SPP CME/SAM Claim Form

For

I request CME or SAM credit for the meeting sessions I attended as indicated below.

Before claiming CME or SAM credit for this workshop, the evaluation form must have been submitted. To qualify for SAM credit, the Post-test must be completed and passed with a score of at least 80% correct.

Please enter the actual time you spent at all sessions which you attended:

Session Name

CME or SAM

Scientific Sessions:
(Platform sessions & poster sessions including poster discussion)

(Max 7.5 hrs)

Symposium – Disorders of Intersex:

(Max 3 hrs)

Farber-Landing Lecture:

(Max 1 hr)

Workshops - 1:30 Session

Workshop A -		Pediatric Transplantation Pathology
Workshop B -		The Use of Tandem Mass Spectrometry in Metabolic Diagnosis and General Pediatric Clinical Chemistry Laboratories
Workshop C -		Update in Pediatric Lymphomas, Leukemias & Bone Marrow Failure Syndromes

(Max 2 hrs)

Workshops - 4:00 Session

Workshop D -		Non-tumoral Testicular Pathology in Children
Workshop E -		Update on Bone Pathology in Pediatrics
Workshop F -		Pediatric Renal Tumors Update

(Max 2 hrs)

Total Claims for Meeting:

Please type your name as your Electronic Signature:

Signature:

The Society for Pediatric Pathology is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The SPP is also accredited by the American Board of Pathology (ABP) to provide Self-Assessment Modules (SAMs) for use in Maintenance of Certification.

The Society designates this educational activity for a maximum of 15.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.