ShapeUpCME

Activity Planning Documents

• CME Planning Worksheet (Feb 2014)

Participant/Committee Disclosure Forms

• Participant Disclosure for Flyer or Brochure
• Participant Disclosure slides_template
• Participant Disclosure Tabletop_template
• Participant disclosure_handout_template
• Recommended CME Disclosure Form_Template_v2

Program Evaluation Forms

• Evaluation 2014
• Post survey - revised
• Overall program evaluation

Activity File Documents

• ISMA Performance-in-Practice Structured Abstract

Accreditation Statement Requirements
The accreditation statement must appear on all CME activity materials and brochures distributed by accredited organizations, except that the accreditation statement does not need to be included on initial, save-the-date type activity announcements. Such announcements contain only general, preliminary information about the activity such as the date, location, and title. If more specific information is included, such as faculty and objectives, the accreditation statement must be included.

Accreditation Statement
The accreditation statement must appear on all CME activity materials and brochures distributed by accredited organizations, except that the accreditation statement does not need to be included on initial, save-the-date type activity announcements. Such announcements contain only general, preliminary information about the activity such as the date, location, and title. If more specific information is included, such as faculty and objectives, the accreditation statement must be included.

The ISMA  accreditation statement is as follows: For directly provided activities: “The (name of accredited provider) is accredited by the Indiana State Medical Association (ISMA) to provide continuing medical education for physicians.”

For jointly provided activities: “This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Indiana State Medical Association (ISMA) through the joint providership of (name of accredited provider) and (name of nonaccredited provider). The (name of accredited provider) is accredited by ISMA provider to provide continuing medical education for physicians.”

There is no "co-providership" accreditation statement. If two or more accredited providers are working in collaboration on a CME activity, one provider must take responsibility for the compliance of that activity. Co-provided CME activities should use the directly provided activity statement, naming the one accredited provider that is responsible for the activity. The ACCME/ISMA has no policy regarding specific ways in which providers may acknowledge the involvement of other ACCME/ISMA accredited providers in their CME activities.

AMA Credit Designation Statement 
The AMA Credit Designation Statement indicates to physicians that the activity has been certified by an accredited CME provider as being in compliance with AMA PRA Category 1 Credit™ requirements. 

The AMA Credit Designation Statement must be written without paraphrasing and be listed separately from accreditation or other statements. The following AMA Credit Designation Statement must be included in relevant announcement and activity materials:

The [name of accredited CME provider] designates this [learning format] for a maximum of [number of credits] AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 
The learning format listed in the Credit Designation Statement must be one of the following AMA approved learning formats: 

1. Live activity 
2. Enduring material 
3. Journal-based CME activity 
4. Test-item writing activity 
5. Manuscript review activity 
6. PI CME activity 
7. Internet point-of-care activity 

Use of phrase "AMA PRA Category 1 Credit ™" 
The phrase "AMA PRA Category 1 Credit" is a trademark of the American Medical Association. Accredited CME providers must always use the complete italicized, trademarked phrase. The phrase "Category 1 Credit" must never be used when referring to AMA PRA Category 1 Credit™.