MMET Activity Downloads

Follow the instructions on this page to submit an activity for CME approval through the Maine Medical Education Trust. Note that all materials required for approval must be submitted before an activity can be approved.  MMET will not approve CME after the activity has taken place.  Use the CME Activity Application Checklist to help make sure all the required materials have been submitted.

Applying for CME Approval

Submit all of the following documents:
1. CME Approval Application completed by the specialty liaison or contact person. (Form updated 6/14/2022)
2. Payment for approval of CME.  Reference the Activity Approval Fee Structure for payment amount and remittance.
  • Activities being requested for approval within two weeks of the activity start date are subject to a late fee.

3. CVs or Resumes for all presenters.
 
4. Faculty Disclosure Forms (updated 6/30/2022)
  • The first page needs to be completed by each planner, presenter, and reviewer.  The second page contains necessary definitions and information. Note that an "ineligible company" is the new term for "commercial support".
  • Reference the Flowchart for Identifying, Mitigating, and Disclosing Relevant Financial Relationships for steps and helpful information for adhering to Standard 3 of the Standards for Integrity and Independence.  You can also reference ACCME's Worksheet for the Identification and Mitigation of Relevant Financial Relationships.
  • If there are relevant financial relationships, complete the Mitigation Form to document how each relevant financial relationship was mitigated.  These steps should be taken prior to planning and/or presenting.  If there were no relevant financial relationships, the mitigation form does not need to be completed.
  • When disclosing relevant financial relationships to learners, disclosures must be made for all planners, presenters, and everyone in control of content for the activity. If relevant financial relationships exist, the following must be disclosed to learners: the name of the individual, the name of the company, and the nature of the relationship and the statement that "All relevant financial relationships have been mitigated."
  • If none of the individuals in control of content had relevant financial relationships, the following statement should be made (or one with similar wording) that accounts for all individuals: "None of the planners or speakers for this activity have relevant financial relationships to disclose."  
  • See the Template and Examples for Financial Relationship Disclosures that includes example slides that can also be shared with presenters. 
5. Promotional Material(s).  Submit a brochure/announcement/agenda for the activity.
  • Please send an agenda if there are multiple speakers or sessions for the activity.
  • The brochure/agenda submitted for approval should include the Joint Provider Statement and the AMA CME Designation Statement to check for accuracy.  If the activity is seeking approval for opioid medication CME, it should also include this statement.  However, statements for CME cannot be included on any literature distributed to learners until after the activity has been approved.
  • CME and Joint Provider Statements reference and use instructions (Updated 5/02/2022) or use the Template for Credit and Joint Providership Statements that has slides that can be shared with presenters.
  • Reference the Development of a Brochure instructions for details on brochure requirements.
6. Evaluation Form (updated 6/30/2022)
  • This generic form may be adapted to suit the needs of the activity, organization, and measurements desired.  However, learners must be asked about the changes they intend to make in their practices as a result of this educational activity.
  • Online evaluation forms are acceptable, but a copy of the form to be used must still be submitted.
  • The evaluation form should contain the Joint Provider Statement.  If it refers to CME, it should also contain the AMA CME Designation Statement and the Opioid Medication Education Statement as applicable.
7. Certificate of Completion (updated 5/17/2022)
  • This generic form may be adapted to suit your needs but needs to include the title, dates, type of activity, AMA CME Designation Statement, Joint Provider Statement, Opioid Medication Education Statement as applicable, and the number of CMEs for the activity.  If learners might not have participated in the entire activity, include claiming partial CME as an option.

During the Activity

1. Collect the names and credentials of participants.  This generic Sign-In Sheet may be used or adapted.  Collecting credentials on attendance sheets will help to determine the number of physicians and other learners in attendance that will need to be reported post-activity. If requesting MOC, also collect and submit either the date of birth for each attendee requesting MOC or their Board ID Number. 
 
2. Complete the MMET Activity Monitoring Form (updated 6/28/22) for each session.  This may be completed by a planner or peer attending the activity.  Complete at least one form for each day of the activity.  The purpose of this form is to ensure the Integrity and Independence of this educational event from commercial interests.
 
3. Distribute the evaluation form at the end of the activity (or each session as determined by the organizer).  You may set the precedence that the participant must complete the evaluation form to receive a CME Certificate.
 

After the Activity

Submit the following documents:
1. Post-CME Activity Report that includes the number of physicians and number of other learners that participated and financial reports.
  • If commercial support was received from an ineligible company, complete and submit the Commercial Support Tracker. There are restrictions to how monetary grants from ineligible companies may be disbursed.  Refer to Standard 4: Manage Commercial Support Appropriately of the Standards for Integrity and Independence for the details of these restrictions.
2. Attendance record that includes the names of the attendees.  Attendance can be submitted as copies of sign-in sheets or an electronic attendance record. 
 
3. Evaluation summary or copies of completed evaluation forms that documents the changes learners intend to make as a result of the learning activity.
 
4. MMET Activity Monitoring Form(s) completed by a planner or peer for each session.
 
5. Proof of disclosure of the presence or absence of relevant financial relationships to learners. (e.g., a slide that presented the disclosure, disclosure on a sign in sheet, or a verbatim record for verbal disclosures).  See the Standards for Integrity and Independence for more information on disclosures.
 
Note: It is the responsibility of the organization, not the MMET, to award Attendance and CME Certificates to participants.
 

Submit Materials to:

Mail: Elizabeth Ciccarelli, CME Coordinator, Maine Medical Education Trust, PO Box 190, Manchester, ME 04351
Fax: 207-622-3332; Attention: Elizabeth Ciccarelli
 
Questions: Please contact Elizabeth Ciccarelli, CME Coordinator at the Maine Medical Education Trust at 207-480-4186 or email eciccarelli@mainemed.com.