POLICIES AND PROCEDURES FOR SPONSORS OF CONTINUING EDUCATION PROGRAMS Revised July, 2011 This edition supersedes previous edition. AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHICS, INC. 330 John Carlyle Street, Suite 210 Alexandria, VA 22314-2747 (703) 836-7114 (703) 836-0838 (FAX) www.abcop.org TABLE OF CONTENTS INTRODUCTION .......................................................................................................................................................... 1 DEFINITION ................................................................................................................................................................. 1 Professional Continuing Education ............................................................................................................... 1 APPROVAL OF EDUCATIONAL PROGRAMS ...................................................................................................... 1 CLASSIFICATION OF PCE CATEGORIES .............................................................................................................. 1 Category I PCEs ............................................................................................................................................ 1 PCEs Awarded for Category I ......................................................................................................... 2 Category II PCEs ............................................................................................................................................ PCEs Awarded for Category II ....................................................................................................... 2 SPONSORING CATEGORY I CONTINUING EDUCATION PROGRAMS .............................................................................................................. 2 Program Requirements ................................................................................................................................... 2 Awarding Credits ............................................................................................................................................ 4 A) Assessment of PCEs ........................................................................................................................ 4 B) Speaker Presentations ...................................................................................................................... 5 C) Panel/Group Discussions ................................................................................................................. 5 D) Post Test ........................................................................................................................................... 5 Application Procedures ................................................................................................................................... 5 A) Submission ....................................................................................................................................... 5 B) Application Fee ................................................................................................................................. 5 C) Processing Fee ................................................................................................................................. 5 D) Notification ...................................................................................................................................... 6 E) Transmittal of "Sign-in Sheets" ....................................................................................................... 6 F) Submission of Sponsor Program Evaluation.................................................................................... 6 FORMS TO BE FOUND IN THE BACK OF THIS BOOKLET - Sponsor Application for Course Approval - Sponsor Program Requirements form 2 1 INTRODUCTION The American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., (ABC) has long recognized the need for effective continuing professional education. Continuing education, which is the norm in the health care profession, is meant to maintain and improve the healthcare system and delivery of services. Individuals must seek education to meet two continual demands: 1) to maintain performance at the basic level of professional competence; and, 2) to advance training and specialized skills beyond the basic level. In 1988, ABC adopted a policy which required all orthotists and/or prosthetists who were certified after 1987 to obtain a specified number of continuing education credits in each five (5) year period in order to retain their certification. In 1992, ABC adopted a policy extending this requirement to all orthotists and/or prosthetists, effective December 1, 1994. The policy was adopted because: the ABC wanted to declare to patients and to the general public that the organized field of O&P believes continuing professional education is a necessary adjunct to quality patient care. continuing education serves patients' interests. contact hours of participation. ABC's definition has always been that one contact hour equals one credit and a credit was also referred to as a CEU. However, the ABC Continuing Education Committee recommended to the Board of Directors that the CEU designation be changed to "Professional Continuing Education" (PCE) credit. Except as noted elsewhere for specific types of programs or activities, the PCE is defined as one hour equals a maximum of one credit. CLASSIFICATION AND DEFINITION OF CATEGORIES ABC grants certification in orthotics, prosthetics, pedorthics and post-mastectomy fitting, therefore, only educational and business programs that relate specifically to the practice of those disciplines will be granted PCEs. In identifying various continuing education opportunities, the Continuing Education Committee (Committee) created two categories, "Category I" and "Category II" that would distinguish those learning activities which are largely sponsor-based programs from those which are independent and/or unsupervised. Category I continuing education opportunities are generally sponsor-based programs that have been pre-approved by ABC for relevance to a specific credential. Category II continuing education opportunities are generally independent, unsupervised activities and while relevant to the profession, may or may not be directly relevant to a specific credential. continuing education is an integral part of many allied health certification programs. In 1997, the requirement for mandatory continuing education was extended to include all Associates and Technicians. All fitter programs have required participation in continuing education since their inception. DEFINITION OF CONTINUING EDUCATION The content of the continuing education programs are within that body of knowledge and skills generally recognized and accepted by the profession as encompassing the basic sciences, the discipline of clinical orthotics, prosthetics, pedorthics and post-mastectomy fitting, and the provision of health care to the public. This does not rule out leading edge scientific information that is at the forefront of research in the O&P profession. This definition and the rules applied by the continuing education program are sufficiently broad to permit certified individuals to undertake continuing education activities relevant to their ABC credential. All applications for continuing education should comply with this definition. Professional Continuing Education (PCE) Credit In the field of continuing education, the definition of a Continuing Education Unit (CEU) is that one CEU equals ten Within the categories mentioned above, there are also Scientific vs. Business credits. Scientific credits are awarded to activities that specifically relate to the certifications offered by ABC and general patient care. Business credits are awarded to activities designed to improve various aspects of facility/office management. Category I PCEs Category I continuing education opportunities are structured educational and training experiences for professional development in which participants are assumed to have previously attained a basic level of education, training and experience. They are generally sponsor-based programs and are evaluated by the Committee for 2 course/program content relevant to the profession; qualified presenters/instructors and clear and concise learning outcomes. PCE credits for this category can only be applied for by the sponsor. Category I continuing education can take the form of lectures, seminars, self-study materials, self-assessment programs, and use of audio-visual or computer based materials. ABC approved continuing education activities, sponsored by or affiliated with the American Academy of Orthotists and Prosthetists, Inc., (Academy), the American Orthotic and Prosthetic Association, Inc., (AOPA), including national assemblies, regional meetings, local chapter meetings, CECs, , Societies, etc., shall qualify for Category I PCE credit. Credits Awarded for Category I Academy/AOPA Sponsored or Affiliated Programs One hour of demonstration of didactic (lecture) presentation shall qualify for one credit. Two hours hands-on or laboratory sessions shall qualify for one credit. Commercial/Business Programs The following programs may qualify for Category I credits: a) Academy/AOPA Sponsored Programs These are outlined above. At ABC’s discretion, an outside monitor may attend to validate the program. If employees and/or non-employees are lecturing and the information is open to the public, it may qualify for one (1) PCE per hour of lecture. If employees and/or non-employees are lecturing and the information is closed to the public, the lecture will receive no credit. Exhibit Hall Attendance Category II Credits Sponsors of Category I approved programs may make Exhibit Hall Attendance (Category II) Application forms available to attendees for touring an exhibit hall. A list of exhibitors must be provided in the Category I application. These forms must be submitted to ABC directly for credits to be awarded. Large meetings (over 100 exhibitors) will receive three (3) PCEs, medium meetings (between 50-100 exhibitors) will receive two (2) PCEs and small meetings (between 1549 exhibitors) will receive one (1) PCE. In order to receive credit, each attendee will need to submit a Category II Exhibit Hall Attendance application with the required documentation. CPR/AED/Basic First Aid CPR courses will be approved under Category II, whether they are held independently or as part of a larger meeting. Credits for Pre-Certification Courses b) Academy Sponsored Independent Activities Journal of Prosthetics and Orthotics (JPO) Articles/Quizzes will be awarded 2 PCEs; Academy Videos/Monographs will be awarded 6 PCEs. c) Allied Health or Medical Presentations PCEs will be awarded as outlined in the criteria for Category I credits for allied health or medical seminars (i.e., American Council for Rehabilitative Medicine; American Association of Orthopedic Surgeons; etc.) d) In-House Programs If a company hosts a seminar for which the speaker is not an employee of the company and is brought in to lecture, both the speaker and the host company must comply with the same guidelines applicable to all programs seeking Category I credit. For example, if a well-known manufacturer is invited to lecture at Company X, Company X applies for Category I credits but must submit information given to them by the manufacturer. In this case, if the program and/or information are open to the public, it will receive one (1) PCE per contact hour. If the program is not identical to the sponsor’s (in this case the manufacturer’s) regular program and the information is not available at other venues, the lecture would receive no credit. ABC does not award Category I continuing education credits for NCOPE approved primary education courses. Since these courses are developed for the purpose of providing the core curriculum necessary to enter the field, ABC wants to encourage its certified individuals to participate in courses that will advance their skills beyond the basic competencies. Individuals wishing to receive credits for attending precertification course may do so by submitting a Category II form along with their certificate of completion. Agendas will not be necessary. Certified individuals participating in a pre-certification course will be awarded the following number of Category II credits: Pedorthic Pre-Certification Courses 120 (S) Orthotic Fitter Pre-Certification Courses 30 (S) + 2 (B) Therapeutic Shoe Fitter Pre-Certification Courses11 (S) + 1 (B) Mastectomy Fitter Pre-Certification Courses7 (S) + 1 (B) Category II Credits Category II credit is intended to provide opportunities for O&P practitioners to be more self-directed in their 3 continuing education. Practitioners can develop a personal educational program, determine individualized educational objectives and select the learning activities most effective to reach those objectives. Category II continuing education opportunities are generally independent, unsupervised activities. Credits for this category must be applied for independently by the practitioner. SPONSORING CATEGORY I CONTINUING EDUCATION PROGRAMS Program Requirements 1. Needs Identification - The program or activity must be planned in response to the identified needs of a target audience. This can be done by submitting a statement as to why an audience would benefit from the program. What makes the program new, different or of any value to the profession. Guidelines: The purpose of identifying learning needs is to ensure that the planned activity is relevant to the learner's continuing education and/or job requirements. Needs may be identified in several ways, for example, input from learners, their supervisors, their organizations, and/or professions. The key to effective needs assessment is the identification of the gap between what the learner knows and what the learner needs to know. The documentation produced by needs assessment becomes the basis for developing learning outcomes. 2. Learning Outcomes - The continuing education provider has a clear and concise written statement of intended learning outcomes (i.e., behavioral or performance objectives) for each continuing education program/activity. This is the specific knowledge and/or information that the program sponsor expects the audience to retain. Guidelines: Intended learning outcomes are synonymous with behavioral and performance objectives. Their purpose is to specify the determined skills, knowledge, and/or attitudes that the learner should be able to demonstrate following the continuing education experience. The learners should be aware of these intended learning outcomes prior to and during the activity. Such outcomes form the basis for measurement of progress, periodic feedback, and final assessment. 3. Speaker Qualifications - Qualified instructional personnel are directly involved in determining the program purpose, developing intended learning outcomes, and planning and conducting each learning experience. Speakers must be qualified to speak on the subject matter. Guidelines: A systematic and sequential process that fulfills the specified purposes and intended learning outcomes of the continuing education experience requires program leaders or instructional staff who have the following qualifications: a) Expertise in the subject matter and appropriate credentials; b) Qualifications include, but are not limited to registration or certification earned, licensure or credentials in the subject matter, educational degree, medical degree, special training or education, extensive experience in the subject matter; c) Understanding the purpose and intended learning outcomes of the continuing education or training experience; d) Knowledge and skills in the instructional methodologies and learning processes to be used; e) Ability to communicate the educational content to the participants at an appropriate level; f) Exceptions to speakers' qualifications will be considered as the information presented relates uniquely to the speaker's background and experience. Qualifications that relate specifically to the content of the presentation will be favorably considered; and g) If deemed necessary by the Committee, program sponsors may be asked to provide additional information which establishes the speaker’s qualifications to present the subject matter. 4. Methodology - Instructional methodologies selected are consistent with stated learning outcomes, sequenced to facilitate learning, and permit opportunities for the learner to participate and to receive feedback. Guidelines: The learner and the instructor have a clear understanding of the method through which the educational methods are presented. For example, learning outcomes can be achieved through lectures, demonstrations or through “hands-on” or laboratory sessions. Content should be sequenced in a logical manner and should proceed from basic to advanced levels. Instructional methodologies should permit the learner to participate interactively and to receive feedback that strengthens and reinforces learning and measures progress. 5. Requirements for Satisfactory Completion Requirements for satisfactory completion are established for each planned learning experience. These requirements are based on the purpose and intended learning outcomes. Participants should be informed of the requirements for satisfactory completion prior to their participation (i.e. program advertisement, continuing education announcement, registration confirmation). Sponsors should not rely solely on attendance as a requirement of satisfactory completion. It is suggested that sponsors give serious consideration to a pretest and post-test for satisfactory completion. 4 Guidelines: The requirements for satisfactory completion are established prior to the offering of the program or activity through the mutual agreement of the course coordinator, course director, or other persons responsible for the overall PCE program. Requirements may be based on the ability of participants to demonstrate what they have learned, or some predetermined level of attendance at sessions, or a combination of performance and attendance. Programs that require achievement of certain performance levels (such as independent study or video home study) should be based on the intended learning outcomes that have been clearly stated at the beginning of the program. Requirements that focus on attendance only should be high (i.e., 90 percent and above) and documented by such means as attendance rosters or sign-in sheets. Regardless of which form is used, sponsors need to answer the question, "What was the most useful/valuable information gained from this program/seminar?" A. Sign-in Sheets - PCE credits are granted for a.m. and p.m. sessions. Practitioners will receive credit for all-day attendance only if their signatures appear on both the a.m. and p.m. sign-in sheets. If their signatures appear on only one session, they will receive one half credit for that day. If practitioners fail to sign-in twice per day, they may subsequently secure written proof of attendance from the sponsor. B. Assessment of Learning Outcomes – Procedures established during program planning are used, when applicable, to measure the achievement of intended learning outcomes specified for the program or activity as they relate to changes in learners' knowledge, skills or attitudes. Guidelines - Assessment refers to the measurement of individual performance in relation to intended learning outcomes. Assessment may be made during and/or at the conclusion of the learning activity. Assessment made during the activity may help to rein-force learning and provide a point of reference for the progress of the learners. (For example, a Q&A session during the seminar to assess if needs are being met.) The assessment procedure, its timing, and its application are established as part of the planning process. Because the assessment procedures depend on the intended learning outcomes, they must be measur-able or observable, clearly stated, and focused on the level of performance expected of the learner. When a formal assessment of learning outcomes is to be a part of a program or activity, the purpose and nature of the assessment procedure must be made known to the learner prior to the beginning of the program. Assessment may take diverse forms, such as performance demonstrations under real or simulated conditions, written or oral examinations, written reports, completion of a project, self-assessment, or locally or externally developed standardized examina-tions. Moreover, assessments may be made during or at the conclusion of the program or activity, or after some elapsed time following the learning experience. Assessment will be made based upon the type of learn-ing experience. For a lecture/ seminar the best form of assessment may come from the evaluation forms. 6. Sponsor Program Evaluation - During the course of planning, a process is established to evaluate major aspects of the continuing education experience, (i.e., organizational input; the design, content, content level, and operation; and the extent to which intended learning outcomes were achieved.) Guidelines: The distinction between assessment and evaluation is: "assessment" refers to the measurement of individual learning outcomes; "evaluation" refers to measures of the quality of the administration and operation and of the continuing education experience as a whole. Using only participant reaction surveys will not yield the data needed for an adequate assessment of a continuing education experience. However, substantial and useful participant reaction surveys can be designed: (1) to measure what the participants consider to be the benefits of the learning experience; (2) to determine participant satisfaction with the physical arrangements; or, (3) for comparisons between different offerings or between the same offerings on different occasions. The evaluation process itself is one measure of the quality of a continuing education program or activity. The importance of evaluating the continuing education experience(s) for the individual learner, user groups and the sponsor or provider cannot be overemphasized. Evaluation is a coordinated process carried on by the total system and its individual subsystems (the provider's organization and all facets of that organization that are involved in continuing education offerings.) It consists of making judgments about programs and activities based on established criteria and observable evidence. Evaluation takes into account the process followed in the program planning effort and is intended to develop information aimed at answering the following questions: Did the learning experience and the instructional methods used satisfy the intended learning outcomes? Were the intended learning outcomes appro-priate for the stated purpose of the learning experience and for the learners involved? Were the intended learning outcomes stated in measurable or observable terms? Were the program inputs (decision making during the planning process; fiscal, physical, and instructional inputs of the provider) associated with the learning outcomes? Was there a clear relationship between the educational needs of the learners and the stated purposes of the learning experience? Were the provider's philosophy, mission, structure, functions, and processes effective and efficient in 5 producing the learning out-comes intended for the learning experience? Quality improvement, development and control of continuing education programs are enhanced through longrange, systematic evaluation of what intended goals are in a program, in relation to what actually occurs. The differences found between what is intended and what actually occurs, can be used as the base for whatever change is needed to ensure that the intended learning outcomes are attained. Sponsors and providers of continuing education may find evaluations are a useful tool when accounting for the results of their programming efforts. Awarding Credits Classroom or meeting session time led by an instructor and/or discussion leader; Activities in which a learner is engaged in a planned program of learning; Sessions allowing for learner assessment. Activities NOT included when calculating credits: Breaks, meals or social activities; Meeting time devoted to business or committee activities, announcements, introductions, welcoming speeches, reports, etc. Time for study, travel, assigned reading, or related activities outside the classroom or meeting. A) Assessment of PCEs PCEs are earned for educational contact of one quarter (1/4) hour or more. Continuing education presentations of less than one quarter (1/4) hour are not eligible for PCEs. All PCEs shall accumulate in segments of one quarter (1/4) hour or more. The committee encourages the grouping of subject categories under which shorter presentations can be given. Subjects that defy categorization must be 1/4 hour in length. B) Speaker Presentations In the case where two or more lecturers can speak on the same subject matter or theme/topic, credits can be maximized by grouping the lecturers together. For example, if a program with four speakers who are all speaking on the topic of "organized sports for the dis-abled," and two speak for two consecutive presentations of 8 minutes each, one speaks for an 1/2 hour and one for an hour, the sponsor could receive the maximum credits of 1.75 credits for that portion of the program only if 1) the topics are organized under one subject matter; and 2) the lectures are presented consecutively. Credit will be awarded based on total accumulated credit for total minutes of content, providing the presentations are all topic related. C) Panel/Group Discussions Sponsors of O&P programs are encouraged to include guided discussion sessions during each speaker presentation or group of presentations. All panel or group discussions will be included in the credit time awarded. The Committee encourages and emphasizes the importance of audience and presenter interaction in the learning process. D) Sponsors may earn additional credits for those courses that have a post-test. Promoting and Advertising Category I Approved Programs Sponsors are responsible accurately promoting and advertising for whom their program has been approved under ABC Category I. To be eligible for Category I approval for a specific discipline, the course/meeting must have at least 50% content specifically related to that discipline. For those individuals participating in your program that are not credentialed by ABC in the approved discipline(s), Category II credits may be awarded. A very limited description of each credential is provided below. For additional information, please reference the official Scope of Practice documents found on the ABC website. Certified Orthotist (CO): An individual specifically trained and educated to provide or manage the provision of a custom-designed, fabricated, modified and fitted external orthosis to an orthotic patient, based on a clinical assessment and physician’s prescription, to restore physiological function and/or cosmesis. Certified Prosthetist (CP): An individual specifically trained and educated to provide or manage the provision of a custom-designed, fabricated, modified and fitted external limb prosthesis to a prosthetic patient, based on a clinical assessment and a physician’s prescription, to restore physiological function and/or cosmesis. Certified Pedorthist (C.Ped.): An individual who has studied foot anatomy and pathology, biomechanics, shoe construction and modification, foot orthosis fabrication and materials, footwear fitting and patient/practice management not to exceed the ankle. A sponsor may receive double credit for the time it takes to conduct a post-test and discussion period. Separate sign-in sheets must be submitted for the course and for the post-test. A copy of the test and an estimation of the time required to take the test should be submitted with the application. Certified Assistant in Orthotics and/or Prosthetics (COA, CPA or CPOA): An individual, that while under the direct or indirect clinical supervision of the ABC-certified practitioner, is competent to perform clinical assessment and patient management tasks. Activities included when calculating credits: Certified Technician in Orthotics and/or Prosthetics (CTO, CTP or CTPO): An individual that provides all of the technical implementation tasks and services 6 associated with the support of patient care. This includes fabrication, modification and the repair of orthoses and prostheses. Certified Fitter of Orthotics (CFo): An individual trained and qualified to participate in the fitting and delivery of prefabricated orthotic devices and/or soft goods. A CFo is competent to practice orthotics within a scope of practice that is specific to fitting prefabricated and offthe-shelf orthoses as described below: • Cervical orthoses, except those used to treat an unstable cervical condition • Prefabricated orthoses for the upper and lower extremities, except those used in the initial and/or acute treatment of long bone fractures and dislocations, therapeutic (diabetic) shoes/inserts and functional electrical stimulation orthoses (e.g. myoorthosis, neuroprosthesis) • Prefabricated spinal orthoses, except those used in the treatment of scoliosis or unstable spinal conditions, or halo cervical orthoses • Pressure gradient garments • Trusses Certified Fitter of Mastectomy (CFm): An individual trained and qualified to participate in the fitting and delivery of breast prostheses and mastectomy products and services. A CFm is competent to practice within a scope of practice that is specific to fitting breast prostheses and mastectomy products and services. Certified Fitter of Therapeutic Shoes (CFts): An individual trained and qualified in the provision of noncustom therapeutic shoes and non-custom diabetic multi-density inserts. A CFts is competent to practice within the scope of non-custom therapeutic footwear only. Sponsors may not use the ABC approval or logo to imply, or mislead individuals into thinking, that participation will increase or expand their stated ABC Scope of Practice. If any sponsor is found to be releasing inaccurate or misleading information relating to the eligibility of any ABC credential holder's MCE requirements, that sponsor will immediately be removed as an approved continuing education provider. Distance Learning Applications Applications for distance learning opportunities must follow the same criteria as live programs. However, all distance learning opportunities are required to have a quiz/exam. Presentations must exceed the 15 minute minimum to be eligible for continuing education credits. Course Process Overview Document each step required to complete the course. For example, “first 1.5 hours will be a review of a DVD, student then reads the 4-page article from Journal of Prosthetics and Orthotics, etc.” The quiz/exam should have questions relevant to each part of the course. Provide a header above each section of questions indicating to which segment of the course they are relevant. All materials must be provided with your application. For online courses, ABC staff must be provided access to the course for review. Copy of the quiz/exam The number of questions on the quiz/exam should be appropriate for the length of the course. With a minimum passing score of 80%, a minimum of 10 questions is required. Course-specific link for the ABC website Sponsors must provide a course-specific link so that the program may be posted on the ABC website. All materials must be provided with your application. For online courses, ABC staff must be provided access to the course for review. Credits for distance learning programs are entered on February 28, May 31, August 31, November 30 and December 31. Sponsors are required to submit their completed eligible participants list as close to those dates as possible. There is a charge of $.50 for each ABC credentialed participant for whom you submit credits. Invoices will be sent at the end of each year. Approval for a distance learning program or course is valid for two (2) years. If you wish to reapply at the end of your approval period, please submit the appropriate reapplication form attesting that the content and relevance has not changed. Current application fees at the time of resubmission will apply. Live webinars will be approved on a calendar year basis. However, if those presentations are recorded to later become available on-demand, the two (2) year approval becomes effective from the date of the initial presentation. Application Procedures A) Submission Formal applications are available from the ABC upon request and can be downloaded from the ABC website at www.abcop.org, under “Continuing Education”. Applications must be typewritten and include the course/program or other outline and include the information as requested above (see "Program Requirements"). Applications must be submitted to ABC for evaluation by the Continuing Education Committee at least 60 days prior to the program date for assurance of receiving notice of credits prior to the program being held. 7 Programs submitted less than 60 days prior to the program, cannot be offered assurance of credit notification prior to the program date. John Doe, CPO Sponsors that are holding the same program repeatedly throughout the course of the year are requested to submit additional program dates within a minimum of 30 days prior to the program presentation. Sponsors need not resubmit a program that remains the exactly same throughout the year. Further, the sponsor must attest that the program is exactly the same with no changes in either content, format or presenters. Any substantive changes to the content, format or presenters of programs offered repeatedly will require that the program be re-submitted for application. A program that is given each year must apply for credit each calendar year, regardless of whether the program content changes. Program approval is good for one calendar year. D) Notification B) Application Fee CPO 1234 John Doe Upon receipt of the completed application, sponsors will be notified in writing of approval of PCE credits in approximately six (6) weeks. E) Transmittal of "Sign-in Sheets" All sign-in sheets should be transmitted to ABC, via certified mail, immediately upon conclusion of the program. To avoid a delay in posting credits, sign-in sheets should be transmitted to ABC within 30 days following completion of the program. Sponsor cooperation in this matter is greatly appreciated. F) Submission of Sponsor Program Evaluation An application fee of $100.00 must accompany the submission of every program/course for Category I PCE credit. The application will not be processed without the application fee. The program evaluation form completed by the sponsor must accompany the sign-in sheets in order for the participants to receive credits for attendance. C) Processing Fee G) Credit Reactivation Fee Each session (a.m. and p.m.) will be charged at the rate of $7.50 per session. However, programs using pre-printed sign-in sheets including each attendee’s name and certification number typed next to the signature line will be charged $3.75 per session (see sample below). Each attendee record that must be updated with attendance information will be charged at the rate of $.50 per attendee. An invoice will be sent following receipt of the sign-in sheets. ABC reserves the right to deny processing of credits to programs that have not submitted fees. Failure to remit processing fees may affect future Category I approval. There a $50 credit reactivation fee per individual for credits that are reapplied after being removed at the request of the sponsor. Should the participant later decide to pay the appropriate registration fees to be eligible to receive credit, the sponsor will be responsible for this payment. Failure to submit this payment will postpone any future Category I course approvals. The policies governing Category I Credit Approval are subject to change by the ABC Board of Directors. Sample of Discounted Sign-In Sheet Attendee ABC Cert # Signature Rev. 7/11