SAMPLE – NON-PHYSICIAN
CERTIFICATE
Certificate of Attendance
The University of California, San Diego School of Medicine Continuing Medical Education certifies that
___________________________________________ has participated in the Regularly Scheduled Series titled [title
of activity] at [location] on [date] . This activity was designated for [number of credits] AMA PRA Category 1
Credits™.
HOURS OF PARTICIPATION: ________
AAPA: Accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME to grant Category 1 credit.
BRN: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by
organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts AMA
PRA Category 1 Credits™ (report up to XX hours of credit and list “CME Category 1” as the provider number).
________________________________
Maria C. Savoia MD, FACP
Dean, Medical Education
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_____________________________
Participant Signature
This certificate is for non-physicians.
List specialty credit only if approval has been received by authorizing agencies.
Please replace Dr. Savoia’s name with your UC San Diego Course Director’s name.