³ÉÈËVRÊÓƵ

CPD Accreditation/Certification Application Form

In order to facilitate the accreditation process, ensure you are completing the most current CPD accreditation/certification application form (ADD LINK TO FORM).

• Ensure to answer all the questions
• Complete and submit a certificate template or a certificate request form (ADD LINK TO FORM)
• The completed and final version of the application form, including all final versions of the supporting documentations, must be submitted all at the same time 8 weeks prior to the start date of the activity. Late fees will apply if the application form and/or supporting documentations are received less than 8 weeks prior to the start date of the activity

Submit All Supporting Documents

• Signed and completed application form (SPC Chair signature, pg. 12)
• Invitations / promotional materials: flyers, brochures, website links, blogs, etc.
• Speaker invitation template and communication stating CPD standards
• If funding was received: provide signed letter(s) of agreement(s) and the sponsorship prospectus
• If funding was received: provide the commercial interest branding: logos, colors, symbols, etc.
• If the SPC/PO chooses to delegate to a third-party payment of expenses: provide the signed agreement detailing the roles and responsibilities
• Copy of the schedule (provide preliminary if not finalized)
• Signed copy of the Financial Competing Interests Form – if applicable (Scientific Planning Committee Chair, pg.13)
• Signed copies of the Declaration of Potential Conflict of Interest Forms – Scientific and Organizing Planning Committees 
• Signed Ethical Review Form (SPC Chair signature, pg. 14)
• If requesting RCSPC MOC credits: Declaration form to be completed by SPC member affiliated with RCPSC – (pg. 15)
• If requesting CFPC Mainpro+ credits: Declaration form to be completed by SPC member affiliated with the ³ÉÈËVRÊÓƵ FMHS and the CFPC member that resides in Quebec – (pg. 16 & 17)
• Scientific Planning Committee (SPC) meeting minutes, summary of comments from email correspondence, etc. ensure to include and highlight discussion of mandatory key elements
• Needs Assessment: summaries used to identify the development of the activity
• Evaluation form template that will be disseminated to participants 
• PowerPoint Slide Set - Content (PDF of slides not acceptable) – mandatory for activities funded by one for-profit or not-for-profit organization If the activity is presented in English and French, submit PPTs in both languages
• Slides that will be presented to participants with the SPC and speakers conflicts of interest disclosure statements

Submit your accreditation/certification application form and supporting materials via email to cpd.med [at] mcgill.ca.

If requesting Section 3 credits, ensure to include the following supporting documents:

• Copy of budget
• Learning objectives and scoring sheet
• Participant’s reflection tools
• Participant’s feedback strategies
• Sample participant’s correct and incorrect answers report
• Instructors evaluation tool, ex.: videotaped assessment

Accreditation/Certification Approval

Once the activity has been approved, CPD will send you:

• An email notification stating the activity was accredited/certified
• A letter of the official approval, including the type of credits and total number of credits granted, the Associate Dean’s comments and the deadline for submitting your final report
• Official wording that must appear verbatim on the final printed material

Accreditation/Certification Review Fees

Once the review has been completed, an invoice indicating all fees (+ applicable taxes) linked to your activity will be submitted to you. Please see the classifications listed below to identify which system applies to you.

1. External to ³ÉÈËVRÊÓƵ

³ÉÈËVRÊÓƵ’s Accounts Receivable Office will be sending you a detailed invoice with all applicable fees.

2. Hospital Departments

This is a hospital policy. We require a Purchase Order number (PO) document from your Purchasing Department. The request could be made once you receive a quote from our Office. Please issue the PO number and document under the Vendor/Supplier indicated below:

³ÉÈËVRÊÓƵ
Accounts Receivable
3465 Durocher St., Suite #323
Montreal, QC H2X 0A8

Contact: Maria Anania – maria.anania [at] mcgill.ca
Telephone: 514-398-2311 │ Fax: 514-398-1327

3. ³ÉÈËVRÊÓƵ Units - paying via FOAPAL

The CPD Office will be sending you a detailed invoice with all applicable fees.

Final Report

To be completed and submitted to the CPD Office 8 weeks after the end of the accreditation period.

• Ensure to answer all the questions.
• The following supporting documents must be submitted with the completed final report form:
  • Final Activity Program/Schedule/Agenda
  • Final promotional materials distributed to participants
  • All Participants List
  • Sign-in-Sheet/Proof of Attendance
  • Compiled results (summary) of evaluation forms
  • Signed copies of the conflict of interest disclosure forms – only forms not submitted with the accreditation/certification application form

Submit your final report form and supporting materials via email to cpd.med [at] mcgill.ca.

Should you be submitting any documentation via Drop Box or another file hosting service, please ensure to provide access for at least an 8-week duration and admission to multiple users.