Health Technology Assessment Information Service Evidence Boot Camp II: Diagnostic Technologies and Genetic Tests July 14-15, 2015, Plymouth Meeting, PA How to Obtain AMA PRA Category 1 Credits™ and/or California State Nursing Contact Hours for this live activity CME Accreditation Statement: This live activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME). ECRI Institute is accredited by the ACCME to provide continuing medical education for physicians. AMA Credit Designation Statement: ECRI Institute designates this live activity for a maximum of 7.0 AMA PRA Category 1 Creditstm. Physicians should only claim credit commensurate with the extent of their participation in this activity. California State Nursing Contact hours: This activity has been approved for 8.5 California State Nursing contact hours by the Provider, Debora Simmons, who is approved by the California Board of Registered Nursing, Provider Number CEP 13677 Disclosure Policy: All presenters involved in this July 14-15, 2015, live activity entitled Evidence Bootcamp II: Diagnostic Technologies and Genetic Tests have disclosed in writing that there are no affiliations or financial interest in any corporate organizations involved with products to which their presentation will refer during this live activity. The faculty has further disclosed that no presentations will include a discussion of off-label uses of FDA approved medical devices or pharmaceutical products. Directions for obtaining CME credit or California state nursing contact hours: Please be sure to sign in and out each day you are requesting credit. A sign-in/out sheet is located at the front registration desk. Please complete and sign the Record of Attendance Form on the next page, and submit to the registration desk on your final day of attendance at the conference. If you qualify, a credit certificate will be emailed to you, based on the information listed in that form. Completed forms must be submitted at the time you leave the program. If you have any questions on CME accreditation, please contact Pamela Keating, JD, Associate Director, Center for Education and Training, ECRI Institute, 5200 Butler Pike, Plymouth Meeting, PA, 19462, at pkeating@ecri.org or via phone at 610-825-6000 ext. 5439. Evidence Bootcamp II: Diagnostic Technologies and Genetic Tests July 14-15, 2015 Record of Attendance Form Please return this form directly to the ECRI Registration Desk when you leave this activity in order to qualify for CME or California State credit. A certificate will be e-mailed directly to you within 30 days if you qualify for credit. If you attend both days, please submit this form upon your departure on Day 2 (July 15, 2015) at the registration table. Thank you. Check which type of credit requested. All information MUST be completed in the box below to qualify for a certificate. AMA-PRA category 1 credit California State nursing contact hours Request for CLEARLY. Credit. Please PRINT CLEARLY. Please PRINT This form must be returned to the Registration Desk at the end of the program in order to receive a CME Certificate via Email. Last Name: ________________________________First Name: ___________________________ Degree: ____________ Address: City: _____________________ State: _______ ________ Last Name: ______________________________________ ____________________________________ First Name: _________________________ Degree:Zip: ____________ Telephone: ____________________________ Email (req for cert): ____________________________________ Address: ______________________________________City: _____________________ State: _______ Zip: ____________ ☐ I attest that I have attended ____________ hours of this live activity and should receive credit on an hour-for-hour basis, Telephone: ____________________________________ Email Address (req for cert): ________________________________ not to exceed 7.0 hours of Category 1 credit toward the Physician’s Recognition Award of the AMA; and/or ☐ I attest that I have attended ____________ hours of this live activity and should receive credit on a 50 minute hour basis, not to exceed 8.5 hours of California state nursing contact hours Please record the number of hours accrued for each day. The total cannot exceed awarded credits for both days. Signature: ___________________________________________________________ Date: _____________________ Tuesday, July 14, 2015 Available Credit Hours Credit Earned 1:00 pm – 2:00 pm Evidence Frameworks to 60 minutes = 1.0 CME credits/1.2 CA nursing contact hrs _______________ Guide Analysis of Diagnostic Tests 2:00 pm – 2:45 pm Optimizing Searches for 45 minutes = 0.75 CME credits/0.9 CA nursing contact hrs _______________ Evidence on Diagnostic Tests 3:15 pm – 3:55 pm Risk of Bias of 40 minutes = 0.65 CME credits/0.8 CA nursing contact hrs _______________ Diagnostic Test Evidence 3:55 pm – 4:35 pm Meta-analysis of 40 minutes = 0.65 CME credits/0.8 CA nursing contact hrs _______________ Diagnostic Tests 4:35 pm – 5:15 pm Grading the Evidence on 40 minutes = 0.65 CME credits/0.8 CA nursing contact hrs _______________ Diagnostic Tests Day 1 Total Earned Credit Hours 225 minutes = 3.75 CME credits/4.5 CA nursing contact hrs _______________ Wednesday, July 15, 2015 Available Credit Hours Credit Earned 8:30 am – 9:10 am A Hospital Perspective: 40 minutes = 0.65 CME credits/0.8 CA nursing contact hrs _____________ To Achieve Value-based Care 9:10 am – 9:50 am Decision Trees 40 minutes = 0.65 CME credits/0.8 CA nursing contact hrs _______________ For Diagnostic Tests 9:50 am – 10:30 pm Special Considerations 40 minutes = 0.65 CME credits/0.8 CA nursing contact hrs _______________ for Molecular/Genetic Tests 11:00 am – 12:20 pm Assessing Evidence on 80 minutes = 1.3 CME credits/1.6 CA nursing contact hrs _______________ Genetic Tests Day 2 Total Earned Credit Hours 200 minutes = 3.25 CME credits/4.0 CA nursing contact hrs Total Earned Credit Hours for Activity (Day 1 + 2) = _______________ _______________ I attest that I have attended a total of ____________ hours of this activity and should receive credit on an hour-for-hour basis, not to exceed 7.0 hours of Category 1 credit toward the Physician’s Recognition Award of the AMA or 8.5 California State nursing contact hours. Signature: ___________________________________________________________ Date: _______________________ Please return this completed credit form to the ECRI Institute registration table prior to leaving the activity to be eligible for credit.