Volunteer as a CME Presenter Form






We are always delighted to recruit ECHN medical staff as CME presenters. This gives our staff, especially new members, increased exposure to colleagues. It also provides an opportunity to tap into the wealth of expertise on our own staff. If you are interested in presenting, please indicate:


(Two to four objectives are needed describing what the attendees will learn)



You will receive two CME credits for each unique hour-long presentation. A repeat of the same presentation will not earn more credits. Updated presentations may earn credit each time, if the content is significantly modified, at the department’s discretion.

As per regulations of the Connecticut State Medical Society, you must submit a CV and a disclosure form, in advance of the date of your scheduled presentation. The disclosure form, which can be found on the CME website on the ECHN portal, informs participants of any potential conflicts of interest. Your presentation cannot be held unless we have received it.



Department of Medical Education

71 Haynes Street
Manchester, CT 06040
Phone: 860.533.6559 x 2225
Fax: 860.533.6571

 

For any questions related to this form contact:

Kim Person
Continuing Medical Education Coordinator
kperson@echn.org
860.646.1222 x 2225