Skip to content
.st0 { fill: #fff; }
$
0.00
0
Cart
Profile Log In
Profile Log In
About
The People Behind UCA
Affiliates
Advocacy
Antibiotic Stewardship
Get Involved
Urgent Care Data
Urgent Care Awards
News
Membership
Quality
Learning Center
Trending Topics
Clinical Education
College of Urgent Care Medicine
Limited Scope X-Ray
CME Information
Joint Providership
Hippo Education
Advocacy
Partners
See Our Corporate Members
See Our Sponsors
Corporate Member Directory
Corporate Member Benefits
Invest with UCA
Online Catalog
Download Prospectus
Events
Urgent Care Convention
Urgent Care Awards
Call for Proposals
Careers
CME - Peer Review Form
Use this form as a strategy to ensure the clinical content validity of accredited continuing education is to allow external (peer) review by persons with appropriate clinical expertise and no relevant financial relationships with ineligible companies, defined as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. The questions below direct reviewers to share feedback about each of the requirements that comprise Standard 1 in the Standards for Integrity and Independence.
Please enable JavaScript in your browser to complete this form.
Name of Peer Reviewer
*
First
Last
Email
*
Type of Content Under Review
*
Content Planning Decisions (this includes speaker selection)
Content Creation (this includes presentations, articles, posters, blogs, etc.)
Name of Event/Activity content is for:
*
Title of Content under review:
*
List the name of the presentation, article, poster, or blog post.
Prior to answer theses questions, read the Standards for Integrity and Independance according to ACCME Guidelines.
Standards for Evaluation of Clinical Content
How were the educational needs identified for this activity?
*
List all evidence to support response.
Were the educational needs identified free from bias?
*
Yes
No
How were the topics chosen for this activity?
*
List all evidence to support response.
Were the topics chosen free from bias?
*
Yes
No
How were the speakers chosen for this activity?
*
List all evidence to support response.
Were the speakers chosen free from bias?
*
Yes
No
What recommendations do you have to remove bias?
*
Are recommendations for patient care based on current science, evidence, and clinical reasoning, while giving a fair and balanced view of diagnostic and therapeutic options?
*
Yes
No
Standards for Integrity and Independence 1.1
Does all scientific research referred to, reported, or used in this educational activity in support or justification of a patient care recommendation conform to the generally accepted standards of experimental design, data collection, analysis, and interpretation?
*
Yes
No
Standards for Integrity and Independence 1.2
Are new and evolving topics for which there is a lower (or absent) evidence base, clearly identified as such within the education and individual presentations?
*
Yes
No
Standards for Integrity and Independence 1.3
Does the educational activity avoid advocating for, or promoting, practices that are not, or not yet, adequately based on current science, evidence, and clinical reasoning?
*
Yes
No
Standards for Integrity and Independence 1.3
Does the activity exclude any advocacy for, or promotion of, unscientific approaches to diagnosis or therapy, or recommendations, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients?
*
Yes
No
Standards for Integrity and Independence 1.4
Please expand on any or all questions above in this text box to provide greater clarity.
Prior to submitting, I attest that the information above is :
*
Reviewed to the best of my clinical knowledge.
Without any bias due to a financial relationship with an ineligible company.
Submit
