CME Forms and Instructions 
Regularly Scheduled Conferences
(UCI and Non-UCI Organizations)
Includes Grand Rounds, Tumor Board, Journal Club, M&M, etc.

     Please download and save the documents below for use with CME activities.
     The application and supporting documentation must be submitted by email attachment to egilliam@uci.edu

RSC Application Materials:
RSC Application Instructions
RSC CME Application for CME
RSC CME Educational Linkages Worksheet Instructions
RSC CME Educational Linkages Worksheet
RSC CME Outcomes Question Worksheet
RSC CME Budget Form/Template

RSC Approval Materials:
RSC CME Checklist
RSC CME Instructions (Post-Approval)
RSC CME Publication Information
RSC CME Commercial Support Agreement
RSC CME Disclosure Form
RSC CME Conflict of Interest Policy
RSC CME Syllabus Disclosure Example
RSC CME Syllabus Disclosure Form
RSC CME Statement of Evidence-Based Content
                (Directly Sponsored Only)
RSC CME Jointly Sponsored Financial Agreement
                (Jointly Sponsored Only)
RSC CME Clinical Content Review and Validation
RSC CME Faculty Appointment/Agreement Letter
RSC CME Internet Policies and Internet Checklist
RSC CME Daily Attendance Sheet

RSC Course Evaluation and Summary Forms:
RSC CME Course Evaluation Form and Summary
                (Please contact CME Office to obtain Course Evaluation)
RSC CME Course Evaluation Summary of Handwritten Comments

For questions on the forms above, please contact:

Elena Gilliam
Phone:  (949) 824-4220
Fax:      (949) 824-3037
Email:   egilliam@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

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