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Project Planning Form for CME Activities

Please note: Applications must be submitted at least 60 days prior to the activity date. If you submit your application within 60 days of your event, we cannot guarantee approval for it.


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Contact our office with questions. 

UF Continuing Medical Education
352-733-0064
Activity Summary

Example: This is new program that is 4 credit hours and the audience is intended for community pediatricians. The program is in 1 hour segments and includes updates on otitis media, community acquired pneumonia, asthma and nutrition. The program is to be held on the UF Health campus, and does not have commercial support. The presenters are faculty in the COM and community.
Activity Director









Administrative Contact







Activity Planning Committee
Who are the team members working on this CME activity? In addition to the activity director, at least one person is required.
















Submission and Approval


A copy of this CME application will be sent to the department chair.

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Activity Information







Please fill out our separate MOC Application upon completing this CME Application.
Activity Format


We encourage you to make use of innovative and modern educational formats and strategies as you plan your educational program. Educational research has shown that purely didactic educational sessions are less effective than active learning strategies.

 

Active learning strategies might include:

  1. Use of audience response systems to promote learner engagement
  2. Workshop/hands on sessions rather than pure didactics
  3. Demonstrations of new techniques
  4. Case based learning
  5. Small group discussions
  6. Pre-and post-test assessments of content knowledge
  7. Multimedia (video) instruction imbedded in didactics to illustrate key points.



 
Conference Information
Applications must be submitted at least 60 days prior to the event! If you are planning an event that takes place in the next 60 days, please contact our office before completing this application. 352-733-0064 / cme-mail@ufl.edu





Draft agenda is acceptable. Does not need to be the final version.


 
RSS Dates and Frequency

All RSS activities are approved on a fiscal year cycle. Approval expires on June 30th of each year.






 
Online Activity Information


Online activities are typically approved for one calendar year.






Draft agenda is acceptable. Does not need to be the final version.
 

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Financial Information
This information is important for program evaluation and budgeting purposes and to allow UF CME to maintain necessary accreditation records. Accreditation and other regulatory requirements mandate that commercial support for CME activities be managed by the CME office, with all honoraria and other expenses paid by the CME office. 

Direct payment of expenses or participation in planning of program content by a commercial supporter is not permitted.



Please email Rasa Williamson for a budget template: rsimkus@ufl.edu. A budget is required for activities with income/expenses.

List amounts


Please describe the type of support and anticipated amount(s)

Please email Rasa Williamson for a budget template: rsimkus@ufl.edu. A budget is required for activities with income/expenses.

List companies and amounts

List anticipated number of exhibits and fee amount

List type and amount
 

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Competencies
CME activities should be developed to address physician core competencies as described by the ABMS, ACGME, Institute of Medicine, and the Inteprofessional Education Collaborative. Please indicate which core competencies will be addressed in this activity.



Planning Process


 

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Needs Assessment Data and Sources
PROFESSIONAL PRACTICE GAP
A “professional practice gap” is when there is a difference between what a healthcare professional is doing in their practice now compared to what is desired for optimal patient care based on best practice.

select all that apply


        
EDUCATIONAL NEED
The educational need is the cause or reason for the professional practice gap - what needs to change or improve to close the gap.

Reasons for the gap could be: 
  • Lack of early recognition of...
  • Inappropriate management of...
  • Challenging to stay current with rapid advances in the field, new drugs, etc.
  • Lack of experience in managing or treating...
  • Lack of education or training; training is inadequate/out of date
  • Condition is poorly understood

      
LEARNING OBJECTIVES
All learning objectives should map to the educational needs that were identified above.



 
DATA SOURCES



Evaluation