Complete this form to renew a regularly scheduled series such as grand rounds, case review conferences, and tumor boards.

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As part of our process improvement plan, the OCPD is requesting information on your continuing education regularly scheduled series.  We would like to learn if you intend to renew or sunset your series (grand rounds, tumor boards, M&M, case review conference, etc). Please provide the following information on the status of your regularly schedule series.

 
1 Start 2 Complete
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Official name of the regularly scheduled series (grand rounds, tumor board, M&M, case review conference, etc.)
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Will this series be renewed for 2022?
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Name of the primary Continuing Education Coordinator
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If there is a back-up CE Coordinator, please provide their name here.
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Name of the Activity Director
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If there is a planning committee, please provide the names and credentials for each planner. If the plan is to offer physician assistant credit, a PA must be an active member of the planning committee. Likewise if nurse practitioner credit is being offered, an NP must be an active member of the planning committee. Please contact the Office of Continuing Professional Development if you wish to provide credits beyond AMA PRA Category 1 credit as additional fees and requirements apply.
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What day(s) of the week does the series meet?
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Start Time
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