REGISTERED MEMBERS' SCORE SHEET FOR CONTINUING EDUCATION PROGRAM FOR 2005 YEAR

Please submit this record or a photocopy with your application to: CSOT, 18 Wynford Drive, Suite 715A, North York ON M3C 3S2. Please include all supporting documentation required in the regulations. Members must accumulate a minimum of 35 points from October 2004 - October 2005 to maintain your registered status. If you choose not to participate, you will be required to write a recertification examination.
CEP programme runs from October to October.
Please submit by October 31st. each year
.

Member's name ______________________________________

Address: ___________________________________________

Fiscal year in which points were accrued: ________________

Registry Number __________________

Categories
1. CONFERENCES

  • Attendance at CSOT biennial convention - 10 points/day (max 20)
  • NAOT Convention - 4 points/day (max 12)
  • ISOT convention - 4 points/day (max 12)
  • Orthopaedic related seminars/workshops - 5 points each
  • Hospital orthopaedic rounds - 1 point/round (max 10 points per year)
  • Chapter meeting attendance - 2 points per meeting
2. ARTICLES
  • Article Submissions - 2 points
  • Submissions published in BodyCast - 10 points
  • Submissions published in other journals (date & name of journal) - 5 points
  • Editorial for BodyCast - 5 points
  • Educational pamphlet (place of employment) - 2 points
  • Submissions published in NewsCast - 2 points
3. PARTICIPATION IN BODYCAST JOURNAL
  • Submission of Rounds quiz questions - 5 points/quiz
  • Answers to Rounds quiz - 2 points/submission
  • Rounds response submission - 2 points/submission

4. PARTICIPATION IN NEWSCAST - CSOT NEWSLETTER

  • Submission of Answer to Quiz - 3 points each (maximum of 12 points year)

5. PRESENTER/LECTURER

  • Lecturer at CSOT Convention - 10 points per presentation
  • Place of employment presentation - 1 points per presentation
  • Chapter meeting presentation - 5 points per presentation
  • Lecturer at other conventions/seminars (documentation required) - 5 points per
  • Poster Presentation - 5 points
6. CSOT CHAPTER
  • Member in good standing at chapter level - 3 points/per year
  • Member of Chapter Executive - 3 points/year
  • New Chapter executive (one time only) - 10 points
  • Chapter - coordinating chapter meeting/seminars - 5 points
7. CSOT MEMBERSHIP
  • CSOT membership renewal before December 31st. - 5 points/year
8. CSOT REGISTRY EXAMINATION
  • Monitor at CSOT Registry Examinations - 5 points per examination
  • Successful completion of registry examinations (one time only) - 3 points
9. CSOT BOARD
  • CSOT Board Member - 10 points/year
  • CSOT Committee Member - 5 points/year
  • Stand for election - 3 points
10. SPECIAL PROJECTS (THESE WILL BE CONSIDERED INDIVIDUALLY. PLEASE SUBMIT VERIFICATION OF PROJECT OR ASSIGNMENT)
  • CSOT projects - 10 points
  • Place of employment, ie. Teaching resident/staff/students - 5 points/year
  • Judging poster presentations - 3 points
  • Judging 3M award - 3 points
  • Peer review for Smith & Nephew Award - 3 points
11. WINNER OF AWARDS
  • Dennis Evans Award - 5 points
  • Guy Chartrand Award - 5 points
  • Golden Triangle Award - 5 points
  • President's Award - 5 points
  • Smith & Nephew Award - 10 points
  • 3M Award - 10 points
  • Yvon Pelletier Award - 10 points
  • Ron Wallace Award - 10 points
12. FORMAL EDUCATION
  • College/university course relevant to your profession
    (30 hours and over, documentation req'd 5 points/year
    )

Your Total ______________

Signature_________________________

Date________________

PLEASE SUBMIT OCTOBER 31ST EACH YEAR