RSS Application 2021-2022
Please note:
- The course director will receive a separate application focusing on the needs, gaps, and objectives.
- Conflict of Interest forms for non-faculty are due prior to the first meeting.
Conflict of Interest Disclosure Form
All presenters and planning committee members must complete the COI form PRIOR to the event.
Resolution of Conflict of Interest
This form must be completed by the course director PRIOR to the event if a presenter or planning committee member discloses financial relationship with an ineligible company.
RSS Activity Description Form
This form must be completed by a lecture-based event speaker to indicate his/her demographics, presentation title, and objectives.
Accreditation and Credit Designation Statement
All announcements should have the following accreditation and credit designation statement – verbatim, punctuated and formatted exactly as shown below.
The second paragraph should include the correct number of credit(s) where indicated.
Download Joint Accredited Provider logo here
In support of improving patient care, University of Nebraska Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The University of Nebraska Medical Center designates this live activity for a maximum of X.XX AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Visiting Faculty Funding Form
This form must be completed by the RSS Coordinator if a speaker is receiving any form of reimbursement.