Closing-out your UTCOM certified CME Activity

Use the forms below to close-out CME activities that were certified by the UT College of Medicine Chattanooga (UTCOMC) and to request issuance of the CME credit certificates/transcripts (AMA PRA Category 1 Credit™).  

 

CME Activity Closeout form - This form must be completed in order to close-out your CME activity (all meetings for CME activities with multiple meetings) and request issuance of the continuing education certificates. 

 

CME Course Session Closeout form - to have the certificates issued for a single instance of a course that is offered multiple times - This form must be completed if you want to have us issue the certificates for a single instance or session of a CME Course that you will offer multiple times throughout the year (prior to the end of the activity, or prior to offering the final course for the year).

 

Resources for the Supporting Attachments

Required Attachment #1) Participation Report - You must provide us with an participation report for your CME activity in order for us to create the CME credit certificates.  The participation report needs to be an Excel spreadsheet and needs to include the first name, last name & number of hours attended for each learner seeking CME credit.  If you want us to mail the CME credit certificates directly to the attendees, your attendance report also needs to include the address, city, state & zipcode for each learner. Use the templates below, or create & provide your own participation report.

CME Participation Report template for a Course - This template provides a useful starting point for the particiation report that we need for a course

CME Participation Report template for a Series - This template provides a useful starting point for the participation report that we need for a Regularly-Scheduled Series or Journal Club CME activity. 

 

For additional information and resources on closing out your UTCOM-certified CME activity, contact the Office of CME at (423) 778-6884. 

 

 

Record Keeping for your CME Activity

Each Office of CME (Chattanooga, Knoxville & Memphis) at the UTCOM keeps the files for its CME activities for at least six years.

 

UT College of Medicine Chattanooga     960 East Third Street, Suite 100     Chattanooga, TN 37403     (800)947-7823, ext 6956     info@utcomchatt.org

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