Continuing Medical Education - University of Oklahoma Health Sciences Center

All of our application forms are now available in both PDF format and Word format. Viewing the documents in PDF format requires you to have the free Adobe Acrobat Reader installed on your computer. Viewing the documents in Word format requires you to have Microsoft Word or the Word Viewer installed on your computer. If you have questions, please call us at (405) 271-2350, ext. 6.

SECTION I

A. Application Form For A Traditional Conference/Seminar/Symposium (for those seeking CME accreditation for a program including joint sponsorships). PDF / Word (updated 07.16.09) NEW FORM

B. Application documents needed as part of the CME application process. Please utilize them as necessary in preparing your application. However, if you still have questions, please call us at (405) 271-2350, ext. 3 or email at Margie-Miller@ouhsc.edu.

1. Administrative Fees and Responsibility Designations: Jointly Sponsored Fees PDF or Directly Sponsored Fees PDF (updated 11.19.08)
2.   Joint Sponsorship Information HTML
3.   The ACCME's Essential Elements and Policies HTML

4. OU/CME Honorarium Policy PDF / Word
5.   Summary of the Standards for Commercial Support web site (updated 6.6.2008)
6.   Sample estimated budget for a one-day CME Program PDF/Word (updated 05.01.05)
7.   Sample Activity Income and Expense Report Form Excel (06.13.07)
8.   Developing CME Objectives PDF / Word
9.   Brochure Checklist AND Accreditation Statement PDF / Word (updated 04.3.08)
10. Letter of Agreement for Commercial Support PDF / Word (updated 3.24.09)
11. Speaker Disclosure Form PDF / Word (revised 04.30.08)
12. Sample Speaker Disclosure Slides PDF / Power Point (revised 03.17.06)
13. Verification of Speaker, Conflict Resolution and Commercial Support Disclosure Form (VOD) PDF / Word

                           (revised 6.12.08)
14. Certificate of Attendance PDF / Word (updated 10.19.07)
15. Evaluations-For credit, we now require the completion of an on-line evaluation for each activity.
16. Sample Disclosure Report (added 6.6.2008) Word

SECTION II

A. Application Forms For Regularly Scheduled Series(RSS) and Year End Reporting Forms* (for those seeking CME accreditation for a regularly scheduled meeting such as Grand Rounds or Teaching Conferences OR those reporting past accredited program year's end information). Regularly Scheduled Series Application Form PDF / Word (updated 07.16.09) NEW FORM

1. Application Instruction Letter PDF / Word (updated 7.16.2009)
2.   Developing Objectives PDF / Word
3.   Essential Elements and Guidelines PDF

4.   Summary of the Standards for Commercial Support Web site (updated 6.10.2008)
5.   Accreditation Statement Instructions for Promotional Materials/Flyers PDF / Word

               (updated 6.12.2008)

6.   Sample Announcement:

             Jointly-sponsored conference PDF / Word (updated 6.12.2008)

             Directly-sponsored conference PDF / Word (updated 6.12.2008)

7. RSS Fees PDF / Word (updated 06.12.08)
8.    RSS Annual Speaker Disclosure Form PDF / Word (updated 04.27.09) 2009-2010 Annual Disclosure Form
9.    Verification of Speaker, Conflict Resolution and Commercial Support Disclosure Form (VOD)

         PDF / Word (revised 6.12.08)

10. Annual Survey-all accredited RSS's will be required to use the online OU/CME annual survey. Please contact us when you are ready to distribute your end-of-the-year survey.
(Updated 08.11.08)
11. RSS Checklist PDF / Word (updated 6.10.08)
12. Reporting Forms: (a) New Session Participant Information/Attendance Form Excel
(b) Year-end Topics and Speakers Form Word (updated 07.29.09)
13. New Form 2009-2010 Sample Attendance Form
            Jointly-sponsored conference Word (updated 6.30.09)
            Directly-sponsored conference Word (updated 6.30.09)
14. OU/CME Honorarium Policy PDF / Word

15. FAQ PDF / Word (updated 6.10.08)

16. Criteria for the Outstanding Application and Reporting Documentation Award PDF [added

                05.04.05, cancelled for 2008-2009 (6.29.2009)]
17. CME Do's and Don'ts PDF / Word (updated 6.10.08)

B. Instructions for OUHSC Departments Paying Application Fee by Transfer Word

C. Information for Joint Sponsorship Programs (Non-OUHSC Departments) PDF / Word (updated 6.12.08)

D. Forms Required for RSS Programs Receiving Commercial Support includes the following 7 files:

1. RSC Commercial Support Instruction Letter (New Version Under Construction)

2. Honorarium Approval Form PDF (added 07.13.06)

3. RSC Speaker Travel Form PDF / Word (updated 01.05.09)

4. RSC Letter of Agreement PDF / Word (updated 03.25.09)

5. "OSF Form 3" PDF (blank form to print and complete) / Online (can be completed online and

printed for original signature and notarization)

6a. "Individual Only" (Physicians SSN) Vendor Payee Registration Form PDF OR

6b. "Company Only" (Company Fed ID#) Paying Vendor Registration Form PDF

SECTION III

A. Application Form For Enduring Materials (for those seeking CME accreditation for an enduring material program).
PDF / Word (updated 07.16.09)

B. Re-Application Form (for a revision/update of an accredited enduring material program and/or to extend the expiration date) PDF / Word (updated 11.9.09)

University of Oklahoma Health Sciences Center (OUHSC) / Irwin H. Brown Office of Continuing Medical Education

Toll Free: 1-888-OUCME4U (682-6348)
Local: (405) 271-2350
Fax: (405) 271-3087
E-mail: cme@ouhsc.edu

General Mail (not packages)
P.O. Box 26901, ROB 202
Oklahoma City, OK 73126-0901

Packages Only
800 N.E. 15th Street, Room 202
Oklahoma City, OK 73104

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Every effort will be made to update the information contained on these pages as necessary. However, it is the responsibility of the user to determine that he or she is relying on the most current version of any particular information. Any questions about the material should be directed to the referenced office or department.