Get Il Acoem Application For Joint Providership For Continuing Educational Activities 2019-2025

The IL ACOEM Application For Joint Providership For Continuing Educational Activities is crucial for organizations seeking to provide continuing medical education (CME) and ABPM MOC credits. This guide provides clear, step-by-step instructions to help users navigate the process of completing the application online, ensuring a seamless experience.

Follow the steps to successfully complete the application

1. Click the ‘Get Form’ button to obtain the application form and open it in your preferred editor.
2. Begin by filling out the submitter's information section. Enter the full name with credentials, email, phone number, the name of the component or section hosting the activity, and the activity title.
3. Indicate the activity type by selecting either 'In-person, live activity' or 'One-hour, live webinar.' Remember to note any additional information regarding CME/MOC for enduring materials.
4. Provide the activity date by specifying the start and end dates, ensuring they are at least 60 days out from the date ACOEM receives the application.
5. Complete the activity location by providing the city and state if applicable.
6. Fill in the requested number of CME/MOC hours for the educational activity.
7. Specify if the activity is organized by an ACOEM section or component by selecting 'Yes' or 'No' and providing details if applicable.
8. Enter the joint providership fees. Ensure that all fees are noted as due at the time of application submission.
9. Indicate whether commercial support is being accepted for the activity. If 'Yes', provide a detailed budget and attach ACOEM's Letter of Agreement.
10. Detail the activity description, focusing on the educational gaps the program addresses. Avoid attaching separate documents.
11. List at least three learning objectives using active verbs and ensure that the objectives reflect what participants will achieve by the end of the activity.
12. Identify the target audience by selecting relevant competencies and fields of occupational and environmental medicine.
13. Prepare the content questions and answers, ensuring to include three questions along with their respective answers for each contact hour.
14. Collect disclosure information from all faculty, moderators, and program planning committee members using ACOEM's disclosure form.
15. Submit the application by signing and scanning the form or using an electronic signature. Ensure all required attachments are included.
16. Upon completion, save the changes, and consider downloading or printing the application for your records.

Complete your IL ACOEM Application For Joint Providership For Continuing Educational Activities online today.