CLINICAL CONTENT REVIEW AND VALIDATION FORM

CONTINUING MEDICAL EDUCATION

Instructions to Reviewer:

As an independent reviewer following are your roles:

To ensure that the activity materials are fair, balanced and free of bias toward the commercial supporter(s) of the activity (if any) or manufacturers of products discussed in the activity.

To scrutinize patient treatment recommendations to ensure they represent a standard of practice for the profession.

To review the studies cited in these materials upon which recommendations are made to ensure that they are scientifically objective and conform to research principles generally accepted by the scientific community.

To call a committee or take opinion from 2nd subject expert, if finds any ambiguity. This should be reported to CME Program Office.

By ticking the checkbox below, you are accepting to abide by the roles mentioned above.

Name of reviewer:

Name of activity:

Presentation Title:

Date of Activity:

dd/mm/yyyy

Commercial Supporters for this Activity:

Please mention if there are any commercial supporters

Review for Fair Balance and Bias

Is this activity fair balanced?

Yes

Is this activity free of commercial bias?

Yes

If trade names of medications or devices are included, are they used appropriately?

Generic, scientific names of medications and medical devices are used wherever possible and practical to promote impartiality.

If a trade name of a medication/device is used, the first reference for all medications/devices discussed in the activity should include the generic name together with the trade name, and subsequent references should use only the generic name.

Yes

Trade names are not present

Patient Treatment Recommendations

Are patient treatment recommendations included in this activity appropriate, in terms of evidence based?

Yes

Are patient treatment recommendations included in this activity appropriate, in terms of target audience?

Yes

Are patient treatment recommendations included in this activity appropriate, in terms of contribution to overall improvement in patient care??

Yes

Are there important patient care guidelines for this topic included in this activity?

Yes

Are recommendations for patient care based on current science, evidence, and clinical reasoning, while giving a fair and balanced view of diagnostic and therapeutic options?

Yes

Content Validity

Does scientific studies cited in this activity are accepted by the scientific community?

Yes

Is the content (including the evidence presented and the conclusion(s) derived) based on valid, accurate, and reliable information?

Yes

Does the activity involve appropriate room for discussion, debating, and exploring new and evolving topics?

Yes

Does the activity exclude any advocacy for, or promotion of, unscientific approaches to diagnosis or therapy, or 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?

Yes

Does all scientific research referred to, reported, or used in this educational activity in support or justification of a patient care recommendation conform to the generally accepted standards of experimental design, data collection, analysis, and interpretation?

Yes

Learning Objectives

Does the educational content support the learning objectives?

Yes

Are these objectives actionable and measurable?

Yes

Omission and Commission

Do any slides or materials need to be deleted?

(text, articles, video, images, etc)

Yes

Are there any other issues you would like to raise with regard to the content of this activity?

Yes

Note for the speaker

This can be suggestions/recommendations/comments

Attestation

Ticking the checkbox below is to be considered the equivalent of my signature and consent for the above.

I, Clinical Content Independent Reviewer of this activity, attest that the information given above is correct and accurate to the best of my knowledge:

Send me a copy of my responses

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