Forms
Application
Please complete all sections of this Certified Continuing Medical and Dental Education Application Form.
Checklist for Certified Activities
This list will help you keep track of all the forms and information needed by our office in order for your course to be certified. Although course applications may be approved for certification, credits cannot be certified for individual attendees until all documentation has been forwarded by the course director to Communications and Outreach and verified by the CME Coordinator.
Course Director, Coordinators and Speaker Forms
Two forms are required for any person able to control the content of an activity certified for continuing medical education credit. This includes course directors and coordinators, planning committee members, speakers, moderators, and contributors.
The Accreditation Council for Continuing Medical Education (ACCME) requires full disclosure for each speaker. The intent of this policy is neither to restrain nor prevent a speaker with a potential conflict of interest from making a presentation, only to openly identify any potential conflict and allow the audience to make an informed determination about the content presented.
Pre-Presentation Content Review
Speakers will supply UTGSM and the course director with their presentation slides and/or materials at a date set at least two weeks prior to the course date. Course directors are required to review each speaker’s presentation content prior to the presentation of the materials to the participants and prior to the printing of handout materials.
Evaluation
Compliance standards require that certified activities "measure the effectiveness of each activity in meeting the identified educational need in terms of satisfaction, knowledge, or skills." A variety of evaluation methods can be used to comply with certification standards. UT Graduate School of Medicine can advise course directors about evaluation methods, including the use of Audience Response Systems (ARS) for participant surveys.
The University of Tennessee Graduate School of Medicine
Office of Communications and Outreach
1924 Alcoa Highway
Knoxville, Tennessee 37920
Phone - (865) 305-9190
FAX - (865) 305-6823
cme@tennessee.edu