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To contact the Sponsorship Coordinator,Kay O'Neill
To Contact the Grand Rounds Coordinator, Kathy Fisher
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Welcome to our filing cabinet. Here you will find most forms used by this office. If you don't locate what you are looking for, call us at (520) 626-7832. The filing cabinet is grouped by categories.
To Request a Transcript, please click here. POLICIES The following are the policies for Commercial Support, Disclosure, and the Disclosure Statement. These policies must be adhered to and are in keeping with the Accreditation Council for Continuing Medical Education. Disclosure
Statement 2008-2009
DIRECTLY SPONSORED ACTIVITY A Directly Sponsored Activity (conference, enduring material, internet, course, grand round and journal) is planned, implemented and monitored by a department within the University of Arizona. New
Activity Proposal Sponsorship-Direct Planning
Guide Sponsorship-Direct
JOINTLY SPONSORED ACTIVITY A Jointly Sponsored Activity (conference, enduring material, internet, course, grand round and journal) is planned, implemented and monitored by a Non University of Arizona entity, yet receives accreditation through the Office of Continuing Medical Education. New
Activity Proposal Sponsorship-Joint Planning
` Guide Sponsorship-Joint
ENDURING MATERIALS & INTERNET ACTIVITIES Enduring Materials are printed, recorded, or computer-assisted instructional materials that may be used over time at various locations and which, in themselves, constitute planned activities (examples: audiotape, videotape, monograph). Internet activities Enduring Material/Internet Proposal Direct 2008-2009
Enduring Materials/Internet Planning Worksheet Enduring
Materials/Internet Planning Guide Direct Enduring Materials/Internet Proposal Joint Enduring Materials/Internet Planning Guide Joint To Request a Transcript, please click here. GRAND ROUNDS Daily, weekly or monthly CME activities that are primarily planned by and presented to the institution's professional staff and are designated for credit as one activity. Examples include the weekly Grand Rounds of the Department of Pediatrics and Morbitity and Mortality Conferences. The department is responsible for appointing a liaison to oversee and work with the OCME Grand Rounds Program Coordinator. GRAND ROUNDS MANUAL- includes guidelines for the submission of materials. Contact the Program Coordinator for questions.
GRAND ROUNDS FORMS Grand
Rounds Completion Checklist Grand
Rounds New Direct Proposal Grand
Rounds New Joint Proposal Grand
Rounds Planning Worksheet
GRAND ROUNDS SAMPLES AND TEMPLATES Grand
Rounds Sample Evaluation Grand
Rounds Sample Speaker Invitation Letter Grand
Rounds Sample Letter of Agreement Grand
Rounds Sample Transcript Request Grand
Rounds Sample Sign-In Sheet Grand
Rounds Financial Statement Template PLANNING WORKSHEET The Planning Worksheet assists the Coordinator in working with you to complete your activity.
FEE SCHEDULE The Fee Schedule for the year 2008-2009 is as follows:
INDEPENDENT CONTRACTORS The Independent Contractors forms are for use when paying an individual for services. Since an individual is receiving payment for service, they are responsible for paying their own income tax and this form records their 1099 information. Independent
Contractors Agreement (Foundation) Independent
Contractors Agreement (U of A)
LETTER OF AGREEMENT In order to receive funds into account with the University of Arizona Foundation (UAF) from commercial supporters, outside entities, etc. an agreement must be entered into. Thus the Letter of Agreement. If an exhibitor wishes to display their product at a conference and a fee is to be charged then an agreement must be entered into. Thus the Letter of Agreement for Exhibitors.
ACTIVITY COMPLETION This form is to assist you in forwarding all the required documentation to OCME once the activity is completed.
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