Application for CPD approval

Application for CPD approval - courses

Please fill out the form below with the required information to be reviewed by the Medics.Academy CPD panel.
CPD Application Guidance

This application must be completed in accordance with the CPD Application Guidance.

The CPD panel will assess applications against this guidance, and approval may be withheld where requirements are not met.

Please click here to review the guidance for filling out this application:

Guidance for Completing the CPD Course Application Form
Email
example@example.com

Basic Details
Date of applying

MonthDayYear
Date
Name of the course
Brief description of the course
The suggested number of CPD credits to be awarded
(The CPD panel of Medics.Academy recognizes one hour of CPD activity as one CPD credit. In the event that the number of hours is not a whole number, the number of credits will be rounded down to a whole number. For example, if the number of CPD hours is 3 hours and 30 minutes, this would translate to 3 CPD hours and 3 CPD credits)
Category - (Clinical - learning activities that directly contribute to the advancement of clinical knowledge and/or patient care. Non-clinical - learning activities are not directly related to clinical practice eg. management, leadership, entrepreneurship, ethics, legal issues etc.)
Course Fee Fees (if any) charged by the organization for taking the course

Contact Details
Contact Name

First NameLast Name
Contact Job title
Contact Email
example@example.com
Registered organization name
Organization type
Do you form part of the registered organization?
Organization website

Product Details
Website URL

Course Details
Target audience
Learning objectives
Learning objectives are what you expect the participants to know/understand or demonstrate at the end of the course.
Details of active learning
Active learning includes any techniques used in the course such as questions asked during the module and encouragement to reflect on practice. How is active learning being used in your course?
How do you monitor hours of reading, if any. For eg. do you have a mandatory reading list?"
Details of monitoring user experience
For example, this may include feedback potentially while the course is running or in feedback forms at the end of the course.
Assessment method and details of assessments
Does your course have an assessment? What actions/steps do you take with the results of assessments? Does the assessment being used reflect the content of the course? for example if it is a knowledge-based course is there an MCQ to check acquisition of knowledge? If it is skill or attitudinal course is there a reflective piece for the participant to write or a proforma to demonstrate they understand the course requirements?
Completion requirements
This should include the assessment criteria pertinent to the course content. (MCQ , reflective piece or written proforma).
Is this a one-off course? If the answer is 'No ' how frequently will it be run?
Are there any sponsors of the course? If yes, please provide details.
Are there any competing interests?(Please disclose any financial or other support that might cause bias)
Declaration of competing interest:

Breakdown of the Course

If your course has both clinical and non-clinical hours, please state these hours separately.
If your course has both clinical and non-clinical content, please provide a brief explanation below
CLINICAL (Description)
Hours of live sessions (Clinical)
Hours of pre-recorded webinars (Clinical)
Hours of reading (Clinical)
Hours of assignments (Clinical)
NON-CLINICAL
Hours of live sessions (Non-clinical)
Hours of pre-recorded webinars (Non-clinical)
Hours of reading (Non-clinical)
Hours of assignments (Non-clinical)
Any other hours of additional content (Non-clinical)

Supporting information (Mandatory)
Sample certificate

Cancelof
Sample evaluation form

Cancelof
Evidence of appropriate qualification of authors

Cancelof

Further Information (Optional)
Are there any special hardware/software requirements for the user to access and undertake the course, that you wish to disclose?
Documents containing any relevant further information

Cancelof
Should be Empty:

Application for CPD approval - courses

Basic Details

Contact Details

Product Details

Course Details

Breakdown of the Course

Supporting information (Mandatory)

Further Information (Optional)