* EXAMPLE * EXAMPLE * EXAMPLE * EXAMPLE*

WEILL CORNELL MEDICAL COLLEGE

CONTINUING MEDICAL EDUCATION INFORMATION PAGE FOR ENDURING MATERIALS

16th ANNUAL FAMILY PRACTICE SYMPOSIUM

Saturday, October 14, 2010

Weill Cornell Medical College

John Smith, M.D., Course Director

SPONSORSHIP STATEMENT: This enduring material is insert directly or jointly> sponsored by Weill Cornell Medical College

MEDIUM OR COMBINATION OF MEDIUM USED: Indicate whether the activity is a CD ROM, monograph, podcasts, DVDs, etc.

METHOD OF PHYSICIAN PARTICIPATION IN THE LEARNING PROCESS: <i.e. read the monograph, listen to the tapes, view the CD ROM, etc.>

RELEASE DATE: <insert month/day/year>

REVIEW DATE (if applicable): <insert month/day/year>

EXPIRATION DATE: <insert month/day/year (no longer than 3 years from most recent review date)

ESTIMATED TIME TO COMPLETE THE EDUCATION ACTIVITY: <number of hours and/or credits (same as credit designation statement)>

HARDWARE AND SOFTWARE REQUIREMENTS: <Include the type of hardware and software needed to participate in the activity.

POLICY ON PRIVACY AND CONFIDENTIALITY: <Insert policy on privacy and confidentiality that relates to this enduring material

COPYRIGHT POLICY: <You must be able to document that WCMC owns the copyright for, or has received permissions for use of, or is otherwise permitted to use copyrighted materials within a CME activity on the Internet>

Weill Cornell Medical College gratefully acknowledges funding in part provided by unrestricted educational grants from:

ACME PHARMACEUTICALS, INC., XYZ DEVICE MFG., VITAMINS-R-US, INC.

IDENTIFIED PRACTICE GAPS/EDUCATIONAL NEEDS

PLEASE NOTE: This statement of need should include an epidemiological statement (on the current state of knowledge, skills, competence, practice, or patient outcomes) and what would be expected (the desired/ideal state of knowledge, skills, competence, performance, patient outcomes).

TARGETED AUDIENCE

This course is designed for family practitioners and primary care physicians as well as nurses and other allied health professionals who specialize in the treatment and diagnosis of common medical illnesses in the adult and pediatric community.

OBJECTIVES/DESIRED OUTCOMES

It is intended that this Weill Cornell CME activity will lead to improved patient care, including improvements in knowledge, competence, or performance. At the conclusion of this activity, participants should be able to:

1. Better identify symptoms of the common cold

2. Provide better treatment to children and adults who present with strep throat

3. Incorporate new research findings and develop new strategies for treating Lyme disease

4. Promote discussions on the importance of vitamin supplements in daily life and how this will lead to greater patient well being

DISCLOSURE OF RELATIONSHIPS/CONTENT VALIDITY

It is the policy of Weill Cornell Medical College to adhere to ACCME Criteria, Policies, and Standards for Commercial Support and content validation in order to ensure fair balance, independence, objectivity, and scientific rigor in all its sponsored activities. All speakers, Course Directors, Co-Course Directors, planners, reviewers, and staff members participating in sponsored activities are expected to disclose relevant financial relationships pertaining to their contribution to the activity. Relationship information is analyzed to determine whether conflicts of interest exist. All conflicts of interest are resolved prior to participation in the planning or implementation of this activity. Presenters and authors are also expected to disclose any discussion of (1) off-label or investigational uses of FDA approved commercial products or devices or (2) products or devices not yet approved in the United States.

WCMC CME activities are intended to be evidence-based and free of commercial bias. If you have any concerns, please call the Office of Continuing Medical Education at 212-746-2631 to anonymously express them.

Course Director

John Smith, M.D.

·  Speaker’s Bureau: Pfizer

·  Will not be discussing the off-label or investigational use of products

Course Co-Director (if applicable)

Jennifer Smith, M.D.

·  Has no relevant financial relationship to disclose.

·  Will not be discussing the off-label or investigational use of products

Independent Clinical Reviewer (if applicable)

Sarah Jones, M.D.

·  Has no relevant financial relationship to disclose.

·  Will not be discussing the off-label or investigational use of products

Course Faculty

Peter McDonald, M.D.

·  Has no relevant financial relationship to disclose.

·  Will not be discussing the off-label or investigational use of products

Marilyn Johnson, M.D.

·  Speaker’s Bureau: Astra Zeneca

·  Research Support: Lilly Oncology and Amgen

·  Consultant: Bristol Myers Squibb

·  Will be discussing the off-label or investigational use of products

Planning Committee

Joseph Brown, M.D.

·  Has no relevant financial relationship to disclose.

·  Will not be discussing the off-label or investigational use of products

Lisa Jones, M.D.

·  Speaker’s Bureau: Astra Zeneca

·  Research Support: Merck

·  Consultant: Bristol Myers Squibb

·  Will be discussing the off-label or investigational use of products

Course Coordinator

David Smith, M.P.H.

·  Has no relevant financial relationship to disclose.

·  Will not be discussing the off-label or investigational use of products

ACCREDITATION AND CREDIT DESIGNATION STATEMENTS

Weill Cornell Medical College is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Weill Cornell Medical College designates this enduring material for a maximum of ____ AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

EVALUATION

The CME Evaluation Form is included in your syllabus. Completed forms will be collected at the door at the end of this activity. We encourage you to complete the Evaluation Form as this will allow us to

assess the degree to which the activity met its objectives. It will also guide the planning of future activities and inform decisions about improving the educational program.

WCMC is accessible for individuals with disabilities or special needs. Participants with special needs are requested to contact the Office of CME at 212-746-2631.

Revised: May 2011

2