1 Start 2 Complete DescriptionTo receive CME/AMA credits for participation in this continuing medical education activity, complete the form below. The University of Tennessee designates CEU’s using the national standard that 1 live hour of educational instruction is awarded 1 CEU. Description COAContinuing Education for Non-Physicians and Non-Nurses: Certificates of attendance can be issued to for attending this continuing education activity. Please check all of the sessions attended * 11:35am-11:50am, (15 minutes) "Significance through a Personal Experience", Paris Hardee, BSN, RN 11:50am-12:15pm, (25 minutes) "Responding to the Opioid Crisis", Alisa Haushalter, PhD, RN, PHNA-BC 12:20pm-2:30pm, (120 minutes) "Addiction is not a Moral Failure", Stephen Loyd, MD (including 10 min break) 2:30pm-3:00pm, (30 minutes) Q&A and Evaluation Total minutes attended * Maximum number of minutes for this activity is 190. Please use your name and address that matches your licensure. Name * Degree * Email * Address * National Provider ID * License # * State of License (for CME) * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007 Submission to the TBME & ACCME The UT College of Medicine is participating in a pilot project between the ACCME and the Tennessee Board of Medical Examiners (TBME) to allow the TBME to automatically verify licensees’ participation in a CME activity with minimal action from the licensees, and we will automatically share your participation data with the ACCME and TBME unless you indicate below that you do not want us to. Check here if you DO want us to share your participation data for this CME activity with the ACCME & TBME to allow the TBME to automatically confirm your participation. Check here if you DO NOT want us to share your participation data for this CME activity with the ACCME & TBME to allow the TBME to automatically confirm your participation. State of Licensure * RN License Number * APRN License Number National Provider ID (NPI) Attestation * By signing my electronic signature below, I attest that I attended the sessions indicated above. Leave this field blank
