Fill in a brief form
Attach your file in format noted below and with all parts filled in
If you have any questions email us at firstname.lastname@example.org (Please note in subject line that this is related to Midwifery Works)
Typed in 12-point font with 1” margins, add pages numbers
Each submission must contain all the following outlined parts:
Part 1 - Session Title
Part 2 - Session Length in Minutes
The following activities should not be included when calculating contact hours for CEU: breaks, meals, socials (presentation germane to the course during a meal activities, announcements, introductions, welcoming speeches, reports, etc.; time for study, travel, assigned reading, or related activities outside the classroom or meeting schedule unless the activity is monitored and/or assessed and the learner receives feedback.
Part 3 - Teaching/Delivery Methods
Examples of teaching methods are lecture, small group discussion, and panel discussion, small group case studies, etc.
Part 4 - Behavioral Objectives
The behavioral objectives serve to clearly outline what the participant will learn as a result of attending this session. Each objective must be stated in terms of learner outcome. i.e. “At the end of the session the participant should be able to demonstrate the following knowledge and/or skills…..”
Part 5 - Content Outline of Session
The outline should be relevant to each objective. The outline and the objectives must support each other and be directly related. For each content area, be sure to indicate time allocated. Please indicate if pharmacologic content exists.
Part 6- Bibliography/Reference List
Each session must include a reference list/bibliography to support the session topic. Seventy five (75%) percent must be current within the last 5 years, preferably in peer-reviewed journals. A 1-hour presentation should contain at least 5 references; a 4 hour presentation should contain between 5-10 references; and an 8 hour presentation should contain between 10-15 references. Noted classics will be
accepted. Articles published by the presenter may be included. This criterion is not optional and non-submission of this information will result in an incomplete application that will only be reviewed upon receipt of the reference list.
Part 7 - Faculty Resumes
Faculty examples include: presenters, authors, editors, moderators, etc. You do not need to attach the speaker’s full CV or resume. The resume should be submitted in the narrative form and should include the faculty’s credentials and educational background, work experience and publications/presentations relevant to the current topic. Be sure to list each of the faculty for each session.
Part 8 - Prior/Other CEU Approval
If any session currently being submitted for ACNM approval has received approval previously, please indicate this below and include the ACNM program number.