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EVALUATION AND CME/CE CREDIT CLAIM FORM Antibiotic Stewardship Program Clinic January 21st, 2016 Instructions The information you provide on this form is indicative of your participation in this activity.

How to fill out evaluation and cmece credit

How to fill out evaluation and cmece credit:

1. First, gather all the necessary information and materials required for the evaluation and cmece credit form. This may include your personal details, such as name, contact information, and professional credentials, as well as the specific information about the program or activity for which you are seeking credit.
2. Carefully read and understand the instructions provided on the evaluation and cmece credit form. Make sure you are aware of any specific guidelines or requirements that need to be followed while filling out the form.
3. Start by providing your personal information accurately and completely. Double-check that you have entered your name, address, phone number, and email correctly.
4. Next, fill out the sections related to the program or activity for which you are seeking credit. Include the program title, date, location, and duration. Provide any relevant supporting documentation, such as certificates of attendance or completion if required.
5. Proceed to answer any evaluation questions or sections on the form. These questions are usually related to the quality of the program, its relevance to your professional practice, and the effectiveness of the learning experience. Provide honest and thoughtful responses based on your experience.
6. If there is a section for participant feedback or comments, take the opportunity to share any additional thoughts, suggestions, or insights you may have gained from the program. This feedback can be valuable for organizers and future participants.
7. Review the completed form carefully, ensuring that all the required fields are filled out accurately. Verify that you have provided all necessary attachments or supporting documents as requested.
8. Once you are confident that the form is correctly filled out, sign and date it as required. Your signature confirms that the provided information is accurate and that you are attesting to it.

Who needs evaluation and cmece credit?

Evaluation and cmece credit are typically required by healthcare professionals who are seeking to maintain or renew their professional licenses or certifications. This includes physicians, nurses, pharmacists, and other allied health professionals. These professionals are often required to participate in continuing medical education (CME) activities or other professional development programs in order to stay current with the latest advances in their fields and to deliver high-quality care to their patients. Evaluation and cmece credit ensure that professionals undergo an assessment of their learning and that their participation in relevant educational activities is documented and recognized.

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