VANDERBILT UNIVERSITY SCHOOL OF MEDICINE Division of Continuing Medical Education Requirements for Enduring Materials All enduring materials must be reviewed and approved by the Division of CME prior to distribution. Please complete and submit this page with the first draft of your enduring material. Required Content This content must be transmitted to the learner before the enduring material begins. □ Sponsorship Statement (only one applies; required) Directly sponsored statement: Sponsored by Vanderbilt University School of Medicine <Department Name> <Division Name, if appropriate> or Jointly sponsored statement: Jointly sponsored by Vanderbilt University School of Medicine <Department Name> <Division Name, if appropriate> and <Non-Accredited Joint Sponsor Name> □ Title of enduring material (required) The title must match that on the application for CME credit. □ Learning Objectives (required) Begin with the phrase, “After participating in this CME activity, participants should be able to:” and then list the objectives in a bulleted format using action verbs. The objectives must match those on the application for CME credit. □ Target Audience (required) This information must match that on the application for CME credit □ Faculty Disclosure Statement (required) It is the policy of the ACCME and Vanderbilt University School of Medicine to require disclosure of financial relationships from individuals in a position to control the content of a CME activity; to identify and resolve conflicts of interest related to those relationships; and to make disclosure information available to the audience prior to the CME activity. Presenters are required to disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentations. □ Course Faculty with Institutional Affiliation and Credentials (required) □ Financial Disclosure Information for Course Faculty (required) Suggestion: combine the content of these two requirements per the example below. Course Director, John Smith, MD, Assistant Professor of Medicine at State University, has no financial relationships to disclose. Planner Jane Doe, MD, PhD, Professor of Medicine at State University, has a research grant with ABC Pharmaceuticals, and is a consultant for XYZ Pharmaceuticals. Vanderbilt CME has determined that there are no conflicts of interest. Presenter Bob Jones, MD, Associate Professor of Medicine at State University, has no financial relationships to disclose. □ Accreditation Statement (only one applies; required) Directly sponsored statement: Vanderbilt University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. or Jointly sponsored statement: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of Vanderbilt University School of Medicine and <the non-accredited joint sponsor>. Vanderbilt University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. 11/11 VANDERBILT UNIVERSITY SCHOOL OF MEDICINE Division of Continuing Medical Education Requirements for Enduring Materials □ Credit Designation Statement (required) Vanderbilt University School of Medicine designates this enduring material for a maximum of <number of credits> AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Note: The phrase AMA PRA Category 1 Credit(s)™ must be written in italics and must contain the superscripted trademark symbol. □ Acknowledgement of Commercial Support/Grants (only one applies; required) If your enduring material receives commercial support, add the following statement: Vanderbilt University School of Medicine and <Non-Accredited Joint Sponsor Name, if appropriate> express appreciation to the following companies for their support of this enduring material by providing unrestricted educational grants: <Company Name 1, etc.> or If your enduring material does not receive commercial support, add the following statement: This enduring material received no commercial support. □ Medium or combination of media used (required) □ Estimated time to complete the enduring material (required) Suggestion: combine the content of these two requirements per the example below. This enduring material consists of a PowerPoint presentation and post-test requiring approximately one-hour of your time. □ Method of physician participation in the learning process (required) e.g.: To obtain CME credit for your participation in this activity, you must: view the presentation complete the post-test with a passing score of at least 80% click on the link to the Vanderbilt CME website evaluate the activity your credit will be immediately available online Personal information is used for issuing a CME credit certificate and storing that credit in the Vanderbilt CME database. □ Dates of original release and most recent update (required) □ Termination date (required) Suggestion: combine the content of these two requirements per the example below. e.g.: The release date for this enduring material is March 16, 2013. Credit expires on March 15, 2015. Post Enduring Material Requirements □ Learner assessment (required) Examples include, but are not limited to patient-management case studies and post-tests. Post-tests will require a minimum of three questions that address diagnosis, management, and anticipated outcomes. A minimum performance level must be established and expressed to learners before the enduring material begins. e.g.: In order to be awarded credit for participating in this activity, a minimum score of 80% is required on the post-test. □ Bibliographic sources (required) At least one evidence-based reference (i.e., peer-reviewed article or guideline) is required. □ Evaluation (required) All individuals requesting credit must be given the opportunity to evaluate their learning experience. 11/11 VANDERBILT UNIVERSITY SCHOOL OF MEDICINE Division of Continuing Medical Education Requirements for Enduring Materials Additional Requirements for Online CME □ Activity location Online CME activities may not be hosted on a website owned or controlled by a commercial entity. □ Links to product websites Embedding links to healthcare-related company websites within the educational content of the online activity is prohibited. □ Advertising Advertising of any type is prohibited within the educational content of online CME activities including, but not limited to, banner ads, subliminal ads, and pop-up windows. □ Hardware/software requirements Hardware and software requirements must be transmitted to the learner prior to the start of the online activity. □ Contact information Contact information must be made available to the learner. □ Policy on privacy and confidentiality The direct/joint sponsor must adhere to and inform the learner of the following policy: Personal information is used for issuing a CME credit certificate and storing that credit in the Vanderbilt CME database. □ Copyright Documentation that the direct/joint sponsor 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. Recommended Content □ Purpose/Statement of Need (recommended) □ Outline of Course Content/Topics (recommended) e.g.: Topics to be addressed include: Realities of homelessness Community approaches to care of persons experiencing homelessness Professional opportunities for people either working in homeless services 11/11