Jefferson Instructions For Claiming Credit printable pdf download

1020 Locust Street, Suite M5

Philadelphia, PA 19107

T 1-888-JEFF-CME (533-3263)

T 215-955-6992

F 215-923-3212

jeffersoncme@jefferson.edu

jefferson.edu/cme

Instructions for Claiming Credit – For Faculty Only

Office of Continuing Medical Education - Sidney Kimmel Medical College at

Thomas Jefferson University

ACTIVITY NAME/DATE:_______________________________________________________ ___

SPEAKER NAME (please print):_____________________________________________________

Thank you for participating as a faculty member for the Jefferson CME activity. Sidney Kimmel

Medical College at Thomas Jefferson University (“Jefferson”) is accredited by the Accreditation

Council for Continuing Medical Education (ACCME) to provide continuing medical education for

physicians. Physicians should claim only the credit commensurate with the extent of their

participation in the activity.

You have

two

opportunities to earn AMA PRA Category 1 Credits for this activity.

1. You may claim credit for time you are learning as a participant while others are presenting.

The amount of credit depends on the time you are in attendance (less the time you were

presenting).

 Check this box if you were in attendance for the entire CME activity. The SKMC Office of CME will

calculate the appropriate number of credits for you.

Complete the information below

For Partial Credit, indicate the number of credits you are claiming below

not including time spent giving a presentation

I claim ________(number) of credits* for the above CME activity.

Signature: _________________________________________________________

*Credit hours are calculated in 15 minute (.25) increments. Please round-up to the nearest .25 when

calculating your credits. Break time should not be included in your credit calculations.

Jefferson will record these credits in our database. All credits can be retrieved on the CPD @

JeffLEARN website. Please log into this website and click on “My Account” on the top right and then

“My Activities”.

 Return this page to the Office of CME by fax at 215-923-3212 or by email at

jeffersoncme@jefferson.edu.

For information about how to claim Credit for Teaching, directly from the AMA, please see the

next page.

Jefferson Instructions For Claiming Credit