ASMBS State Chapters are able to apply for joint CME providership with the American Society for Metabolic and Bariatric Surgery. These documents will help State Chapters plan their educational activities in compliance with Accreditation Council for Continuing Medical Education (ACCME) standards.
Joint Providership Activity Agreement
Joint Providership Activity Agreement
This document serves as a formal declaration of interest and commitment between the state chapter and the ASMBS to collaborate on the planning, implementation, and evaluation of a CME activity. This document must be submitted upon first contact with the State Chapter CME contact. You can download this document, complete it electronically, or print it out and scan/email to statechapterscme@asmbs.org.
Joint Providership Application
Joint Providership Application
This document is designed to ensure that CME activities considered for certification meet the Accreditation Council for Continuing Medical Education (ACCME) criteria. All required fields are to be completed before submission to the State Chapter CME contact at statechapterscme@asmbs.org.
Disclosure Report for Participant Notification
ASMBS Financial Relationship Disclosure Form
All faculty/speakers, planners, abstract reviewers, moderators, authors, co-authors and administrative staff participating in the continuing medical education programs sponsored by the ASMBS are expected to disclose to attendees any/all relevant financial relationships related to the content of their presentation(s) in accordance with ACCME Guidelines for Commercial Support. It is the Non-Accredited State Chapter’s responsibility to collect ALL disclosures and submit them to the ASMBS prior to planning.
ASMBS must review all disclosures and review for conflict.
Letter of Agreement (LOA) for Educational Grants and Sponsorship
Download the Letter of Agreement for Educational Grants and Sponsorship
This letter of agreement must be sent to all ineligible companies* providing educational grants and sponsorship for the State Chapter event, stating the terms and conditions, monetary contributions, and signatures of confirmation.
- *Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients