Resources for Coordinators

2022 - 2023 RSS Application

2022 - 2023 Non-Credit RSS Application 

Conflict of Interest Form

All presenters and planning committee members must provide a current COI 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 activity speaker to indicate his/her demographics, presentation title, and objectives.

RSS Patient-Based Monthly Report 

Visiting Faculty Funding Form

This form must be completed by the RSS Coordinator for visiting speakers.

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.

JA Provider MarkIn 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.

Download Jointly Accredited Provider logo here 


Using these templates will save time and help ensure that all verbiage/text requirements are being met.  if you would like a PowerPoint version of the Intro Slides, please email