INSTRUCTIONS: All course directors are required to prepare an After Action Report, and submit it to the CME Director, WRAMC, within 30 days after the completion of the activity. All supporting documents should be attached as listed below. The format for this report follows.
SAMPLE AFTER ACTION REPORT
MEMORANDUM FOR WRAMC CME DIRECTOR
SUBJECT: After Action Report
| Name of Activity |
Date |
# of CME Credits |
#
Physicians |
# Non-Physicians |
| |
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All actions pertaining to the conduct of <name of activity> at <facility/location> during the period, <inclusive dates>, have been completed. This report constitutes a summary of all available materials pertaining to the activity, as follows:
Activity Overview: Provide a concise synopsis of the activity with emphasis on its objectives.
Activity Content: Discuss how well the above objectives were met and include a subject listing of major teaching points or a copy of the activity’s program. Include or emphasize military-unique content in the discussion.
Faculty/Guest Speakers: Provide an evaluation of how well the guest presenters contributed to specific objectives of the activity. Include a complete listing of faculty with a mini-bio form for each presenter.
Planning Process Documentation: Attach the completed MEDCOM Activity Planning Booklet to which is attached any planning notes (typed or handwritten), and summaries of planning telephone or in-person meetings.
Activity Materials: If a multi-site activity, the course director will maintain one complete copy of the activity’s promotional material(s) (including calendars, brochures, flyers, Internet or e-mail announcements, and posters) and the complete course syllabus; in addition, one copy of the promotional literature and the general CME information pages form the course syllabus will be forwarded to the MEDCOM CME Office. If a hospital-based activity, provide the MEDCOM CME Office with the general CME information pages from the activity’s syllabus or handouts, and forward one complete copy of the syllabus and handout materials to your facility’s CME director for the permanent files.
Disclosure: Provide a signed copy of each faculty member’s Faculty Disclosure Form and Faculty Agreement Form. Also attach a copy of the page(s) from your activity’s syllabus or handouts that actually make disclosure to the audience. Disclosure must be in writing.
Commercial Support Agreement: Attach a signed copy of any commercial support agreement(s) which you must obtain prior to the beginning of your activity from the Henry M. Jackson Foundation (if applicable).
Attendees: Provide a tally of attendees by category (Army, Army Reserve, Navy, Air Force, Public Health Service, Civilian, etc.). Attach a list of attendees showing rank, name, corps, SSN, service component, number of credit hours awarded, and source of funding.
Activity Evaluations: Attach a sample evaluation form used in this activity, provide an evaluation summary, and provide a completed course director’s evaluation form. Evaluations should be as per MEDCOM’s standardized format.
Activity Administration: Provide comments concerning facilities, scheduling, social activities, etc.
Budget Data: Document all sources of funding with amounts (federal and non-federal, registration fees (if any), and funds received from commercial supporters through the Henry M. Jackson Foundation (if any). Provide breakdown of monies allocated for this activity using the Activity Budget Form contained in the MEDCOM Policy and Procedure Manual.
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