| Document/Form Name | How/When to use the Document | Link |
Disclosure Form | - All planners, speakers, moderators and content developers must complete this form.
- CPD must receive all planner disclosure forms before we will grant administrative access to the series website.
| Document 1 Disclosure form (disclosure and attestation attachments) 2025_fillable.pdf |
| Mitigation Form | - A planner with no disclosures should complete this form when a speaker or p
| Document 2 Mitigation Form 2024.doc
|
Speaker Attestation Form | - A speaker needs to complete when a planner selects attestation as a mitigation strategy.
| Document 7 Speaker Attestation Form.docx |
Copyright & Consent Form | - Required for all speakers when an activity is recorded
| Copyright & Consent form.docx |
| MGB Patient Photography Consent and Authorize for Release | - Required speakers who are patients
| MGB_Patient_Photography_Consent_and_Auth_for_Release.pdf |
Employee - Owner Additional Information Form | - A speaker should complete this form when the include Owner/ Founder/ private stock on their disclosure
| Employee Owner Additional Information Form (4).docx |
Employee - Owner Content Review Form | - A planner should complete this form when the speaker has an owner, employee or private stock relationship
| Employee - Owner Content Review Form 2024.docx |
| Employee - Owner Speaker Attestation Form (for speakers with no presentation or slides) | - An Owner/ employee / private stock owner who has no slide to present should complete this form
| Employee - Owner Speaker Attestation Form (for speakers with no presentation or slides).docx |
Presentation Review Checklist | - A checklist to assist with reviewing a presentation
| Presentation Review Checklist.docx |
Risk Management Request Form | - To assess if a session is designed to meet the criteria for risk management in Massachusetts, This form should be completed by a planner when risk is being requested for a session
Please note: the form is not required for an M&M session
| Risk Management Request Form.docx |
List of Verbs for Formulating Objectives | - A list of verbs to assist with formulating an objective for a series
| list of verbs for formulating objectives.pdf |
Announcement | - Template for sending announcements
Please note: Include the CPD office ([email protected]) in your distribution list for all email announcements throughout the series
| Document 5 Announcement Template.doc |
Disclosure Summary Slides | - For RSS series - a template created for your series will be provided prior to the series start date.
| |
CME for MOC Program Guide | - Download the latest version of the CME for Maintenance of Certification Program Guide
| https://www.accme.org/publications/cme-for-moc-program-guide |
Patient Safety MOC Credit Request Form | - A planner should complete this form when the patent safety is requested for ABA MOC II
| MGH & BWH - American Board of Anesthesiologists Patient Safety MOC Credit Request Form.docx |
Session Information Form | - Template to be completed when additional information is needed for session at Final Check-in
| Document 4 Session Information RSS.docx |
| Additional Course Directors - Coordinators - Planners | - For adding additional Course Directors, additional Course Coordinators and Planners to the on-line proposal
| Additional Course Directors - Coordinators - Planners for proposal.docx |
| Evaluation Template (more than 1 profession) | - Template of evaluation questions for series with more than 1 profession
| Document 3 Interprofessional Evaluation Form 2024.docx |
Evaluation Template (1 profession) | - Template of evaluation questions for series with 1 profession
| Document 3 Uniprofessional Evaluation Form 2024.docx |
| Sample text for follow-up Survey | - Template of evaluation questions for the follow-up Survey
| RSS & Course Sample text for Follow Up Survey -final.docx |
| 2026-2027 MGB In-Hospital Series Pricing and Deadlines | - 2026-2027 Pricing for the In-Hospital Series
- Include the deadline to submit the proposal
- Note: the cost remained the same from 2025-2026
| 2026-2027 Mass General Brigham In-Hospital Series Pricing and Deadlines.pdf |
| Upload Session Recordings to Vitals | - Workflow for Coordinators and AV Staff to upload recordings to Vitals
| How to Upload Session Recordings to Vitals (For Coordinators & AV Staff) (1).pdf |
| Slides to set up a new profile and add phone number to account: | - Slides to share with attendees to explain how to update their account
| new profile and phone number slide.pptx |
2026--2027 Renewal in-Hospital Proposal Template | - 2026-2027 Renewal In-Hospital Proposal Template. Includes all the proposal questions)
| Renewal 2026-2027 in-hospital Proposal.pdf |
2026--2027 New In-Hospital Proposal Template | - 2026-2027 New In-hospital Proposal Template. Includes all the proposal questions)
| New 2026-2027 in-hospital proposal.pdf |