CME Program Planning Checklist

Topic:
Speaker Name:
Phone:
Email:
Date of Program:
Location: Select Location Manchester Memorial Hospital Rockville General Hospital
Target Audience:
Audiovisual Needs:
Program Planner(s) Name(s):
Program Planner(s) Title(s):
Reason(s) for Program:



Attach documentation for the checked items above
This program is intended to improve participants':


Learning Objectives: Express in terms of competence, performance or outcomes. Refer to and consider ACCME Desirable Physician Attributes when forming objectives.
Documentation that speaker understands the learning objectives prior to the program is attached. (copies of emails, letters, documentation of phone conversations)
Objectives were communicated to target audience prior to the CME activity by:

Program announcements, brochures, calendar, etc. include accreditation and designation statements and joint sponsorship statement, if applicable.