Ensuring Independence

Last Revised:
November 11, 2011

Twenty years ago, most CME occurred in a lecture hall. Now, learning activities occur in many different environments including electronic media, and ACCME intends that all of these places and spaces of CME activity need to be...

Last Revised:
November 11, 2011

Yes. A provider can implement practices to designate different categories of commercial supporters for different amounts of commercial support.

Last Revised:
November 11, 2011

You must not carry on with the activity under these circumstances. The person cannot participate if they refuse to disclose because conflicts of interest can neither be identified nor resolved.

Last Revised:
November 11, 2011

Yes. ACCME considers meals arranged by the Provider in conjunction with an activity to be an appropriate part of the expenses of a meeting and can be paid for out of the commercial support.

Last Revised:
February 16, 2017

Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria for promotional speakers’ bureau, ownership interest (e.g.,...

Last Revised:
November 11, 2011

No. All commercial support must be stipulated by a written agreement and must flow through the Provider and/or its educational partner. Only the Provider and/or its educational partner can make payments to...

Last Revised:
November 11, 2011

Informed learners are the final safeguards in assuring that a CME activity is independent from commercial influence. Regarding personal conflicts of interest, CME providers are to have in place mechanisms to identify and resolve...

Last Revised:
November 11, 2011

In SCS 4.5, the ACCME requires that accredited providers to use their own distribution channels for CME activities. To that extent, having a CME enduring material created for the exclusive purpose of use in promotional visits to...

Last Revised:
November 11, 2011

There is no CME reason for commercial supporters to review and comment on CME content prior to its delivery to learners. An accredited provider would be out of compliance with SCS 1.1 and...

Last Revised:
November 11, 2011

ACCME has never recommended withholding CME credit at the last minute as an alternative to producing CME that is in compliance with accreditation requirements. It does not seem fair to the physician learners. Assuming that in this...

Last Revised:
November 11, 2011

No. The Provider is not accountable to the ACCME for the content of advertising and exhibits. The information transferred in an advertisement or exhibit is not part of the Provider's program of continuing medical education...

Last Revised:
November 11, 2011

No. Compliance with SCS 2.1 requires that disclosure is made. Disclosing the same information repeatedly to the...

Last Revised:
November 11, 2011

Using commercial support to pay for modest meals and social events at CME activities has been allowed for years. However, providers must avoid making meals or social events longer or more important or more costly than the...

Last Revised:
May 19, 2015

Yes, with specific limits and expectations. Education on devices is a special-use case in accredited CME. Some equipment contains labeling requirements set by the Food and Drug Administration (FDA)...

Last Revised:
November 11, 2011

The ACCME expects that the provider makes decisions related to the planning and implementation of CME activities without being directed or influenced by commercial interests.

A provider will be found in Noncompliance with...

Last Revised:
November 11, 2011

CME exists to support the physician change and learning -- so as to increase their ability to participate in providing quality healthcare or improved healthcare. ACCME expects that providers will always be able to demonstrate how...

Last Revised:
February 12, 2014

Joint providers are expected to routinely have a role in making decisions about the elements of the planning process specified in SCS 1.1. Since these decisions must be "made free of the control of a...

Last Revised:
November 11, 2011

No - commercial support does not have to be in a single payment or grant.

Last Revised:
November 11, 2011

Commercial support is financial, or in-kind, contributions given by a commercial interest, which is used to pay all or part of the costs of a CME activity.

Last Revised:
November 11, 2011

No. The provider cannot delegate the responsibility for resolving the conflict of interest to the person with the conflict of interest. However, an individual who controls CME content can be involved...

Last Revised:
November 11, 2011

ACCME expects to be able to review income and expense statements for all CME activities. These statements must reflect:

Significant sources...

Last Revised:
November 11, 2011

Yes - but CME providers need to be sure that these people have bona fide teaching roles. In the United States, physician learners are not to be given compensation or reimbursement for attending CME activities (see...

Last Revised:
November 11, 2011

The nature of the relationship means the role they play or service they provide in exchange for some form of compensation (e.g., independent contractor including contracted research, consulting, promotional speaking and...

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