Saint Louis University

CME

Disclosure Form

Please fill out this form prior to the course to disclose any relevant financial relationships or conflicts of interest and submit to the CME office. This is a mandatory form.
For your information

Permission form to upload PowerPoints

PowerPoints will be uploaded to the course website after you grant us permission, so that participants may download them in PDF format prior to the course to take notes.

Regardless of whether you grant upload permission, your powerpoint presentation must be submitted to the CME office before the course. If you have a relevant financial relationship to disclose, you must submit them 15 days before the course for review. If you do not have any relationship to disclose, you must submit them 5 days before the course.

You can present with a colored powerpoint, but please submit the powerpoint to us with a white background and black text. Your presentation will be converted to a PDF so that participants can print them out.

Request Teaching Credits Form

Accredited CME providers are allowed to award faculty AMA PRA Category 1 CreditsTM for the learning that occurs in the preparation of an original presentation as part of an AMA PRA Category 1 CreditTM live activity. The formula for granting such credit is 2 AMA PRA Category 1 CreditsTM per participant credit (or a 2:1 ratio). Like other AMA PRA Category 1 CreditsTM based on time metrics, credit can be designated in 15 minute increments. No credits are awarded for repeat presentations of the same material. Credit may not be simultaneously earned as both a presenter and a learner.

Providers should calculate the participant credit first, then double it (as opposed to doubling the presentation time prior to calculating the credit). Physicians are awarded faculty credit based on the time of their presentation only, not based on the time of the session or activity. (Example: a one hour activity is designated for one AMA PRA Category 1 CreditTM with three speakers who each present for 20 minutes. Each physician would receive .50 AMA PRA Category 1 CreditTM as faculty and .75 AMA PRA Category 1 CreditTM as a participant.)

If an accredited CME provider chooses not to award faculty credit, the physician may claim this credit directly from the AMA by submitting the Direct Credit Application.

Travel Expense Form

Your itemized expense form must be submitted no later than 30 days following the event. CME will provide a form for this purpose or you may use your organization letterhead. Home address and a completed W-9 is required to process reimbursements. One check will be issued to include your travel expenses and honorarium.

Original receipts must be submitted for all expenditures.

General Guidelines:

Airfare - Coach Class only, 14-day advance purchase required (original passenger receipt or e-ticket receipt stub showing method of payment must be submitted for reimbursement).

Transportation - Transportation via taxi or shuttle to and from the airport will be reimbursed. (Limo or Car service will not be reimbursed). Auto rental is not covered unless essential and approved in advance. Personal mileage will be reimbursed at the current rate allowed (see rate specified on your expense reimbursement form). If you are a SLU employee you will need to have an approved trip # and utilize the trip calculator in order to determine which is the cheapest travel option; fly, rental car, or drive your own vehicle. If travel is by automobile rather than airline personal mileage will be reimbursed equivalent to an advance purchase or discounted airfare.

Meals - Reasonable expenses to cover meals not provided during the event will be reimbursed at the following rate: Breakfast $15.00, Lunch $20.00, Dinner $60.00. Please note these rates include the 20% tip as outlined below.

Tips and Incidentals - Up to 20% at restaurants; $1.00 per bag to porter - maximum reimbursement, average of $3 per travel day. Original receipts are required for all incidental expenses.

Lodging - Depending upon the activity schedule and faculty location lodging will be provided the night before and the evening following a full day program if applicable at the conference group hotel, standard single room at group rate only. Exceptions to this must be approved by the course director and the CME department in advance. The CME department can make your hotel reservation and arrange for direct billing in most instances. Please check your confirmation letter for further details. You are responsible for cancellation fees if you change or cancel your hotel reservations without sufficient notice.

Business Communications - reasonable expenses (both in duration & frequency).

Items NOT covered under this expense policy:

  • Cleaning/laundry
  • In-room movies/internet
  • Mini-bar charges
  • Meals, lodging or travel for family or guests
  • Lodging or travel exceeding the activity date(s) specified
  • Child or pet care
  • Entertainment of others
  • Cancellation penalties for early departures or cancellations
  • Penalty fees for changes or cancellation of airline reservations

Honoraria - Honoraria amounts will be determined by the course director and/or the CME Department and will follow the established SLU Honoraria Policy. The SLU CME Office will route the correct forms to the necessary offices.

Saint Louis University Employees: Employees of Saint Louis University are required to follow travel and entertainment policies specified by the University Business and Finance Office.