CME Credit Application and Resources

CME Credit Application and Activity Summary - Use this form to apply to have your educational activity certified for AMA PRA Category 1 Credit^TM.

Resources for the required attachments for the CME Credit Application:

• Agenda - The agenda should provide dates/times, topics & speakers, and any CME Product should include intro pages, CME content, bibliographic resources, an Evaluation page, and other pages that are part of the learner's experience. The agenda must communicate the duration (session length), presentation topic or title, and speakers for each session. An existing brochure or other literature may be submitted as an agenda if it communicates these details.
• Planner & Speaker forms-All planners & speakers for a CME activity must complete their respective form below in order to disclose financial relationships (or the lack thereof) with ineligible companies, to agree to UTCOM policies for keeping the education free from commercial bias and promotion, and (speakers only) to keep the education evidence-based and provide their learning objectives.
  • Planner form - To be completed by the Activity Medical Director, Activity Coordinator, and anyone else in position to influence the planning, content, implementation, or evaluation of a CME activity. 
  • Speaker form - Must be completed by the speakers/presenters, authors, moderators, and anyone with a planned educational role in the CME content at any CME activity.
  • Speakers form for Case-Discussion Conferences - This form is to be completed by case presenters, moderator, and anyone with a planned speaking role during a case-discussion CME activity. This form differs from the standard Speaker form, because it does not include learning objectives or audio/visual accommodations.
• Marketing- All promotional materials - printed and digital (email and social media) - for a CME activity should be approved by the Office of CME prior to use or distribution. Any promotion of CME credit is prohibited until the CME Credit Application has been approved. The CME statements for the activity will be emailed once the activity for CME credit is approved. These CME statements must be included in all marketing materials for the activity except brief save-the-date pieces. The Office of CME will provide sample marketing templates for brochures, emails, and flyers and will assist in the creation of these for CME activities as needed.
• Disclosures to Learners- A few pieces of information must be disclosed to the learners at the CME activity (per the Disclosures to Learners section of the CME Credit Application) via an intro slide, an activity handout (printed or digital), or a webpage (for online modules). The Office of CME will create a PowerPoint slide to be included at the beginning of the activity. This information can also be included as a handout to learners.  
• Activity Evaluation - Learners must be given an opportunity to evaluate the education. Handouts or online surveys are great tools for creating a post-activity evaluation for a CME course. The Office of CME will help create an evaluation for the CME activity.
• Continuing Education Credit Request form - The Office of CME will send the Activity Coordinator a continuing education credit request form to be used for any activity with more than 2 hours of CME content.
• Letter of Agreement for Commercial Support - If an activity is receiving any commercial support,a Letter of Agreement must be signed by the commercial interest, the Office of CME, and the organization or department receiving commercial support for each disbursement of commercial support received.

Once your UTCOM-certified CME activity is over, visit the CME Activity Closeout webpage for guidance in submitting the conference closeout materials needed to issue the CME credit certificates/transcripts.