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CE Accreditation Application

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CE Accreditation Application 
Thank you for partnering with The University of Florida College of Pharmacy for your Continuing Pharmacy Education needs. The University of Florida College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Once your application has been received and reviewed, you will be contacted by email concerning next steps. 

Please read the FAQ document for an overview of the information that must be submitted.  You can also refer to the Faculty Guide for a list best practices to use while developing presentations. 
Contact Information(individual completing application)





Activity Planning Committee
Minimum of three people required. Disclosure form required for everyone on the planning committee and any additional speakers or consultants. If you have more than three people to list, please attach a separate document with their contact information and role. CVs are also required for all speakers. 



use shift key to select multiple roles



Use shift key to select multiple roles



Use shift key to select multiple roles









Activity Information



Enter 'various' if there are multiple locations

Date(s) activity is taking place

Date home study begins






Pick the one that is most closely related

check FAQs for detailed description of each type
Educational Objectives

1.      Per ACPE CPE Standards, learning objectives should be specific and measurable. All objectives must come from the approved verb table and should correspond with the activity type (knowledge, application, practice) selected above. For example, if you are submitting a knowledge based activity, then your verbs must come from the knowledge or comprehension sections of the approved verb table. If you are submitting your course for pharmacist and pharmacy technician approval, you will need two sets of objectives that are specific to each audience.

       Approved Verb Table


Please submit as a Word document or the original PDF file. Scanned copies will be returned
Planning Process


Needs Assessment
Describe the educational need or clinical practice gap that will be addressed by this activity. For example, activity may focus on providing learners with up to date knowledge in a rapidly changing area of pharmacy practice or provide strategies for improving performance in areas where clinical performance is known to be less than optimal. Other programs may aim to improve performance on a clinical, communication, professionalism or system based practice. 

If requesting pharmacist and pharmacy technician accreditation, then you will need to submit two separate needs assessments that are specific to each audience and their responsibilities. 

All needs assessments must include two data sources used to identify the educational need or clinical practice gap described in the needs assessment. See full list below.


Please submit as a Word document or the original PDF file. Scanned copies will be returned

Please submit as a Word document or the original PDF file. Scanned copies will be returned

Competencies
Continuing Pharmacy Education (CPE) activities should be developed to address competencies for the practice of pharmacy as described by the CAPE Outcomes. Please indicate which competencies will be addressed in this activity.
Select all that apply. 




Financial Information

Off-label use information: http://www.fda.gov/ForPatients/Other/OffLabel/default.htm




Activity Announcement/Brochure
Per ACPE, all brochures, flyers, advertisements, and activity announcements must contain the following information:
  • learning objectives
  • type of activity (knowledge, application, practice)
  • target audience
  • speaker's name, degree, title/position
  • fees for the activity or statement that there are no fees
  • schedule of educational activities
  • amount of CPE credit (specified in contact hours or CEUs)
  • official ACPE logo (email deasterling@ufl.edu if you need the image), used next to statement:  The University of Florida College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education
  • ACPE approval number - given after application has been approved. Leave a space on the draft of your announcement/brochure for the UAN
  • requirements to receive credit (i.e., participants must sign in, attend the entire session, complete the online evaluation)
  • acknowledgement of any organization providing financial support for any competent of the activity or a statement that no financial support has been received
  • for home study activities: release and expiration date of course (given with the ACPE approval number)

Media/Content Submissions


Certification Statement
 Blank Certification Statement. Sign and submit below.

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