Continuing Medical Education
School of Medicine, University of Alabama at Birmingham
 
Frequently Asked questions

General CME Questions

1. What is CME?
2. What is considered commercial support?
3. What is a Letter of Agreement (LOA) and why is it required?
4. What is financial disclosure?
5. What is a conflict of interest and how can it be resolved?

RSS (Regularly Scheduled Series) FAQ's

The FAQ's for our Regularly Scheduled Series will be RSS specific and broken down into several categories. These categories often overlap and you may see some of the same FAQ's in several categories. They include:

WHAT IS CME?

Continuing medical education consists of educational activities which serve to maintain,
develop, or increase the knowledge, skills, and professional performance and
relationships that a physician uses to provide services for patients, the public, or the
profession. The content of CME is that body of knowledge and skills generally
recognized and accepted by the profession as within the basic medical sciences, the
discipline of clinical medicine, and the provision of health care to the public.

WHAT IS CONSIDERED COMMERCIAL SUPPORT?

Commercial Support is financial, or in-kind, contributions given by a commercial interest, which is used to pay all or part of the costs of a CME activity. (Examples: meals, speaker honoraria or travel expenses, meeting space, etc.).


WHAT IS A LETTER OF AGREEMENT (LOA) AND WHY IS IT REQUIRED?

A Letter of Agreement (LOA) is a written agreement specifying the terms, conditions, and purposes of the commercial support awarded by a commercial entitiy to a provider. All commercial support, both monetary and in-kind, requires a letter of agreement with signature by UAB (at the University-level, not the department level) and signature by supporting company. All support must be disclosed in writing to participants prior to the educational activity. A copy of the signed LOA should be dated and received prior to the live program date or enduring format release date.

UAB has very strict rules regarding commercial support of CME activities.  If you are considering or intended to use commercial support for your activity, please contact the Division of CME prior to submitting your application to make certain your activity is in compliance with both UAB and ACCME commercial support standards.


WHAT IS FINANCIAL DISCLOSURE?

All individuals who are in a position to control the content of an educational activity are required to disclose all relevant financial relationships in any amount occurring within the past 12 months related both to content and to commercial supporters of the activity.

An individual must disclose to learners any relevant financial relationship(s), to include the following information:

• The name of the individual;
• The name of the commercial interest(s);
• The nature of the relationship the person has with each commercial interest.

For an individual with no relevant financial relationship(s) the learners must be informed that no relevant financial relationship(s) exist.

Timing of disclosure

A provider must disclose the above information to learners prior to the beginning of the educational activity.


WHAT IS A CONFLICT OF INTEREST AND HOW CAN IT BE RESOLVED?

A conflict of interest is present when individuals in a position to control the content of CME (or their spouses/partners) have a relevant personal financial relationship with a commercial entity that benefits the individual and may ultimately bias the presentation of that content to colleagues and participants.

If a perceived conflict exists, it must be resolved by:

  • Alter financial relationships - Individuals may choose to discontinue or alter their relationship with a commercial entity and eliminate any bias associated with the proposed CME content.
  • Alter control over content - The individual and/or UAB CME can elect to alter the educational design, format or content or individual responsibilities to maintain the scientific rigor, integrity and balance of the CME activity.
  • Peer-Review of Content - Independent review and validation of content can verify the scientific bases and integrity of the content as well as the consistency with the overall educational design. Peer review will follow these two standards:
    • Clinical medicine recommendations will be based on evidence currently accepted within the profession of medicine as acceptable justification for indications and contraindications for the care of patients.
    • Scientific research referenced, utilized and/or included in CME activities will conform to generally accepted standards of experimental design, data collection and analysis.

CERTIFICATION (RSS)

Q: How often must my activity be re-certified?
A: Your activity must now be re-certified once a year. Someone from the CME office will automatically send you re-certification materials with a new application. You do not have to remember when your certification has expired. We will let you know.

Q: Is there a fee to certify my activity?
A: There is a yearly application fee of $500.

Q: Once I receive certification approval, do I need to provide any other information to CME?
A: You will need to be in constant contact with CME for all recordkeeping (i.e. disclosures, commercial support letters of agreement, schedules, advertising, yearly evaluation summaries, etc.).

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FINANCIAL DISCLOSURE (RSS)

Q: Who has to complete a financial disclosure form?
A: A financial disclosure form must be completed by anyone who is in the position to control the content of an educational activity. This means that we definitely need a signed form from the speaker, regardless of degree, training, expertise, faculty or nonfaculty status, external or internal to UAB, etc. and anyone else who has any control of the content of the presentation.

Q: How often must the form be signed?
A: Every speaker must sign a form at least once a year (prior to the first presentation) and then as appropriate if any of the information changes within the year. The planner and/or faculty member in charge of the series should complete a form and send it as part of the CME application.

Q: May I fax the form to the speaker and receive it back via fax or must I have a signed original?
A: Faxed forms are acceptable, as are emailed forms.

Q: What if the speaker signs the form, but doesn't check any boxes?
A: You will need to re-contact the speaker to clarify whether or not they have anything to disclose. We can't assume that they do not have anything to disclose, just because nothing was checked.

Q: What do I do after I receive the signed form from the speaker?
A: The results MUST be shared with the audience. This can be done in a number of ways: written on the top of each sign-in sheet; posted next to the sign-in sheet; posted as the first or an introductory slide on the screen. These are just a few examples.

Q: Do I send the forms to the CME office?
A: Yes. We need the completed form before the presentation. We also need the evidence that the disclosure was made to the audience and how the disclosure was made.

Q: Who is supposed to sign the bottom half of the disclosure form?
A: If there is any disclosure information checked, the course director needs to review the disclosure and make sure that no conflict of interest exists. If there is the possibility of conflict, it must be resolved using one of methods listed on the bottom of the form and documented there and then signed by the course director before the presenter speaks.

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COMMERCIAL SUPPORT (RSS)

Q: How do I secure commercial funds for my activity?
A: You will need to make a direct request to the commercial company.

Q: Where do a get a copy of the Commercial Support Letter of Agreement (LOA)?
A: You can request one from the CME office and we will either email or fax it to you.

Q: Can I or someone in my department sign the Letter of Agreement (LOA)?
A: No, the Commercial Support Letter of Agreement (LOA) must be fully executed through Grants and Contracts in the University.

Q: What paperwork needs to be sent to CME?
A: We need a copy of the fully executed Letter of Agreement (LOA), after all signatures, before the activity begins.

Q: How do I list lunch on the LOA?
A: Lunch is an "in kind" contribution and should be noted on the form under "Program Expenses".

Q: What is the correct way to acknowledge commercial support?
A: Commercial support must be acknowledged on your publicity and at your event. The wording to use to acknowledge commercial support should be "We gratefully acknowledge an unrestricted educational grant from ...".

Q: Can a commercial company be listed as a sponsor of our activity?
A: No. A commercial support company should never be listed as a sponsor of an activity. They can only be listed as a "supporter".

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PROMOTIONAL MATERIALS / SCHEDULES (RSS)

Q: Is there any specific wording that CME requires on the promotional material?
A: Yes. The most updated certification statement needs to be listed on any promotional material. If you receive commercial support, it must also be acknowledged.

Q: Does the CME office need updated schedules as times/dates change?
A: Yes. It is most helpful for the CME Office to be sent an updated schedule of activities. We post your activities on our website and we also attend activities for monitoring purposes.

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ATTENDEE LISTS / CERTIFICATES (RSS)

Q: When is the attendance report due?
A: The first week of each quarter (January, April, July, and October).

Q: Does the attendee list need to be given to you in a particular format?
A: The attendees must be reported on the form provided by CME.

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EVALUATION (RSS)

Q: How often do we need to evaluate our program?
A: At least yearly.

Q: Do you need all of the evaluation forms?
A: No, we need a summary only.

 

 

 

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