Forms & Documents
Working with PACE
| Activity Planning Form (Short Form)
||Complete this form first and submit to PACE.
|| Anyone with an idea or specific need for a continuing education activity
| Activity Planning Form (Long Form)
Budget Planning Document
|Once PACE reviews and approves the initial planning form, this form will gather additional information and provides standards of excellence for activity planning.
||Internal faculty or departments and potential external joint sponsors that have received tentative approval for activity planning.
| Specialty Programs
|Performance improvement (PI) CME activities describe structured, long term processes by which a physician or group of physicians can learn about specific performance measures, retrospectively assess their practice, apply these measures prospectively over a useful interval, and re-evaluate their performance.||Anyone with an idea or specific need for a continuing education activity|
|Monograph Request|| Use this form to suggest a CME-certified printed monograph.
|| Original authors or co-authors
|Department liaisons should use this form to report preceptor credit to the PACE Office.||Clinical/Educational Department Liaisons|
|Department liaisons should use this form to report teaching credit earned by faculty members to the PACE Office.||Clinical/Educational Department Liaisons|
|Hospital Education Representatives with whom PACE works should use this form to report educational activities at a healthcare facility.||Hospital Education Representatives|
|Use this form to request credit for a UNTHSC-sponsored activity you have attended if you have misplaced the form you received at the activity.||Healthcare providers requesting credit for a CME or CE activity|
|Use this form to document PRA AMA Category 2 credits in your files||AMA-member physicians who have earned category 2 CME credits (not sponsored by an accredited provider)|
|General form for faculty members requesting travel expenses or speaker fees||CME or CE faculty members who have misplaced the original expense report|
|UNTHSC's policy on identification and resolution of conflict of interest||Any internal or external presenter, reviewer, writer, planning committee member or joint sponsor.|
|UNTHSC's standard Letter of Agreement for Commercial Support||Potential commercial supporters|
Policy on Disclosure of Relationships with Commercial Interests
||Faculty disclosure and conflict resolution policy
||Anyone involved in a CME or CE activity.|
|Use this form to submit a CME-or CE-certified presentation you would like to provide.||Potential presenters|
|Request a certificate or detailed log of events of UNTHSC-sponsored activities you have attended.
|The most current Standards of Commercial Support released by the ACCME||Commercial supporters, joint sponsors and/or attendees|
|A listing of CME requirements by state||Physicians|
|Rand Horsman Staff Scholarship||$1,000 scholarship to provide assistance for a Health Science Center (HSC) employee and/or an employee’s dependent who are continuing their education.||Health Science Center (HSC) employee and/or an employee’s dependent who are continuing their education|