Red 0 Red 0 Red 79

CPD Recognition
Green 96 Green 193 Green 88
Blue 152 Blue 139 Blue 88

Type of Accredited CPD Requested information Required attachments

Activity name
Start and end date of the activity
Place or country of activity
Number of hours
Conference Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty

Activity name
Start and end date of the activity
Place or country of activity
Number of hours
Symposium Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty

Activity name
Start and end date of the activity
Place or country of activity
Number of hours
Workshop Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty

Activity name
Start and end date of the activity
Place or country of activity
Number of hours
Course Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty

Paper title
Publication date
Accreditation body
Published Papers Paper topic specialty
Scientific paper

PubMed
PubMed Publication link (Optional(

Book title
Publication date Copy of the book cover
Authored book International Standard Serial Number (ISBN( Edition notice
Book topic specialty

Activity name
Start and end date of the activity
Place or country of activity
Number of hours
CPD Online certificate Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty
 Red
Green
0
96
Red
Green
0
193
Red
Green
79
88
Activity name
Start and end date of the activity
Blue 152 Blue 139 Blue 88

Place or country of activity

Number of hours
Training Course Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty

Activity name
Start and end date of the activity
Place or country of activity
Number of hours
)Hands- on( Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty

Activity name
Start and end date of the activity
Place or country of activity
Number of hours
Simulation Activity Activity reference
Certificate of attendance

Accreditation No
Accreditation body
Activity specialty

Poster title
Presentation date Conference acceptance document
Scientific Poster Accreditation body Scientific poster
Poster topic specialty

Poster title
Presentation date
Training and Teaching Activities Accreditation body
Participation statement

Poster topic specialty

Poster title
Presentation date
Board Examination Preparation Accreditation body
Participation statement

Poster topic specialty

Paper title
Peer -Reviewer of Scientific Journals Review date Reviewing statement
Paper topic specialty

Meeting subject
Journal Club Meeting date Participation statement
Specialty

Scientific committee name

Membership of Scientific and Professional Date of joining
Participation statement
Committees Accredited by SCFHS Specialty
Organization
 Red 0 Red 0 Red 79
Green 96 Green 193 Green 88
Blue 152 Blue 139 Blue 88

Project subject
Quality Improvement Project (within / Start date and end of the Project Statement from the project owner and the project Manager
)outside the practitioner›s workplace Project description

Developing and reviewing CPD activity Number of reviewed activities

Participation statement
interface content Review start and end date

Surveying and Accrediting Privet Centers

Number of reviewed activities
and Organizations (within /outside the Review start and end date
Participation statement
)practitioner`s workplace

Volunteering start and end date

Health Volunteering with Organizations Specialty Volunteering statement
Accredited by SCFHS volunteering organization