1 Start 2 Planning Committee 3 Practice Gap and Objectives 4 Planning 5 Competencies 6 Preview page to review before submitting. 7 Complete

The Continuing Education (CE) Activity Planning Document guides activity organizers in describing the educational elements of a proposed learning activity. Its preparation is a collaborative process between the planners and the CE Program to create a high-quality learning experience which is compliant with applicable accreditation requirements. The planning document and attachments must be submitted 4 months prior to the activity. All planning materials must be approved by the CE Executive Team and the CE Committee for credit to be awarded. Submit the completed planning document with required attachments. If you have questions or need assistance, please call 570-271-6692 or email [email protected].

Activity Logistics
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Please provide name and title.
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Please put the activity director's email.
Please provide name and title. Does not need to be completed if the activity director would be the point of contact.
Please put the email of the point of contact to be included in communications.
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This name will appear on our site and used in advertising (if applicable). Please make sure it is specific to what will be the focus of the activity.
For posting on our site, especially for activities available for external attendees, please provide a brief description (a few sentences) of this activity, including why learners should attend. Does not need to be completed for private sessions such as an M and M or Tumor Board.
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RSS Activity
This is an individual, usually within the department that is planning the education, who is responsible for assisting with receiving and submitting session information for Regularly Scheduled Series. Please provide name.
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Where is this program being held? If multiple locations, where would the main facilitator be based out of? For example, Bross Conference Room, 3rd Floor Main Hospital, GMC.
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Live Skills Activity
This is an individual, usually within the department that is planning the education, who is responsible for assisting with receiving and submitting session information for Regularly Scheduled Series. Please provide name.
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Where is this program being held? If multiple locations, where would the main facilitator be based out of? For example, Bross Conference Room, 3rd Floor Main Hospital, GMC.
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Please attach a schedule, if available. It can be a rough draft.
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx ppt pptx xls xlsx.
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If not attaching a schedule, provide a detailed description of the activity, including workshops, panels, lectures, etc. This can be a rough draft.
Fees and Funding

PLEASE NOTE: Continuing Education charges fees for activities depending on the activity format. Fees will be discussed when planning a live activity and sent with approval.

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How do you propose to cover costs associated with this program? Select ALL that apply.
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Please Include the Department Cost Center (CC).
CE's recommended registration fee is $100. This covers cost of speakers and catering, if applicable.
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Please list non-profit support.
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Please list commercial support.
Live Activity
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Where is this program being held? If multiple locations, where would the main facilitator be based out of? For example, Bross Conference Room, 3rd Floor Main Hospital, GMC.

Certain conference rooms and locations require reservations - example: the Henry Hood Center rooms.

Please contact Continuing Education to reserve space prior to submitting the planning document unless you have booked the location yourself.

 

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Fees and Funding

PLEASE NOTE: Continuing Education charges fees for activities depending on the activity format. Fees will be discussed when planning a live activity and sent with approval.

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How do you propose to cover costs associated with this program? Select ALL that apply.
*
Please Include the Department Cost Center (CC).
CE's recommended registration fee is $100. This covers cost of speakers and catering, if applicable.
*
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Please list non-profit support.
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Please list commercial support.
Please attach a schedule, if available. It can be a rough draft.
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx ppt pptx xls xlsx.
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If not attaching a schedule, provide a detailed description of the activity, including workshops, panels, lectures, etc. This can be a rough draft.
Enduring Activity
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Please select the format for the enduring material you would want created.
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Please provide the copy of the journal article you would like to use for Enduring. You will also be required to provide questions for this type of activity.
Files must be less than 2 MB.
Allowed file types: pdf doc docx ppt pptx xls xlsx.
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Enduring activities can be active for up to three years with an opportunity to renew at the end of the three years.
Enduring Fees and Funding

PLEASE NOTE: Continuing Education charges fees for activities depending on the activity format. Fees will be discussed when planning a live activity and sent with approval.

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How do you propose to cover costs associated with this program? Select ALL that apply.
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Please Include the Department Cost Center (CC).
CE's recommended registration fee is $100. This covers cost of speakers and catering, if applicable.
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Please list non-profit support.
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Please list dates of live skill events.
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What time does your activity start?
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What time does your event end?
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Can do increments of 15 minutes. For Regularly Scheduled Series, please put hours per session.
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You may be contacted regarding credits approved, specific requirements, additional materials, etc. Please note: the credit type selected must have an individual from that profession on the planning committee for the activity.
Below are the boards to which we will report. Please select if you would like this activity to be considered for MOC.
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Please select which most applicable ABS Practice Area your activity will cover.