Checklist - CPD Accreditation/Certification

Ensure to enclose the following documents when submitting this Certification Application Form. Certification application form and all supporting materials must be submitted 8 weeks prior to the start date of the activity. All required supporting documents are to be submitted at the same time as the application form.

Signed and completed certification application form (Scientific Planning Committee Chair, pg. 13)

▢ McGill Department FOAPAL #

▢ Invitation to participants

▢ Speaker communication/invitation template

▢ Letter stating that funds received by the sponsor were in the form of an educational grant

▢ If the SPC/PO chooses to delegate to a third party payment of expenses, submit signed agreements (see criteria on pg. 4)

▢ Copy of the schedule (preliminary if not finalized)

Signed copy of the Financial Support, Presenters / Content Selection Disclosure Form (Scientific Planning Committee Chair, pg.14)

Signed copy of the Financial Competing Interests Form (Scientific Planning Committee Chair, pg.15)

Signed copies of the Declaration of Potential Conflict of Interest Form (Scientific Planning Committee Chair, Organizing Committee and all presenters, pg.16)

▢ Declaration of Potential Conflict of Interest (COI) - Resource Person Listing (pg.17) - Mandatory

NEW - Provide Scientific Planning Committee (SPC) meeting minutes, e-mail correspondence, etc...

▢ Needs Assessment: Summary

▢ Evaluation Form (see criteria on page 12)

▢ PowerPoint Slide Set – mandatory, in particular if the activity is funded by one for-profit or non-profit organization - not required for live single delivery large conferences featuring many speakers (if presented in English and French, submit PPT in both languages)

▢ If requesting RCPSC accreditation/certification: Signed and completed RCPSC certification application form (Scientific Planning Committee Chair, pgs. 18-20)

▢ If requesting CFPC certification: Signed and completed CFPC certification application form (pgs. 21-27)

NEW! Signed Ethical review form and promotional materials for (Scientific Planning Committee Chair, pg. 28)

PLEASE READ: All required supporting documents are to be submitted at the same time as the application form. Should the CPD office receive supporting documents less than 8 weeks prior to the start date of the activity, late fees will apply.

Submit your certification application form and supporting materials via email: cme.med [at] mcgill.ca

Should you be submitting your accreditation application form and supporting material via Drop Box or another file hosting service, please ensure to provide access for at least a 4 week duration and admission to multiple users.

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