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Forms

Achievement in Medical Education Program (AMEP)

AMEP Advanced Progress Checklist Form

AMEP Foundational Progress Checklist Form

CME Conferences

UNM Tuition Remission Page

2022 Brochure Request Form

Application Basic Information (Part 1) Live Course (LC) Worksheet (fillable PDF)

Application Part 1 (Basic Information) (external link)

Education Planning Form (Part 2) Worksheet (fillable PDF)

Planning Faculty Disclosure Form (external link) If you are using CPL's Conference Services, this link will be sent to you by your event planner.

Outcome Summary (fillable PDF)

Outcome Summary Example 1 (a live course example)

Exhibitors and Sponsors

2023 Brochure Request Form

Learning from Teaching

Learning Plan Form

Learning from Teaching CME Attestation Form

Learning from Teaching Consultant Disclosure Form

Peer Observation in Support of Effective Teaching (POSET)

Clinical Reasoning Sample Observation Form Fillable

Didactic Sample Observation Form Fillable

Observation Form Blank Fillable

Small-Group Sample Observation Form Fillable

Teaching on Rounds Sample Observation Form Fillable

Self-Reflection Form - Observer Perspective

Self-Reflection Form - Observee Perspective

Join the POSET Trained Observer Database

Presenters

Speaker Reimbursements forms

Expense reimbursement form (each conference has different requirements; please contact the Event Planner for specific instructions)
UNM CPL Speaker Guidelines
Fillable W9 (IRS.gov)

2023 Brochure Request Form

Regularly Scheduled Series

Please see all of the forms on our RSS page

Let Us Know How We Can Help

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Contact

Mailing Address
Office for Continuous Professional Learning
MSC09 5370 1 UNM
Albuquerque, NM 87131-0001

Phone: 505.272.3942

Fax: 505.272.8604

Email: HSC-CPL@salud.unm.edu

Physical Address
Medical Building Two
2501 Frontier Ave NE #201
Albuquerque, NM 87106

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Type in CPL-L in the LIST NAME field, click CPL-L once it appears as an option, on the new screen select "Subscribe or Unsubscribe" from the 3-bar menu at the right of the list name and then complete the form.