Accreditation Packages

What You Need to Accredit for Your Particular Audience

General Information

Before beginning to plan for an accredited event, please contact CPDME (Deirdre Harvey, Accreditation Program Co-ordinator, deirdre.harvey@dal.ca).  We are happy to help clarify what is required or to answer any questions you may have.

Note:

  • If your event involves family physicians, Dr. Michael Fleming (CPDME) must be a member of the Planning Committee.
  • If you require a Simulation or Self Assessment (Section 3) package, please contact Deirdre Harvey for more information. 
  • If you wish to do a Level 2 or Level 3 accreditation, please contact Deirdre Harvey for more information

Specific Information

There are three combinations of participants; the accreditation package for each differs slightly.  Please select your accreditation package accordingly.

  • Family physicians only - FP
  • Specialists only - SP
  • Combination of both family physicians and specialists - BOTH

NOTE:  These pdf documents can be filled in.  Please download by clicking on the link in the appropriate column, fill in and save -- renaming with your event's name as the first part of the name.  If you use an APPLE computer these forms may not download or save properly.

If you would prefer to have this information in Word format, please contact Deirdre.Harvey@dal.ca

ITEM

FP

SP

Both

ESSENTIAL INFORMATION This differs for each group Please read before you begin.   

Yes

Yes

 

Yes

 

Accreditation Application This must be completed  and signed by Planning Committee chair.  

 Yes

Yes

 

Yes

 

Conflict of Interest Form – This must be signed & completed  forms required for all planning committee members (except administrative staff) & all speakers/presenters. DO NOT RETURN THE FIRST TWO PAGES (instructions only).  

Yes

Yes

Yes

Dal CPD Logo This is for use on event programs/agendas, etc.  The size can be easily adjusted to fit your use.

Yes

Yes

Yes

FAQs Some quick information that answers common questions.

Yes

Yes

Yes

Financial Sponsorship Declaration – This must be completed and signed by Chair, Planning Committee.

Yes

Yes

Yes

National Standard Acceptance This must be completed and signed by Chair, Planning Committee.

Yes

Yes

Yes

Planning Committee – Specialist This must be completed and signed by specialists on Planning Committee

NO

Yes

Yes

Planning Committee – Family Physician This must be completed and signed by family physicians on Planning Committee

Yes

NO

Yes

Primary Sponsorship Agreement  – This must be signed by Head of Department putting on the event

NO

Yes

NO

Co-sponsorship Agreement This must be signed by Chair, Planning Committee

Yes

NO

Yes

Approval Agreement -  This must be signed by Chair, Planning Committee NO Yes NO

For your information and potential use:

 
Please note:  all Section 3 applications must have all the documentation for a specialist application listed above as well as the appropriate type of Section 3 application (below). Please request either specific application form from  Deirdre Harvey (Deirdre.harvey@dal.ca)
 
  • Section 3:  Self-Assessment -- accreditation application form
  • Section 3 - Simulation - accreditation application form