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 participation reports for your CME activity in order for us to create the CME credit certificates and (optional) report hours to the Tennessee Board of Medical Examiners (TBME) and North Carolina Board of Medical Examiners (NCBME) if your learners desire.  All participation reports need to be Excel spreadsheets and need to include the first name, last name & participation hours for each learner, and if you want us to mail the CME credit certificates directly to the attendees your CME participation report also needs to include the address, city, state & zipcode for each learner. For participants who also want their credits reported to the TBME or NCBME towards licensure renewal, a second specially-formatted spreadsheet must be provided and must also include the NPI numbers & dates of birth for the learners. Use the templates below.

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

b) 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. 

c) CME Participation Report for optional reporting to the TBME & NCBME - This template is formatted the way the ACCME, TBME & NCBME require in order for us to (optional) report your learners' hours to the TBME or NCBME as a convenience for your learners.  This automates & simplifies the process of your learners reporting their hours to the TBME or NCBME for the purposes of renewing their state license. (The UTCOM is currently participating in this pilot project where we report our learners' hours to the ACCME and they share the data with the TBME & NCBME, but this reporting to state medical boards will ultimately become the standard for all CME providers across the country reporting their learners' CME hours to all state medical boards.)


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

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