Divison of Continuing Education
If you have any questions while completing this form, please refer to the Faculty Guidance Packet (click here) or contact Megan Littleton at firstname.lastname@example.org or 606-783-7578. Powerpoint presentation slides will need to be presented at least two weeks prior to your presentation date. Slides must include disclosure statement. See examples here.
If you would like to designate a point of contact, do so here:
Overall Activity Learning Objectives* (ACCME Criteria 2, 3, 11)
Handouts are encouraged for providing participants with further resources for continuing education possibilities beyond the activity time frame. Handouts may be brought by the faculty, sent to the Northeast KY AHEC for distribution, or if no handouts are planned then a content overview of presentation slides will be given to participants.
Conflict of Interest Resolution
If speakers are found to have a financial relationship when completing the Speaker Disclosure form, the Northeast Kentucky Area Health Education Center will follow appropriate steps to ensure a conflict of interest does not intrude upon the education content of the continuing education program. The NE KY AHEC, by either the Continuing Education Coordinator or their designee, will complete the following steps:
You must complete a Disclosure of Financial Relationships form.Click here to fill out the form.
For questions, please contact Megan Littleton at email@example.com.