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Home » Accreditation

CME Forms

CME Forms (Faculty and Planners)

CME Forms for Faculty/ Speakers: 

  • iLearn Faculty/Speaker Guide
  • CME Disclosure Form  - Downloadable in pdf
  • CME Disclosure Form - Submit Online
  • AV Recording Waiver 
  • Travel Expense Reimbursement Form
  • Nicklaus Children's Hospital CME Faculty Handbook

Helpful Tools and Samples:

  • Sample Disclosure Slides (All Slides) 
  • Sample Disclosure Slides (Prior to Start of Program) 
  • Sample Disclosure Slides (For Speaker's Presentation) 
  • Writing Learning Objectives
  • Sample Pre-Survey
  • Sample Post-Survey

CME Forms for Activity Chairs and Planners:

  • CME Activity Request Form
  • CME Disclosure Form  - Downloadable in PDF
  • CME Disclosure Form - Submit Online
  • CME Application Form - Downloadable in PDF
  • Audiovisual Request Form
  • CME Checklist 
  • Travel Expense Reimbursement Form 
  • PDSA Documentation Form - Activity Improvement Plan

CME Policies and Procedures:

  • CME Administrative Fees Policy
  • Course Director's Responsibilities
  • CME Policy Governing Honoraria and Reimbursement of Expenses for Planners, Teachers, and/or Authors

References and Resources:

  • WRITING INSTRUCTIONAL OBJECTIVES
    Kathy V. Waller, PhD, CLS(NCA)
    NAACLS Board of Directors

iLearnPeds.com  |   About Us  |   Accreditation  |   Your Account  |   Help

ACCME Accreditation with Commendation Nicklaus Children's Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The ACCME Criteria for Accreditation with Commendation recognizes the achievements of CME providers that advance inter-professional collaborative practice, address public health priorities, create behavioral change, show leadership, leverage educational technology, and demonstrate the impact of education on healthcare professionals and patients.

Accreditation Details   Note of Privacy Practices   Web Site Information Disclaimer | © 2020-2021 Nicklaus Children's Hospital. All Rights Reserved.

Powered by the EthosCE Learning Management System, a continuing education LMS.
      • Home
      • About us
        • News & Updates
        • CME Mission Statement
        • CME Relicensure Courses
        • CE Broker Reporting
        • CME Commitee
        • Links and Resources
      • Accreditation
        • Planning Your Meeting
        • Activity Request Form
        • Disclosure Policy & COI Statement
        • Other Forms & Resources
      • Virtual Catalog
        • Virtual Grand Rounds
        • Relicensure Courses
        • COVID-19
        • Faculty Development Series
        • Oral Health Channel
        • The 57th Annual Pediatric Postgraduate Course
        • Virtual GPRSA 2022
        • Complete Course List
      • Live Activities
        • Pediatric Grand Rounds
        • Cardiology Conference
        • Radiology Wednesday Conference
        • Trauma Conference
        • Tumor Board
        • Hand & Peripheral Nerve Conference
        • PCP Seminar Series
        • Faculty Development
        • 25th Annual General Pediatric Review & Self-Assessment
        • 2nd Annual Pediatric Hospital Medicine Review & Self-Assessment
        • Activity Calendar
      • My account
        • Edit profile
        • My activities
        • My transcript
      • Help
        • Contact us
        • New User Guide
        • FAQ
        • Accessing Your Transcripts