Direct Sponsor Application

Thank you for your interest in receiving information regarding sponsorship of a continuing medical education activity. The University of Mississippi School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to sponsor and jointly sponsor continuing medical activities. Compliance with ACCME Essentials and Guidelines for Accreditation of Sponsors of Continuing Medical Education and the Standards for Commercial Support of Continuing Medical Education is not optional but required by accredited sponsors of CME. Compliance for dental credit, ACPE for pharmacy credit, and MNF/ANCC for nursing credit is adhered to as applicable.

A staff member of the UMMC Division of Continuing Health Professional Education must be involved in program related activities from program inception to program end. National accrediting bodies look to our CE office to document the means by which compliance with each criteria for accreditation is met. Your planning committee must comprise of a member of each healthcare discipline within your target audience. Contact this office to discuss your activity prior to completing these forms.

An application for approval of a continuing education activity is enclosed with the following attachments:

  • Activity format with sample (C1/B)
 
  • Speaker Information Form (C2)
  • Planner Information Form (C3)
 
  • Evaluation Sample
  • Letter of Agreement (LOA)
 
  • Disclosure Form (F1)

By completing and signing this application you are stating your willingness to abide by University of Mississippi Medical Center policies and procedures as well as the criteria for applicable credit for your activity. Remember, we must be included in the planning, development, implementation and evaluation of any activity that is approved.

We appreciate your support of our continuing medical education program and look forward to hearing from you soon.

Sincerely,

Ann S. Gordon
Associate Director

ASG/bp

 

Application for Credit (Form Field) Attachment C1/B - Sample Activity Format
Attachment C1/B - Blank Activity Format Attachment C2 - Speaker Information form
Attachment C3 - Planner Information Form Attachment F1 - Disclosure Form
Letter of Agreement Evaluation Sample