Joint Sponsor Application

Thank you for your interest in receiving information regarding joint 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. The Standards apply to jointly sponsored as well as sponsored activities. Compliance for dental credit, ACPE for pharmacy credit, and MNF/ANCC for nursing credit is adhered to as applicable.

In accordance with the guidelines for Accreditation of Sponsors of Continuing Medical Education and the Standards we must be very careful that we do not simply endorse someone else's CME activity. This means when jointly sponsoring an activity for credit we take on the direct responsibility for the planning, development, implementation, and on-going evaluation of the activity. In order to accept this responsibility, a University of Mississippi School of Medicine faculty member and 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. The Accreditation Council for Continuing Medical Education (ACCME) looks to our CME office, not the joint sponsor, to document the means by which compliance with each Essential for Accreditation is met. Compliance with other applicable accrediting bodies will be adhered to as appropriate. Contact this office to discuss your activity prior to completing these forms.

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

  • Policies and Procedures
 
  • Evaluation Sample
  • Activity format with sample (C1)
 
  • Proposed income & expense budget
  • Speaker Information Form (C2)
  
  • Sample registration form
  • Disclosure Form
  
  • Sample roster
  • Monitor Critique Form
  
  • Faculty Participation Credit Form
  • Letter of Agreement (LOA)
    

By completing and signing this application you are stating your willingness to enter into an agreement with the University of Mississippi Medical Center and will 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 for joint sponsorship.

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

Policies & Procedures for Joint Sponsorship Application for Credit (Form Field)
Attachment C1/B - Sample Activity Format Attachment C1/B - Blank Activity Format
Attachment C2 - Speaker Information Form Attachment C3 - Planners Information Form
Letter of Agreement Evaluation Sample
Attachment 5a - Proposed Income & Expense Budget Attachment 6 - Roster Sample
Attachment 7 - Registration Form Sample Attachment 8 - Faculty Participation Credit Form
Pre Activity Paperwork F1 - Disclosure Form
F2 - Monitor Critique