Get Cme Activity Application Form - National Medical Association - Nmanet

Filling out the CME Activity Application Form is a critical step for entities seeking continuing medical education credit from the National Medical Association. This guide will help you navigate the form and ensure that all necessary information is provided accurately for a smooth application process.

Follow the steps to successfully complete the CME Activity Application Form online.

1. Press the ‘Get Form’ button to access the CME Activity Application Form and open it in your preferred online editor.
2. Provide general information about the proposed activity, including the title, start and end dates, responsible group or department, and the activity chair or director's details.
3. Select the activity type from the options provided, such as course, lecture, or internet enduring material. If applicable, specify the proposed date and facility.
4. Indicate the target audience, including provider types and specialties. Estimate attendance numbers and percentages.
5. Address core competencies relevant to your activity by selecting from the provided options such as patient-centered care and professionalism.
6. Identify any gaps in knowledge or performance that the activity aims to address. Describe how potential learners are involved.
7. Outline the educational needs justifying the activity's existence. List any needs assessment sources utilized.
8. Define the learning objectives clearly, focusing on what participants should be able to know or do after the activity.
9. Discuss perceived barriers that may affect learner participation and suggest strategies to overcome these barriers.
10. Detail how you plan to evaluate and measure the activity's outcomes following completion.
11. Disclose all financial relationships for planners and staff involved in the activity.
12. List the speakers, teachers, or moderators, including their affiliations and disclosure information.
13. Attach a proposed agenda for the activity, including time slots, topics, and presenters.
14. Indicate any accreditations you are applying for and provide details of other cooperating groups, if any.
15. Describe how you will market or promote the educational activity, ensuring that materials meet NMA requirements.
16. Outline potential funding sources and attest to understanding the ACCME Standards of Commercial Support.
17. Attach a preliminary budget and checklist confirming all required documents are included.
18. Once completed, save changes, and proceed with downloading, printing, or sharing the form as necessary.

Start completing your CME Activity Application Form online today for a successful submission.