UC San Diego/ACCME Requirements for MARKETING MATERIALS (print &
electronic) Revised 4/6/11
**All print/electronic marketing materials must be reviewed by the CME office prior
to printing or issuance. Please allow a minimum of 3 business days for review.**
Checklist 
DONE REQUIREMENT
Activity Title, Date and Location
(required)
Logo (required)
Sponsor Listed (required)
Course Description (required)
Target Audience (required)
Objectives (required)
COMMENTS
Please list prominently.
UC San Diego School of Medicine Logo is required on front of all
materials. If needed, request from CME office.
The University of California, San Diego School of Medicine must be
listed as the accrediting sponsor. Please seek assistance from CME if
joint sponsor.
List a description which tells the potential participants what you would
like them to know about your program, e.g. highlight topic areas.
Identify the types of health professionals specifically targeted (i.e.,
primary care physicians, cardiologists, neurologists, etc.) for the
activity.
Learning objectives should be clearly stated , must be measureable and
written from the perspective of what you expect the learner to do in the
practice setting with the information you are teaching. It is helpful to
formulate the objectives by starting with:
At the conclusion of this activity, the participants should be able to:
Needs Assessment with practice
gap (optional)
Accreditation Statement
(required)
A Needs Assessment defines the need for the activity and assesses the
practice gap in terms of knowledge, skills and behavior between “What
is” (actual patient care) and “What should be” (optimal patient care). Or
in other words, it is the difference between what is occurring in practice
and what is expected (the desired outcome), or, the difference between
what is and what should be.
The identified needs are the basis for content, format and evaluation. The
needs identification process sets the stage for the development of the
learning objectives (what the participants can expect to get out of the
activity) which is then followed by format selection (the best method to
deliver content and teach those objectives).
There are 2 types of ACCME accreditation statements, direct or joint.
Direct is used if UC San Diego directly sponsors the activity. The jointly
sponsored statement is used if UC San Diego and another organization
are jointly sponsoring the activity. The appropriate statement will also be
included in your approval letter.
Direct:
The University of California, San Diego School of Medicine is
accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
Joint:
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 the University of
California, San Diego School of Medicine and (Joint Sponsor). The
University of California, San Diego School of Medicine is accredited by
the ACCME to provide continuing medical education for physicians.
AMA credit designation statement:
The University of California, San Diego School of Medicine designates
this [learning format] for a maximum of [number of credits] AMA PRA
Category 1 Credit(s)™. Physicians should claim only the credit
commensurate with the extent of their participation in the activity.
Credit Designation Statement
(required)
Cultural and Linguistic
Competency Statement
(required)
Presenter List
Notes: AMA PRA Category 1 Credit™ must be italicized. The 7 ACCME
approved learning formats include Live Activity, Enduring Material,
Journal-based CME Activity, Test-Item Writing Activity, Manuscript
Review Activity, PI CME Activity and Internet Point-of-Care Activity.
The number of credits will be included in your approval letter.
Other specialty credit designation statements may also be listed.
This is a California state requirement (regardless of location of activity)
and the subject of Cultural and Linguistic competency should be
incorporated in to your activity. The statement below is required:
This activity is in compliance with California Assembly Bill 1195 which
requires continuing medical education activities with patient care
components to include curriculum in the subjects of cultural and
linguistic competency. Cultural competency is defined as a set of
integrated attitudes, knowledge, and skills that enables health care
professionals or organizations to care effectively for patients from
diverse cultures, groups, and communities. Linguistic competency is
defined as the ability of a physician or surgeon to provide patients who
do not speak English or who have limited ability to speak English, direct
communication in the patient’s primary language. Cultural and linguistic
competency was incorporated into the planning of this activity.
Additional resources on cultural and linguistic competency and
information about AB1195 can be found on the UCSD CME website at
http://cme.ucsd.edu.
Please list presenters with affiliations and break out the course
director(s).
The statement below is required:
Disclosure Statement
(required)
Program/Agenda/Schedule
Commercial Support
Acknowledgement
Registration Information
Cancellation Policy
It is the policy of the University of California, San Diego School of
Medicine to ensure balance, independence, objectivity and scientific
rigor. All persons involved in the selection, development and
presentation of content are required to disclose any real or apparent
conflicts of interest. All conflicts of interest will be resolved prior to an
educational activity being delivered to learners through one of the
following mechanisms 1) altering the financial relationship with the
commercial interest, 2) altering the individual’s control over CME
content about the products or services of the commercial interest, and/or
3) validating the activity content through independent peer review. All
persons are also required to disclose any discussions of off
label/unapproved uses of drugs or devices. Persons who refuse or fail to
disclose will be disqualified from participating in the CME activity.
Please be sure to list times with a.m. or p.m. designated and talks with
presenter names.
If known at time of printing, you may list any commercial supporters of
the activity.
Instructions for registration Add a form or link for potential participants
to register for the activity.
If there is a registration fee, please use statement below or similar:
A full refund less $ XX will be allowed if requested by DATE. No
refunds will be allowed after this date.
In the unlikely event that this program is cancelled, XXXX is responsible
only for a full refund of the registration fee and not for transportation,
hotel accommodations or any miscellaneous expenses.
EXAMPLES:
Logo (required)
Course Description (required)
Example…
This conference, presented by UC San Diego School of Medicine and the University of Toronto, has been developed as an
educational opportunity to present and discuss the basic and more controversial areas of sleep apnea and anesthesia. The
objective of the meeting is to provide a forum for discussions of medical problems unique to the perioperative care of sleep
apnea patients and to promote excellence in medical care, research and education in anesthesia, sleep medicine and
perioperative medicine.
Objectives (required)
Example…
At the conclusion of this activity, the participants should be able to:




Review the pathophysiology of OSA in the context of recent clinical research regarding perioperative care, sleep, and
anesthesia.
Determine the challenging link between comorbidities, including obesity, and their effects on airway management and
ventilation.
Formulate how to implement screening and treatment procedures for obstructive sleep apnea.
Discuss the preoperative, intraoperative, and postoperative risks to patients with OSA, and apply strategies to mitigate
these risks in support of positive patient outcomes.
Needs Assessment with Identified Practice Gap (required)
Example…
Upper airway patency is essential for normal respiratory function. The maintenance of a patent airway is dependent primarily
on the pharyngeal structures. However in some individuals, there is a loss of this airway patency and obstruction occurs during
sleep. This interruption of airflow is due to the collapse of pharyngeal soft tissue. Obstructive sleep apnea (OSA) is caused by
repetitive partial or complete obstruction of the upper airway, characterized by episodes of breathing cessation during sleep,
which lasts 10 or more seconds. This airway obstruction in turn causes increase in sympathetic output and tone, repetitive
arousals from sleep to restore airway patency, which may result in daytime hypersomnolence, memory loss, other
psychological disturbances, and an increase in inflammatory mediators. OSA has known associations with several
comorbidities. These consist of cardiovascular disease including acute myocardial infarction, heart failure, arrhythmias,
hypertension, cerebrovascular disease, metabolic syndrome, obesity, and the attendant risk of gastro-oesophageal reflux and
pulmonary aspiration. Untreated OSA is associated with an increase in morbidity and mortality.
OSA is the most prevalent breathing disturbance during sleep. From estimations in the general population, a high proportion
(24% men, 9% women) have an apnea hypopnea index of 5 or greater, and moderately severe OSA was present in 11.4% of
men and 4.7% of women. It has been estimated that 90% of the patients with OSA in the general population are undiagnosed.
Similarly, a significant proportion of these patients are undiagnosed prior to surgery. Severe OSA is a syndrome associated
with hypoxaemia, hypercarbia, polycythaemia, cor pulmonale, and hypertension. From the standpoint of the anesthesiologist,
there are concerns with difficult airways, and patient sensitivity to sedatives and analgesic medications. OSA has also been
associated with an increase in postoperative complications. Therefore, OSA is increasingly being recognized as a significant
perioperative concern. It is important for anesthesiologists, surgeons and physicians to have up-to-date knowledge about the
perioperative management of the patients with obstructive sleep apnea in order to improve their performance and care of this
patient population.
This educational program will attempt to provide clinicians with “best practice” advice and practical solutions and is designed
for anesthesiologists, surgeons, and physicians interested in the perioperative care of patients with obstructive sleep apnea.
Other healthcare professionals who may benefit from this activity are nurses, certified nurse anesthetists and nurse
practitioners, anesthesia assistants, respiratory therapists, hospital administrators, and anesthesia fellows or residents.
Target Audience (required)
Example…
This educational program is designed for anesthesiologists, surgeons, and physicians interested in the perioperative care of
patients with obstructive sleep apnea. Other healthcare professionals who may benefit from this activity are nurses, certified
nurse anesthetists and nurse practitioners, anesthesia assistants, respiratory therapists, hospital administrators, and anesthesia
fellows or residents.
Accreditation Statement and AMA Credit Designation Statement(required)
The appropriate accreditation statement will be included in your approval letter.
**NEW: Type of learning format must now be added. Note: The 7 ACCME approved learning formats include Live
Activity, Enduring Material, Journal-based CME Activity, Test-Item Writing Activity, Manuscript Review Activity, PI CME
Activity and Internet Point-of-Care Activity.
Example 1…for Directly Sponsored activities, use statement below:
The University of California, San Diego School of Medicine is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
The University of California, San Diego School of Medicine designates this [learning format] for a maximum of [number of
credits] AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
Example 2… for Jointly Sponsored (with organizations outside of UC San Diego) activities, use statement below:
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 the University of California, San Diego School of
Medicine and (Joint Sponsor). The University of California, San Diego School of Medicine is accredited by the ACCME to
provide continuing medical education for physicians.
The University of California, San Diego School of Medicine designates this [learning format] for a maximum of [number of
credits] AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
Cultural and Linguistic Competency (required)
This activity is in compliance with California Assembly Bill 1195 which requires continuing medical education activities with
patient care components to include curriculum in the subjects of cultural and linguistic competency. Cultural competency is
defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care
effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a
physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct
communication in the patient’s primary language. Cultural and linguistic competency was incorporated into the planning of
this activity. Additional resources on cultural and linguistic competency and information about AB1195 can be found on the
UCSD CME website at http://cme.ucsd.edu.
Presenter List (required)
Example…
Co-Directors
Frances Chung, MD
Professor, Department of Anesthesia
Medical Director, Combined Surgical Unit
and Ambulatory Surgical Unit
University Health Network
University of Toronto
Toronto, Ontario, Canada
Terence M. Davidson, MD
Professor of Surgery, Head and Neck Surgery
Associate Dean, Continuing Medical Education
University of California, San Diego School of Medicine
VA San Diego Healthcare System
La Jolla, California, USA
Visiting
Thomas Ebert, MD
Professor and Program Director
Department of Anesthesiology
Medical College of Wisconsin
Staff Anesthesiologist
VA Medical Center
Milwaukee, Wisconsin, USA
Matthias Eikermann, MD
Staff Intensivist and Anesthesiologist
Department of Anesthesia, Critical Care
and Pain Medicine
Massachusetts General Hospital
Assistant Professor of Anesthesia
Harvard Medical School
Boston, Massachusetts, USA
Peter C. Gay, MD
Professor of Sleep Medicine
Mayo Clinic, USA
Shiroh Isono, MD
Associate Professor, Department of Anesthesiology
Graduate School of Medicine
Chiba University
Chiba, Japan
Yandong Jiang, MD, PhD
Assistant Professor
Harvard Medical School
Boston, Massachusetts, USA
Suzanne Karan, MD
Assistant Professor of Anesthesiology
Vice Chair for Education
Residency Program Director
Department of Anesthesiology
University of Rochester, School of Medicine and Dentistry
Rochester, New York, USA
Frank Overdyk, MD
Professor of Anesthesiology
Medical University of South Carolina
Charleston, South Carolina, USA
UC San Diego
Jonathan L. Benumof, MD
Professor
Department of Anesthesiology
Daniel Davis, MD
Professor of Clinical Medicine
Director, UCSD Center for Resuscitation Science
UC San Diego Emergency Medicine
Disclosure (required)
It is the policy of the University of California, San Diego School of Medicine to ensure balance, independence, objectivity and
scientific rigor. All persons involved in the selection, development and presentation of content are required to disclose any real
or apparent conflicts of interest. All conflicts of interest will be resolved prior to an educational activity being delivered to
learners through one of the following mechanisms 1) altering the financial relationship with the commercial interest, 2) altering
the individual’s control over CME content about the products or services of the commercial interest, and/or 3) validating the
activity content through independent peer review. All persons are also required to disclose any discussions of off
label/unapproved uses of drugs or devices. Persons who refuse or fail to disclose will be disqualified from participating in the
CME activity.