Name of Reviewer: * Profession you are representing: * Physician Nurse Nurse Practitioner Physician Assistant Social Worker Psychologist Other: Profession you are representing: Other: Date of RSS Session: * Name of RSS Session: * Activity URL: * Email of Series Coordinator: * Reviews must be completed and submitted to UW-Madison ICEP at least two business days prior to the RSS session.Instructions to Reviewer: As an independent reviewer for the UW-Madison ICEP, your role is to ensure that this activity’s materials are fair, balanced and free of commercial bias. Unpublished content must be scrutinized to determine that it conforms to accepted standards of experimental design, data collection and analysis. Critically review the conclusions inferred from the studies so that patient treatment recommendations represent the standard of practice within the medical profession in the United States. In your review, be mindful of the following:Activities should be designed to be independent, objective, scientifically rigorous and free of commercial influence. A commercial interest is defined by the ACCME as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The UW-Madison ICEP Chair is the final arbiter of whether the disclosed conflicts of interest have been resolved.Scientific studies utilized or referenced are from sources acceptable to the scientific and medical community.Diagnostic and therapeutic recommendations are limited to those that are supported by the best scientific and/or medical evidence available.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. Is this activity fair, balanced, and free of commercial bias (i.e., content that promotes the products of business lines of an ACCME defined commercial interest)? * A commercial interest is defined by the ACCME as any entity producing,marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. Yes No Recommend Changes: * Are patient treatment recommendations included in this activity appropriate? * Yes No Recommend Changes: * Is the educational content (including the evidence presented and the conclusion(s) derived) based on valid, accurate, and reliable information? * Yes No Recommend Changes: * Did you find any recommendations for a medication or device that are not approved by the FDA? * Yes No Designate where in the activity you found the recommendations: * Are there important patient care guidelines for this topic that are not included in this activity? * Yes No Explain: * Are there any published studies for this topic that are not currently, but should be included to provide learners with a balanced presentation? * If unsure, conduct a literature search Yes No Explain: * Provide examples of published studies that will help prvide learners with a balanced presentation. 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 No Trade names are not present Note changes needed to specific content: * Should any content (text, articles, video, images, etc.) be deleted? * Yes No List them and explain why: * Is the target audience for ths activity properly identified? * Yes No Explain: * This material is relevant for the profession I represent * Yes No Explain: * This material includes content that addresses the following interprofessional competencies: * Yes No Values/ethics for interprofessional practice Values/ethics for interprofessional practice - Yes Values/ethics for interprofessional practice - No Roles/responsibilities Roles/responsibilities - Yes Roles/responsibilities - No Interprofessional communication Interprofessional communication - Yes Interprofessional communication - No Teams and teamwork Teams and teamwork - Yes Teams and teamwork - No Explain: If you answered "No" to ALL of the above interprofessional competencies, explain: Are there any other issues you would like to raise regarding the content of this activity, such as HIPAA, intellectual property, etc.? * Yes No Explain: * Leave this field blank
