Community Form for Use of Rural Continuing Medical Education (RCME) Community Funds
Apply for RCME Community Program funding. Complete all sections and provide supporting documentation as required.
Program details, eligible expenses, and funding rules
RCME Community Program funding is negotiated through the PMA and is available to physicians living in and delivering health care services in RSA communities.
Note:
The RCME Community Program and funding provides an opportunity to include interprofessional team members and other community providers in relevant CME activities as determined by the local community of physicians.
Eligible expenses:
Accreditation (including application fees), attendee travel and accommodation for community groups attending collective CME outside the community, coordination costs, equipment enabling community RCME delivery, honorarium/sessionals for curriculum development and delivery, catering, meeting expenses (textbooks, speaker gifts, supplies), RCME Physician Lead stipend, registration/course/workshop fees, speaker travel/accommodation, venue and room rental fees.
Ineligible expenses:
sessionals for physicians participating in CME, activities involving industry, equipment for patient care enhancement, reimbursement for individual CME activities, locum coverage while attending CME.
If there is no RCME Physician Lead, a physician committee member may provide signing approval, if appropriate.
Section 1: COMMUNITY AND APPLICANT INFORMATION
Section 1: COMMUNITY AND APPLICANT INFORMATION
Community name or community names
*
Applicant name
*
Applicant type
*
Individual
Professional group
Department
Applicant email
*
example@example.com
Applicant phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Section 2: EVENT OR SUPPORT REQUEST
Section 2: EVENT OR SUPPORT REQUEST
Event or support title
*
Funding Request – Briefly describe the CME activity the funds will support
*
Attach a copy of the proposed curriculum, brochure, accreditation details, or other supporting documents if available.
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Section 3: ACTIVITY DETAILS
Section 3: ACTIVITY DETAILS
Date or dates of CME activity
*
-
Month
-
Day
Year
Date
Expected number of participants
*
Section 4: EXPENSES
Section 4: EXPENSES
Course and registration fees (CAD)
Educational materials (CAD)
Accreditation fee (CAD)
Catering (CAD)
Honoraria and speaker fee (CAD)
Venue (CAD)
Other expense amount (CAD)
Other expense description
Total requested amount (CAD)
Section 5: APPROVAL PATHWAY
Section 5: APPROVAL PATHWAY
Approval pathway
*
I am the approving authority, and I am signing this request now.
I am the organiser or support person and this request still needs approval from the RCME lead physician in the community.
E-signature of approving authority
RCME lead physician name
RCME lead physician email
example@example.com
Physician committee member name
Physician committee member email
example@example.com
Submit Application
Submit Application
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