|
Title
|
Description
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Who Should Download?
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| Joint-Sponsor Questionnaire (Acrobat document) |
Use this form if you are interested in collaborating with UNTHSC on CE activities |
Potential joint sponsors |
Joint-Sponsor
Activity Questionnaire (Word Document) |
Use this form to request UNTHSC review a proposed activity for potential joint sponsorship or co-providership. |
Potential joint sponsors or others with an idea for an activity that meets an identified need. |
|
Performance Improvement CME Request |
Performance improvement (PI) CME activities describe structured, long term processes by which a physician
or group of physicians can learn about specific performance measures, retrospectively assess their
practice, apply these measures prospectively over a useful interval, and re-evaluate their performance.
|
Anyone with an idea or specific need for a continuing education activity
|
|
AOA Preceptor Credit Reporting Form |
Department liaisons should use this form to report preceptor credit to the PACE Office.
|
Clinical/Educational Department Liaisons
|
|
AOA Teaching Credit Reporting Form |
Department liaisons should use this form to report teaching credit earned by faculty members
to the PACE Office.
|
Clinical/Educational Department Liaisons
|
|
AOA Healthcare Facility Report |
Hospital Education Representatives with whom PACE works should use this form to report
educational activities at a healthcare facility.
|
Hospital Education Representatives
|
| Credit Request Form |
Use this form to request credit for a UNTHSC-sponsored activity you have attended if you have
misplaced the form you received at the activity.
|
Healthcare providers requesting credit for a CME or CE activity
|
| PRA AMA Category 2 Self-Documentation Form |
Use this form to document PRA AMA Category 2 credits in your files |
AMA-member physicians who have earned category 2 CME credits (not sponsored by an accredited provider) |
|
Faculty Expense Report Form |
General form for faculty members requesting travel expenses or speaker fees
|
CME or CE faculty members who have misplaced the original expense report
|
| Disclosure and Conflict of Interest Resolution Policy |
UNTHSC's policty on identification and resolution of conflict of interest |
Any presenter or potential joint sponsor |
|
Faculty Disclosure Form |
Faculty disclosure and conflict resolution form
|
Presenters at a CME or CE activity.
|
|
Monograph Request |
Use this form to suggest a CME-certified printed monograph.
|
Original authors or co-authors
|
|
Call for Presentations |
Use this form to submit a CME-or CE-certified presentation you would like to provide.
|
Potential presenters
|
|
Transcript/Certificate Request (fax) |
Request a transcript or certificate for UNTHSC-sponsored activities
|
Activity participants
|
|
ACCME Standards of Commercial Support |
The most current Standards of Commercial Support released by the ACCME
|
Commercial supporters, joint sponsors and/or attendees
|
|
CME/CEU Requirements by State |
A listing of CME requirements by state
|
Physicians
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