activity should be to review the documents here, paying particular attention to the CME Organizer (Item 2.b below). In conjunction with the forms and resources on this page, please review the items on the Policies and Procedures link. Please contact us before you conduct any promotional activities for your activity.

  1. What is CME?
    1. Definition of CME [PDF]
    2. ACCME Essentials and Elements [PDF]
    3. Frequently Asked Questions about Accreditation (FAQs)
    4. UHS-PEP CME Mission Statement [PDF]
  2. Getting Started: Initial Documents
    1. Introductory Letter for the CME Organizer [PDF]
    2. CME Organizer [Word]
    3. Letter of Agreement Between UHS-PEP and You (UHS-PEP will generate the appropriate LoA) [Word]
  3. Educational Design
    1. UHS-PEP Commitment to Quality [PDF]
    2. Needs Assessment
    3. Objective Writing Memorandum [PDF]
    4. Educational Objectives Chart [Word]
    5. Guide for Moderators of Educational Activities [PDF]
  4. Official Statements
    1. Official CME Statements [Word]
    2. Official CEU Statements (non-physician credit) [Word]
    3. ADA Statements [Word]
  5. Faculty Communications and Disclosure Announcements
    1. Faculty Confirmation Letter [Word]
    2. Chairs/Planner Conflict of Interest Disclosure Form [Word]
    3. Faculty Conflict of Interest Disclosure Form [Word]
    4. Faculty Conflict of Interest Disclosure Announcement Page [Word]
    5. ACCME Verbal Disclosure Policy Clarification [PDF]
  6. Commercial Support (updated 08/30/06)

    If you have not attended one of the UHS-PEP training opportunities concerning Conflict of Interest Disclosure and the Standards for Commercial Support of CME contact our office immediately before proceeding with your planning activities.
    1. ACCME Standards for Commercial Support of CME (www.accme.org) [PDF]
    2. Letter Requesting Commercial Support [Word]
    3. Letter of Agreement for Commercial Support (ACS Form) [Word]
    4. Acknowledgement of Commercial Support [Word]
  7. Evaluation
    1. Evaluation Form (general use) [Word]
  8. CEUs (Continuing Education Units for non-physicians)
    1. CEU Application Form [Word]
    2. CEU Attendance Report Form [Word]
  9. Other Forms and Documents
    1. Sample Announcement/Flyer: Directly Sponsored Version (w/abbreviated credit statement) [Word]
    2. Sample Announcement/Flyer: Directly-Sponsored Version (w/full credit statement text) [Word]
    3. CME Activity Checklist [Word]
    4. Financial Summary [Excel]
    5. Verification of Participation Form [Word]
    6. Transcript Request Form
    7. Individual Learning Contract Form
    8. UHS-PEP Activity Fee Structure [E-mail]

For more information, contact UHS-PEP at 800-413-2872 or 804-828-3640.

Or, you may contact us at: [E-mail] cmeinfo@vcu.edu