Forms Needed to Apply for CME Credit
Before you begin.....
Notice! the CME Accreditation Pre-Application Form must be completed for all activities. Once the pre-application has been reviewed, you will be sent the full application.
Deadlines: For meetings planned by organizations outside The Medical College of Wisconsin and all international
meetings - applications are due no later than 90 days prior to the start of the activity.
For meetings planned by an MCW department taking place in the US - applications are due no later
than 60 days prior to the start of the activity
Are you applying for credit with an organization that is outside of the Medical College of Wisconsin? Click here for additional requirements.
Practice Gaps: if you need help..........
Learning Objectives: if you need help.........
Meeting planning timeline: if you need help........
Blooms Taxonomy Terms
APA Evaluation Form, sample (Updated April 2011)
Evaluation Form, sample (March 2012 - contains required information)
Evaluation Summary Form, sample
Quarterly Grand Rounds Evaluation Form sample (Updated August 2010)
Exhibitor Solicitation Letter, sample
Media Release Form
Disclosure to the audience example: if you need help........
Activity Director Responsibilities Form (August 2012)
Planning Committee Financial Disclosure Form (Updated April 2011)
Speaker-Presenter Disclosure/Attestation Form (Updated February 2011)
Resolution of Conflict of Interest Form (Updated February 2011)
Promotional Materials Guidelines (Updated August 2011)
Attendance template for stand alone activities
Attendance template for recurring activities
Failure to comply with any of these ACCME Regulations can jeopardize MCW's accreditation status.
No exceptions will be made to these rules.