CP Forms - Word Format


Certification Maintenance by Credit Portfolio - Interactive Activity Forms in WORD format 


These Word format forms can be opened, edited and saved on your computer. Once they are completed you must print them out, get the required signatures and then place them into your portfolio. If you want to fill in your forms by hand please use the (PDF forms).

Instructions: 

  • Download and save the activity form on your computer.
  • Open the form.  
  • Using the tab key, or your mouse, select the shadow box where you wish to enter text. 
  • The cells will automatically expand to accommodate your text.  
  • Once a page is full, the tables will move on to the next page as you type. The header will appear on each page. 
  • For the check boxes, select the appropriate one and toggle between checked/unchecked using either the spacebar or left click on your mouse. 
  • Do not forget to save your forms after entering data.  You should also make a backup copy.

Interactive Forms available in Word Format

FORM

NAME OF DOCUMENT

Form 1A

External Review of CDE Practice

Form 1C

Self-Assessment of Learning Need/Report on Self-Study Plan

Form 2A

Short Term Learning Events

Form 2A - Short Courses

Short Term Learning Events - Short Courses

Form 2B

Formal Courses

Form 3A

Report of Self Study Plan Developed in 1B

Form 3B

Self-Study - through Reading

Form 3B_books

Self-Study - Books Read

Form 4A

Development and Evaluation of New Diabetes related Educational Materials and Resources

Form 4B

Preceptorship of Students or New Diabetes Educator

Form 4C

Development or Significant Revision of a Program for Preceptorship of Students or New Diabetes Educator

 Form 4D

Development and/or Revision and Evaluation of a Patient or Professional Education Program

Form 4E

Short Presentations or Teaching

Form 4F

Presentation as Part of a Professional Conference

Form 4G

Teaching or Tutoring in a Course in an Academic or Recognized Institution

Form 4H

Writing Examination Questions for Regulatory Body

Form 5A

Peer-Reviewed Publications

Form 5B

Non-Peer Reviewed Publications and Peer Reviewed Case Studies or Letters

Form 5C

Publication of Books (peer-reviewed)

Form 5D

Involvement in Research Projects - proposal writing

Form 5D QI

Involvement in Quality Improvement - Creating the Project Charter

Form 5E i

Involvement in Research Projects - Implementation, Data Analysis, interpretation and Dissemination Phases

Form 5E ii

Policy and Procedure Development

Form 5E iii

Involvement in Quality Improvement Project - Implementation

Form 5F

Editorial Board, Editor or Associate Editor for Diabetes Related Professional Journal

Form 5G

Development of Best Practice Guidelines or Clinical Practice Guidelines, Member of an Expert Panel

Form 5H

Program Evaluation - Design and Implementation

Form 5I

External Reviewer for Provincial, National or Regional Resources

Form 6A

Professional Leadership in Diabetes Education

Form 6B

CDE Acting as an Expert and/or Adviser