* EXAMPLE * EXAMPLE * EXAMPLE * EXAMPLE* 16 ANNUAL

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WEILL CORNELL MEDICAL COLLEGE
CONTINUING MEDICAL EDUCATION INFORMATION PAGE FOR
ENDURING MATERIALS
16TH ANNUAL FAMILY PRACTICE SYMPOSIUM
Saturday, October 14, 2010
Weill Cornell Medical College
John Smith, M.D., Course Director
SPONSORSHIP STATEMENT: This enduring material is <insert directly or jointly> sponsored by
Weill Cornell Medical College
MEDIUM OR COMBINATION OF MEDIUM USED: <Indicate whether the activity is a CD
ROM, monograph, podcasts, DVDs, etc.>
METHOD OF PHYSICIAN PARTICIPATION IN THE LEARNING PROCESS: <i.e. read the
monograph, listen to the tapes, view the CD ROM, etc.>
RELEASE DATE: <insert month/day/year>
REVIEW DATE (if applicable): <insert month/day/year>
EXPIRATION DATE: <insert month/day/year (no longer than 3 years from most recent review
date)>
ESTIMATED TIME TO COMPLETE THE EDUCATION ACTIVITY: <number of hours and/or
credits (same as credit designation statement)>
HARDWARE AND SOFTWARE REQUIREMENTS: <Include the type of hardware and software
needed to participate in the activity.
POLICY ON PRIVACY AND CONFIDENTIALITY: <Insert policy on privacy and confidentiality
that relates to this enduring material>
COPYRIGHT POLICY: <You must be able to document that WCMC owns the copyright for, or has
received permissions for use of, or is otherwise permitted to use copyrighted materials within a CME
activity on the Internet>
Weill Cornell Medical College gratefully acknowledges funding in part provided by unrestricted educational
grants from:
ACME PHARMACEUTICALS, INC., XYZ DEVICE MFG., VITAMINS-R-US, INC.
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IDENTIFIED PRACTICE GAPS/EDUCATIONAL NEEDS
PLEASE NOTE: This statement of need should include an epidemiological statement (on the current
state of knowledge, skills, competence, practice, or patient outcomes) and what would be expected (the
desired/ideal state of knowledge, skills, competence, performance, patient outcomes).
TARGETED AUDIENCE
This course is designed for family practitioners and primary care physicians as well as nurses and other
allied health professionals who specialize in the treatment and diagnosis of common medical illnesses
in the adult and pediatric community.
OBJECTIVES/DESIRED OUTCOMES
It is intended that this Weill Cornell CME activity will lead to improved patient care, including
improvements in knowledge, competence, or performance. At the conclusion of this activity,
participants should be able to:
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2.
3.
4.
Better identify symptoms of the common cold
Provide better treatment to children and adults who present with strep throat
Incorporate new research findings and develop new strategies for treating Lyme disease
Promote discussions on the importance of vitamin supplements in daily life and how this will
lead to greater patient well being
DISCLOSURE OF RELATIONSHIPS/CONTENT VALIDITY
It is the policy of Weill Cornell Medical College to adhere to ACCME Criteria, Policies, and Standards
for Commercial Support and content validation in order to ensure fair balance, independence, objectivity,
and scientific rigor in all its sponsored activities. All speakers, Course Directors, Co-Course Directors,
planners, reviewers, and staff members participating in sponsored activities are expected to disclose
relevant financial relationships pertaining to their contribution to the activity. Relationship information is
analyzed to determine whether conflicts of interest exist. All conflicts of interest are resolved prior to
participation in the planning or implementation of this activity. Presenters and authors are also expected
to disclose any discussion of (1) off-label or investigational uses of FDA approved commercial products
or devices or (2) products or devices not yet approved in the United States.
WCMC CME activities are intended to be evidence-based and free of commercial bias. If you have any
concerns, please call the Office of Continuing Medical Education at 212-746-2631 to anonymously
express them.
Course Director
John Smith, M.D.
 Speaker’s Bureau: Pfizer
 Will not be discussing the off-label or investigational use of products
Course Co-Director (if applicable)
Jennifer Smith, M.D.
 Has no relevant financial relationship to disclose.
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
Will not be discussing the off-label or investigational use of products
Independent Clinical Reviewer (if applicable)
Sarah Jones, M.D.
 Has no relevant financial relationship to disclose.
 Will not be discussing the off-label or investigational use of products
Course Faculty
Peter McDonald, M.D.
 Has no relevant financial relationship to disclose.
 Will not be discussing the off-label or investigational use of products
Marilyn Johnson, M.D.
 Speaker’s Bureau: Astra Zeneca
 Research Support: Lilly Oncology and Amgen
 Consultant: Bristol Myers Squibb
 Will be discussing the off-label or investigational use of products
Planning Committee
Joseph Brown, M.D.
 Has no relevant financial relationship to disclose.
 Will not be discussing the off-label or investigational use of products
Lisa Jones, M.D.
 Speaker’s Bureau: Astra Zeneca
 Research Support: Merck
 Consultant: Bristol Myers Squibb
 Will be discussing the off-label or investigational use of products
Course Coordinator
David Smith, M.P.H.
 Has no relevant financial relationship to disclose.
 Will not be discussing the off-label or investigational use of products
ACCREDITATION AND CREDIT DESIGNATION STATEMENTS
Weill Cornell Medical College is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
Weill Cornell Medical College designates this enduring material for a maximum of ____ AMA PRA
Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
EVALUATION
The CME Evaluation Form is included in your syllabus. Completed forms will be collected at the door
at the end of this activity. We encourage you to complete the Evaluation Form as this will allow us to
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assess the degree to which the activity met its objectives. It will also guide the planning of future
activities and inform decisions about improving the educational program.
WCMC is accessible for individuals with disabilities or special needs. Participants with special needs
are requested to contact the Office of CME at 212-746-2631.
Revised: May 2011
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