MEDICAL COLLEGE OF OHIO by fDQ7Zq

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									                                            {Enter Dept. Name Here}
                                  “{Enter Lecture/Activity Title Here}”

                                                {Enter Activity Date Here}
                                                {Enter Activity Time Here}
                                            {Enter Activity Location Here}

                                                  Presented by:
                                         {Enter Presenter’s Name Here}
                                         {Enter Presenter’s Position Title Here}
                                          {Enter Presenter’s Institution Here}
Commercial Support Acknowledgement: This activity has generously been supported by: {Enter
Commercial Supporter Name Here}
                                  {Or if no support was received, delete “This activity has generously been
supported by {Enter Commercial Supporter Here}” and include the following statement} There is no outside support
for this activity.
Disclosures:
    Speaker: {Enter presenter name here} has disclosed that he has {either} no financial interest or other
       relationship with any manufacturer of commercial products or services. {Or enter the company(s)
       name and the speaker’s relationship/s here.}
    Planning Committee: {Enter planning committee names here} have disclosed that they have {either} no
       financial interest or other relationship with any manufacturer of commercial products or services. {Or
       enter the planner’s name, the company, and the planner’s relationship/s here}
Target Audience: {Enter the department(s) and position titles (e.g. Attendings, residents, allied health
personnel, etc.) here}
Objectives: At the completion of this CME activity, participants should be able to:
    {Enter Objective 1 here}
    {Enter Objective 2 here}
    {Enter Objective 3 here, if applicable}
Accreditation Statement: New York Medical College is accredited by the Accreditation Council For
Continuing Medical Education to provide continuing medical education for physicians.
New York Medical College designates this educational Live activity for a maximum of 1.0 AMA PRA Category 1
Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


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