CME Application

The CME committee generally convenes on the second Friday of each month in the Academic Affairs Conference Room at Nassau University Medical Center. The following completed CME application has to be submitted at least two (2) months prior to scheduled presentation.

• Application Form
• Application Instructions
• Forms
  1. 1. Evaluation for participants
     2. Summary of the evaluations
  2. 1. Preliminary budget
     2. Final budget
  3. 1. Letter for Commercial Support
     2. Written Agreement for Commercial Support
     3. ACCME Standards Eligibility for Integrity and Independence
  4. 1. Letter to Invited Faculty (Speakers)
     2. Faculty Disclosure Policy
     3. Disclosure of Relevant Financial Relationships
     4. Identification and Mitigation of Relevant Financial Relationships of Planners Faculty and Others
  5. Attendance Sign in Sheet
  6. Verification of Disclosure
  7. Content Valid for CME
  8. Policy on Honorarium and Reimbursement for CME Activities
  9. Writing Learning Objectives
  10. Glossary Definition of Terms
  11. Lecture Series Post Survey