WMMC Continuing Medical Education Checklist

  • WMMC Continuing Medical Education Checklist

    This mandatory form will assist you in planning, implementing and evaluating your activity. Failure to complete the form may result in no Continuing Medical Education being awarded for the activity.

  • ACTIVITY INFORMATION
  • Date of Activity:*
     - -
  • Please select the type of activity :
  • 1. Did you provide advance notice for this Activity (E-mail notification, flyer, electronic announcement...)

  • Browse Files
    Cancelof
  • 2. Did INMED provide to you an updated Credit Claim Form and/or PowerPoint slide that reflects the Accreditation Statement, Learning Objectives, Speaker information and date of the Activity?
  • 3. Was a Disclosure Form submitted to INMED for the Speaker/Presenter within the required time frame?
  • 1. Was this Activity free from influence of Ineligible Companies? (No industry representative had any input into the preparation of this activity.)*
  • 2. Was this Activity free from Third-Party financial or in-kind support (including food)?*
  • 3. Was Planning Committee and Speaker disclosure information made available to attendees and listed on the Credit Claim Form and/or PowerPoint slide prior to the Activity?*
  • 4. CME Submission:*

  • Browse Files
    Cancelof

  • 5. Educational Reporting: (Only for Case Conferences, M&M and Tumor Boards) Please upload Meeting Minutes/Agenda OR complete Questions 5a-5c.

  • Browse Files
    Cancelof
  • Image field 34
  • Should be Empty: