CME credits

► Dois-je demander des crédits? voir pages 3-4: Programme de formation continue

Les demandes de crédits (congrès, symposiums, présentations, ateliers, etc.) doivent être soumises au bureau du SSN au moins 4 semaines avant la tenue de l’événement.

► Muss ich Credits beantragen? siehe Seite 3-4: Fortbildungsprogramm Nephrologie

Anträge für Kredite (Kongresse, Symposien, Präsentationen, Workshops usw.) müssen mindestens 4 Wochen vor der Veranstaltung beim SSN-Office eingereicht werden.

If you are human, leave this field blank.

SSN CREDITS APPLICATION FORM

Title of event *

Place of event *

Address of event *

Start date *

Start hour

End date *

End hour

Type of event

Single event

Recurring event

In principle, an application must be submitted for each event

Website of event

Registration

Provide email where registration is possible

File Upload *

Upload the Flyer and/or program in PDF format (max. 2mb)

RESPONSIBLE PHYSICIAN FOR SCIENTIFIC CONTENT

Title/Name/Lastname *

Clinic/Hospital/City

Medical specialty

Email responsible *

Telephone

ADMINISTRATION/ORGANISATION

Company *

Name/Lastname *

Address

ZIP/City

Phone *

Email administration *

CREDITS AND OTHER INFORMATION

Requested credits *

(Do not count breaks, lunches, accompanying program, etc.)

The credits are granted according to the Fortbildungsordnung and the SAMW Guidelines
(⇒ Zusammenarbeit Ärzteschaft-Industrie).

1 hour is equivalent to 1 credit

Sponsoring

NO

YES

List companies

If check sponsoring YES, please list companies. According to the SAMW guidelines mono sponsoring is not permitted

Do you charge a participation fee?

NO

YES

SSN website

Your event is automatically published on the SSN website

Certificate of participation

Each participant requires a certificate of participation issued by the organizer, which must include the following details:

• Name of the event
• Place and date
• Number of credits
• Signature of the scientifically responsible

NOTE: The attending physician is responsible that he/she receives the certificate and must archive these for 10 years.

Submit