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University of Maryland School of Medicine Office of Faculty Affairs and Professional Development CME ACTIVITY PRESENTER CONFIRMATION LETTER <<Date>> <<Presenter Name>> <<Address>> <<Address>> Dear: Thank you for agreeing to make a presentation at the <<”Activity Title”>> to be held on <<Date>>, at the <<Facility>> in <<City, State>>. Your presentation entitled <<Name of Presentation>> is to be delivered on <<day and date>> at <<time>>. See the activity brochure for a complete agenda. As the accredited sponsor of this continuing medical education (CME) activity, the University of Maryland School of Medicine must ensure that it is planned and implemented according to Accreditation Council for Continuing Medical Education (ACCME) guidelines. In order to meet these guidelines and promote the effectiveness of your presentation, please take a few moments to read the following items. LEARNING and PERFORMANCE OBJECTIVES This educational activity has been planned according to the following learning objectives: <<List Learning Objectives>> The target audience will include <<List Target Audience>>. Please ensure that your presentation addresses one or more these objectives for the specified audience. If you have any questions concerning these objectives or need clarification regarding the expectations of <Activity Director>, please contact us. DISCLOSURE, INDEPENDENCE, AND OBJECTIVITY As an accredited CME Provider, the University of Maryland School of Medicine must ensure that this CME activity complies with the ACCME Standards for Commercial Support of Continuing Medical Education. This includes the following: •

As a person in a position to control of activity content, you are required to disclose any relevant financial relationships that you may have with commercial interests associated with the content of this activity. You must complete the enclosed Conflict of Interest

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Disclosure and Resolution form and return it to <<recipient>> by <<deadline date>>. The information you provide will be disclosed to learners, and any identified conflicts of interest will be resolved, prior to the CME activity. •

Should your presentation include any discussion of unlabeled/investigational use of a commercial product, you are required to disclose this information to the activity participants.

The University will execute agreements with all commercial interests providing educational grants in support of this activity, and the names of all these commercial supporters will be disclosed to the learners prior to the CME activity.

The Standards for Commercial Support require that your presentation be free of commercial bias and that any information regarding commercial products/services be based on scientific methods generally accepted by the medical community. When discussing therapeutic options, you should use only generic names. If it is necessary to use a trade name, then those of several companies must be used.

VALIDATION OF CLINICAL CONTENT All recommendations regarding clinical medicine must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. Please review the attached University of Maryland School of Medicine Educational Content Guidelines for CME Activities describing these requirements. SYLLABUS MATERIALS The activity organizers are responsible for providing uniform syllabus materials. In order to meet printing deadlines, it will be necessary to receive your syllabus materials no later than <Date>. PowerPoint presentations may be forwarded electronically to <Name> at <e­mail address>. AUDIO VISUAL EQUIPMENT Please complete the attached A/V Requirements Check List so that the activity may arrange to meet your audiovisual needs. COPYRIGHT and INTELLECTUAL PROPERTY Please note that you are responsible for obtaining permission to use slides, graphs, charts, images, or any other presentation materials that represent the work of others or previously copyrighted work. HEALTH INSURANCE PORTABILITY AND ACCOUNTABILTY ACT (HIPAA) In compliance with HIPAA, if you plan to use any case studies, films, etc., during your presentation, please remove all patients references and identifiers 100316143244­216d674b9e304fab910093eba5c06af4.file Rev. 12/07

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HONORARIUM and EXPENSE REIMBURSEMENT In appreciation for your participation in this activity you will receive an honorarium in the amount of <$amount> as well as reimbursement of expenses. Please complete the attached honorarium and W­9 forms so that the activity can process your payments in a timely manner. Course faculty may not accept any direct payments or in­kind contributions from commercial interests related for their participation in this activity. Any honoraria for participation must be paid by the University of Maryland School of Medicine Office of Faculty Affairs and Professional Development. At the conclusion of this activity, please submit the Faculty Expense Form (with original receipts for reimbursement). Once again, thank you for your willingness to participate in this CME activity. If we may be of any additional help, please contact me at <phone/fax/email>. Sincerely, <Program Coordinator>

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