1 Start 2 Complete Title of activity AKH Activity Number Collaborators (JP Name) Commercial Supporter(s): (If none, list N/A) Date of Activity Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024202520262027202820292030 Credit(s) Provided ACCME ANCC ACPE IPCE (Interprofessional CE) AANP AAPA BOC Social Work CDR Dental APA COPE CBRN Florida MOC Other... Credit(s) Provided Other... Reviewer Ashley Marshall, LAT, ATC Bernadette Makar, MSN, NP-C, APRN, BC Becca Lakofsky, RN, BSN Broc Pollinger, LSW Deborah Cooper, RD, LDN Donna Purcell, PhD Dorothy Caputo, MA, BSN, RN Dorothy Duffy, RPh Jennifer Kasey, Psy.D. Lauren Gerardi, PhD, PMH-C Lisa Bass, MA, RN Risha Bellomo, PA Other... Reviewer Other... Project Manager Bethany Shiflett Byron Turner Jessie Goldman Ketrea Bentley Kris Wolynski Laurie Ritley Trish Brignoni Wendi Martin Are recommendations for patient care based on current science, evidence, and clinical reasoning, while giving a fair and balanced view of diagnostic and therapeutic options? [Standards for Integrity and Independence 1.1] Yes No Does all scientific research referred to, reported, or used in this educational activity in support or justification of a patient care recommendation conform to the generally accepted standards of experimental design, data collection, analysis, and interpretation? [Standards for Integrity and Independence 1.2] Yes No Are new and evolving topics for which there is a lower (or absent) evidence base, clearly identified as such within the education and individual presentations? [Standards for Integrity and Independence 1.3] Yes No Does the educational activity avoid advocating for, or promoting, practices that are not, or not yet, adequately based on current science, evidence, and clinical reasoning? [Standards for Integrity and Independence 1.3] Yes No Does the activity exclude any advocacy for, or promotion of, unscientific approaches to diagnosis or therapy, or recommendations, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients? [Standards for Integrity and Independence 1.4] Yes No Pharmacy ReviewWhat does ‘applicable to the practice of pharmacy’ mean? In general, for guidance in organizing and developing CPE activity content, providers should ensure that, as for all health care professionals, pharmacists should develop and maintain proficiency in five core areas*: Delivering patient-centered care, Working as part of interdisciplinary teams, Practicing evidence-based medicine, Focusing on quality improvement and Using information technology. Is this activity applicable to the practice of pharmacy? Yes No Target Audience (pharmacy) Pharmacists Pharmacy Technicians Select the content area(s) that your activity addresses. {Check all that apply} Does Not Apply Child Abuse Prevention or Reporting Collaborative Practice ContraceptionCultural Competency Diversity, Equity, Inclusion (including bias)Human Trafficking Lesbian, gay, bisexual, transgender and queer or questioning (LGBTQ)Mental Health Awareness Nicotine Replacement Non-Sterile Compounding Nursing Home Consulting Pharmacist Prescriptive Authority Precepting Sexual Harassment Sterile Compounding Suicide Prevention Pre/Post Test Questions (if applicable) Are the questions related to the objectives? Yes No N/A Any recommended modifications to questions? Yes No N/A Leave this field blank
