AAOS Joint Providership Initial Request

AAOS CME Joint Providership

Initial Request Form
INITIAL REQUEST
Date of Request:*
Organization Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Person*

First NameLast Name
Email Address*
Telephone*

Area CodePhone Number
Joint Providership is requested for the following CME activity:
Type of Activity*

Live Course/meetingOther
Activity Title*
Start Date*
End Date*
Location (City/State) -if applicable
Program Chair/ Editor*

First NameLast Name
You are responsible for obtaining current financial disclosure information from the planning committee, staff, faculty, and anyone contributing/participating in the CME activity using the AAOS Disclosure Database. Disclosure information must be current within the 24 months preceding the start of the CME activity of {startDate}.
Please upload disclosures for all Planning Committee/Staff *

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Please upload disclosures for all faculty*

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Please upload all Preliminary Program/Agenda documents*

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Please find below the link to key changes to ACCME standards that take effect on January 1, 2022

ACCME New Standards for Integrity and Independence in Accredited Continuing Education information package

Outlined below are ACCME Key Changes to the Standards for Integrity and Independence in Accredited Continuing Education. However, please visit the ACCME website for detailed information:

Disclosure

• To create greater alignment with stakeholders, we extended the disclosure period from 12 months to 24 months.

• The requirement that individuals disclose the financial relationships of their spouse/partner was removed.

• Removed the proposed requirement prohibiting joint providers from paying or reimbursing expenses to individuals such as faculty.

Ancillary marketing and nonaccredited activities

•Defined how much time (30-minute interval) must separate between accredited activities and marketing or nonaccredited activities if they are held in the same educational space. Please see the Standards at a Glance section and the full text of the Standards for more information.

We urge you to visit the ACCME website for further information: https://www.accme.org/standards-resources
BY CLICKING SUBMIT:
- I attest that this organization is not an ineligible company as defined by the Accreditation Council for Continuing Medical Education (ACCME). Please visit the ACCME website to review the ineligible company definition.
- I attest that any owners and/or employees of an ineligible company have been excluded as planners and/or faculty and will not be allowed to influence or control any aspect of the planning, delivery, or evaluation of accredited continuing education, except in the limited circumstances outline in Standard 3.2. Please visit the ACCME website to review Standard 3.2
Please note that AAOS will review this information in accordance with the ACCME Standards to make the final determination of eligibility and respond within ten business days.
AAOS WILL NOT BEGIN TO REVIEW ACTIVITIES UNTIL ALL RELEVANT INFORMATION IS SUBMITTED/COLLECTED
Thank you!
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AAOS CME Joint Providership