CME Contacts & Mission Statement
 
UCI CME Activities:
        
Live Activities
        
Live Audio & Web Conferences
        
Self Study / Enduring Materials
        
Grand Rounds
  Other School of Medicine Activities (No CME Credit)
  Maps & Directions to Office of CME & Local CME Events
  CME Forms

 
 
 
   

FORMS for DIRECTLY SPONSORED ACTIVITIES
 
 

Initial Application Form/Instructions:

 1)       APPLICATION - Directly Sponsored  
 2)   
  APPLICATION INSTRUCTIONS - Directly Sponsored

CME Forms/Instructions:
    
      Item
#3 CHECKLIST and Item #4 INSTRUCTIONS will explain
      how to proceed with these materials.

 3)      CHECKLIST Directly Sponsored Activities
 4)   
  INSTRUCTIONS Directly Sponsored Activities

 5)   
 Statement of Evidence-Based Content
 6)     Disclosure Form (New)
 7)    Conflict of Interest Policy (New)
 8)    Syllabus Disclosure Example (New)
 9)    Syllabus Disclosure Blank Form (New)
10)    Clinical Content Review (New)
11)   
 Faculty Appointment Letter
12)  
 Commercial Support Agreement
13)    Publication Information and Instructions
14)
   Internet Policies and Internet Check List
15)
 *Enduring Materials Policies 
       
(*Not Applicable to Live CME Activities.)
16) 
 Attendance Verification Form
17) 
 Course Evaluation Form & Summaries
           (Please contact CME Office for form.)
18)
  Course Evaluation Summary of Handwritten Comments

19)
  Speaker Evaluation Form
20)   Speaker Evaluation Summary
21)   Participant/Registration List
22)   Participant/Registration List Instructions
23)   Course Director/Chair Evaluation

For questions on the above forms and publications for DIRECTLY SPONSORED ACTIVITIES, please contact:

            Bonnie Carroll
            Phone:  (949) 824-9163
            Fax:      (949) 824-4701
            bcarroll@uci.edu

or
           
Nicki Mahnke

amahnke@uci.edu

         
     The University of California, Irvine School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

     For further information, please see the contact numbers on our home page at  www.cme.uci.edu

MAILING ADDRESS:

Office of Continuing Medical Education
UNIVERSITY OF CALIFORNIA, IRVINE
School of Medicine
Mail Code 4089
Medical Education Building 802
IRVINE, CA  92697-4089

MAPS and DIRECTIONS To:

MAP and DIRECTIONS to UCI Office of CME

U. C. Irvine Campus & Medical Center

You will need to Download Adobe Reader in order
to view maps on this page.

EMAIL Web Comments To: amahnke@uci.edu

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