As you prepare your proposal, please ensure it will meet the following requirements prior to completing this form:
  • All recommendations for patient care must be based on current science, evidence, and clinical reasoning, while giving a fair and balanced view of diagnostic and therapeutic options.
  • All scientific research referred to, reported, or used in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, analysis, and interpretation.
  • Although accredited continuing education is an appropriate place to discuss, debate, and explore new and evolving topics, these areas need to be clearly identified as such within the program and individual presentations. It is acceptable to facilitate engagement with these topics without advocating for, or promoting, practices that are not, or not yet, adequately based on current science, evidence, and clinical reasoning.
  • Ensure your activity does not advocate for unscientific approaches to diagnosis or therapy, or promotes recommendations, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients.

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1. Submitter Information

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2. Title of the Proposed Course

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3. Purpose of the Course
Please provide a simple, high-level sentence describing what the course is meant to teach and for whom

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4. Learning Gaps 
What knowledge gaps is this course meant to address? How were the gaps identified? Are there any recent regulatory or industrial changes that led to the need for such a course (e.g. requirement for certification to provide an opinion about fitness, new technology like nanotechnology)

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5. Intended Audience
Describe the primary target audience and something about their demographics (US, global, type of professional, age range), baseline knowledge on topic and anticipated comfort with online learning technology. Describe the secondary target audience (e.g. those who might benefit from some of the modules in the course, but perhaps not all)

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6. CME Market Analysis
Describe the pool of users who would benefit from this course, other than occupational medicine physicians. Are there stakeholders other than health care providers that may also take this course (i.e. legal professionals, HR, safety, etc.) Would this course be appropriate for advanced practice providers (PA or NP) or other types of medical specialists? Describe competing courses if known. Share support materials indicating need for this course in primary and secondary market.

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7. How does this relate to any other current ACOEM courses?
Describe whether this course would be an alternative to another current course, would build on another course, might serve as an introductory course for a more advanced current course, or otherwise relate to a live or online course currently offered by ACOEM (or offered in the past.) For a list of current ACOEM courses, click here.  If not applicable, state so.

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