CME Application and Educational Planning Form

The CME application process is intended to help you plan and structure your educational activity in a manner that will achieve your intended outcomes. As an accredited provider, UNR Med must maintain compliance with the Accreditation Council for Continuing Medical Education's criteria and standards. Below is information to help you prepare your application:

Please do not submit the application form without first contacting the CME office to discuss your activity.

  1. Download the CME application checklist before you begin. This document will outline all of the information that you will need to complete the online application.
  2. Review the conflict of interest policy before you begin. Not all organization types are eligible to be joint providers. 
  3. Applications must be completed via the online form with the required documentation attached. Applications will not be reviewed by the CME Committee all required documentation is received.
  4. Applications must be submitted a minimum of 90-days before the start date of the activity.
  5. You may not distribute marketing materials until you receive CME approval. You may NOT include verbiage such as "CME credit pending" or similar statements. The appropriate required accreditation statements will be sent to you once your application has been approved. 
  6. You will be invoiced for the CME application once your application has been approved.

Supporting Documents

You will be required to upload the following documents when completing the online form. Supporting documents included in the CME Appication and Education Plannign Form link below:

  • Disclosure Statement Form - All individuals who are in a position to control the content of the CME activity must complete this form. This includes planners, reviewers, authors, and presenters.
  • Activity Agenda Template - You may use your own form. However, it MUST include dates, start and end times, presentation titles and presenter names, degrees, and affiliations.

Start the online CME application now.

Learning Objectives

Well-written learning objectives are your road map to designing an effective CME activity. They help you plan your educational content and communicate to the learners what they can expect to be able to do as a result of their participation in the activity. Objectives should be written as measurable actions that the learner can perform or implement. Learning objectives must be designed to measure outcomes in terms of changes in the learner's competence, performance, and/or patient outcomes. The ACCME defines competence as "knowing how" to do something.  Knowledge, in the presence of experience and judgment, is translated into ability (competence) - which has not yet been put into practice. It is what a professional would do in practice if given the opportunity. The skills, abilities, and strategies one implements in practice are considered performance.

Sample Measurable Action Verbs


  • Acquire
  • Adapt
  • Analyze
  • Apply
  • Calculate
  • Categorize
  • Change
  • Chart
  • Classify
  • Compare
  • Contrast
  • Demonstrate
  • Detect
  • Develop
  • Diagram
  • Educate
  • Employ
  • Evaluate
  • Examine
  • Experiment
  • Intervene


  • Appraise
  • Assess
  • Choose
  • Conclude
  • Design
  • Develop
  • Diagnose
  • Empathize
  • Estimate
  • Evaluate
  • Formulate
  • Integrate
  • Manage
  • Measure
  • Organize
  • Order
  • Palpitate
  • Perform
  • Prescribe
  • Prepare
  • Rank


  • Classify
  • Compare
  • Contrast
  • Define
  • Describe
  • Distinguish
  • Explain
  • Identify
  • List
  • Outline
  • Recognize
  • Review


  • Appreciate
  • Know
  • Learn
  • Understand

Learning objectives should always begin with the statement "Following the conclusion of participating in this activity, learners should be able to:" and each objective should start with an action verb. Below are some examples of well-written objectives:

  • Assess the risk for cardiovascular disease associated with hypoglycemia among people with type 2 diabetes
  • Develop a safe and effective treatment plan for patients with chronic pain
  • Apply motivational interviewing and cognitive behavioral therapy techniques
  • Utilize communication strategies to improve adherence to statin therapy

Additional Learning Objective Resources

How to Write Well-Defined Learning Objectives

Educational Terms: Knowledge, Competence, Performance, and Patient Outcomes (ACCME, 2016)