Regularly Scheduled Series (RSS) Forms

The following forms may require Acrobat Reader. or Microsoft Word. If you are unable to access those forms, please contact our office at cme@upstate.edu.

RSS Planning Guide 

This packet will assist you in organizing information required by the Accreditation Council for Continuing Medical Education (ACCME) and help you in planning a regularly scheduled conference activity. It must be submitted to the Office of Continuing Medical Education before credit can be granted.

RSS Evaluation Form 

This is a sample evaluation form that can be modified to fit the needs of your educational activity.

Speaker/Planner Disclosure Form 

Disclosure forms must be signed and submitted to the CME Office for each planner and speaker involved prior to the educational activity. Please review the ACCME Standards for Commercial Support.

Letter of Agreement 

A Letter of Agreement must be signed by a representative of the commercial supporter and submitted to the CME Office for countersignature prior to the date of the educational activity. Please review the ACCME Standard for Commercial Support.

ACCME Standards for Commercial Support

All educational activities must be developed and implemented independent of commercial interests. All commercial support, if applicable, must be managed appropriately.

RSS Attendance Log (MS Excel Document)

CME contact will submit electronically an Excel log identifying participants at each RSC. This credits will be maintained by the CME office. Transcripts will be furnished upon request.

RSS Year-End Financial Summary (MS Excel Document)

Yearly financial summary of the Regularly Scheduled Conference.