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About
The People Behind UCA
Affiliates
Strategic Initiatives
Antibiotic Stewardship
Diversity, Equity & Inclusion
Advocacy
Get Involved
Urgent Care Data
Membership
Membership Benefits
Chapters
Directories
Join Us
Quality
Accreditation
Certification
Commendation
Logo Release Form
Learning Center
Trending Topics
Clinical Education
College of Urgent Care Medicine
HIPPO Education
Limited Scope X-Ray
CME Information
Advocacy
Advocacy Support
Urgent Care PAC
Partners
Corporate Membership
Sponsorship Opportunities
Reach our Audience
Solutions.Webinar
Solutions.Delivered
Solutions.On-Demand
Solutions.Social
UCAccess Newsletter
Urgent Caring Advertising
Member List Rental
Website Ads
Events
Upcoming Events
The Urgent Care Convention
2023 Western Regional Urgent Care Conference
2023 NERUCA Conference
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 Clinical Content Reviewer
*
First
Last
Email
*
Title of Content under review:
*
Name of Event/Clinical Activity Content is for:
*
Prior to answer theses questions, read the Standards for Integrity and Independance according to ACCME Guidelines.
Standards for Evaluation of Clinical Content
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 Yes 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, Yes 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 Yes 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