
The Department of Continuing Medical Education & Quality Training (CMEQT) has developed a unique "tool kit" as a vehicle to assure that the planning and administration of CME activities sponsored by MedStar Washington Hospital Center are completed in accordance with good adult education principles, in accordance with ACCME Essential Areas and Guidelines, AMA guidelines and CMEQT policies and procedures. The application is designed to provide the information, forms and tools needed by our CME activity directors, coordinators and joint sponsors to accomplish this task. Please download the application below to get started or you may request a hard copy on CD by contacting CMEQT.
CME ACTIVITY APPLICATION FOR SPECIAL ACTIVITIES, REGULARLY SCHEDULED SERIES (RSS) AND INTERNET LEARNING
MedStar Washington Hospital Center CME Application
REQUIRED ATTACHMENTS FOR APPLICATION SUBMISSION:
Documentation of Receipt, Review and Resolution of Conflict of Interest
Preliminary Budget Template
DOCUMENTS & TEMPLATES TO BE USED THROUGHOUT THE PLANNING PROCESS AND INCLUDED IN QUARTERLY REPORTS FOR RSS ACTIVITIES AND FINAL ACTIVITY REPORTS FOR SPECIAL ACTIVITIES:
Marketing and Print Materials:
Session Announcement with CME DIRECT Sponsor Credit Designation
*Session Announcement with CME JOINT Sponsor Credit Designation
Speaker/Faculty & Presentation Review:
Faculty Confirmation Letter for Special Activity
Faculty Confirmation Letter for RSS Speaker WITH Honorarium
Faculty Confirmation Letter for RSS Speaker WITHOUT Honorarium
Conflict of Interest Form
Final Speaker List for Quarterly Reporting
Clinical Content Review and Validation Form
New attendees for RSS:
Demographic & New/Guest Attendee Information Form
Commercial Support:
Commercial Supporter List for Quarterly Reporting
Letter of Agreement for Commercial Support - DIRECT Sponsor
*Letter of Agreement for Commercial Support - JOINT Sponsor
Budget:
RSS Budget Template
Sample Faculty Expense Sheet
*Only required if activity is jointly sponsored