Information for Faculty and Speakers
The following documents provide information to faculty and speakers to ensure full compliance with ACCME standards. Forms Forms can be downloaded, completed, and emailed to the course program manager, or to cme@umn.edu. Your name and full course name are required on the forms. Each of the three forms is mandatory for speakers. The Disclosure Form is mandatory for all participating speakers, course directors, planning committee members, and moderators. Disclosure Form [Word] Attestation/Consent Form [Word] Speaker Response Form [Word] Speaker Biographic Data Form [Word] Disclosure Summary [Word] Disclosure Slide Template [PowerPoint] Final Attendance Report [Excel] Information & Guidelines Guidelines for CME Presentations [HTML] [PDF] Sample Disclosure Slide [PDF] Flow Chart Summary: Conflict of Interest Decision-Making Process [HTML] [PDF] Copyright Facts [HTML] [PDF] HIPAA (Health Insurance Portability and Accountability Act of 1996) The U.S. Department of Health and Human Services provides a wealth of resources about the Health Insurance Portability and Accountability Act of 1996 (HIPAA): Call or E-mail Us With Any Questions Office of Continuing Medical Education University of Minnesota Telephone: 612-626-7600 or 1-800-776-8636 E-mail: cme@umn.edu
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