ICO Application for CPD Recognition
This is the online ICO Application Form for CPD Recognition. Once you have completed this, your application is live. 

We also ask that you apply no later than 6 weeks before your event for CPD recognition. 


Applications cannot be reviewed unless all instructions have been followed correctly in this form and all supporting documents have been submitted. 

Ensure your application is correct and ready to submit by completing the application checklist at Question 17 at the bottom of this form.

Supporting Documents:
There are supporting documents you will need to submit to accompany this online application form (below). You can submit these to siobhan.kelly@eyedoctors.ie
  • Medical Organiser’s Declaration (MOD) - template for this form here
  • Copy of your Invite/Programme for the event
  • Copy of your template Post-Event Feedback (that your attendees will complete after the event)
Upon completion of the online ICO Application Form for CPD Recognition and receipt of the supporting documents outlined above, your application will be reviewed by the PCS Team in the College and then referred to the Clinical Assessor for final review.  When the allocation of CPD points has been decided, you will receive email confirmation along with a template CPD certificate for your attendees.


Please note, you keep the record of attendance for 12 months and to submit a copy of the attendance record to us after the event. You also need to keep a record of the feedback for the meeting for 12 months.

For more information about the application process and advice around sponsorship, please consult the Guide to CPD Recognition on our website.

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1. Title of Activity
2. Date of Activity
3. Duration of Educational Sessions (not including registration, opening/closing speeches, breaks etc)

Enter each session title, start and finish time. If your programme does not already include name, appointment, title of talk for each speaker, you should also include that information here.

4. Attendees - Please enter details of your target audience below.

1. Estimated Number of Attendees
2. Target Medical Specialty(ies)
3. Target Role(s)
4. Allied Profession

5. Venue -  Please provide the address where your activity will take place
6. Organising Institution - The Institution ultimately responsible for hosting the activity

Tick one Institution Type below
If you checked 'Other' for Question 6, please elaborate below. Otherwise skip.
7. Medical Organiser
The Medical Organiser for this activity must hold Specialist Registration with the Irish Medical Council IMC and assumes responsibility for ensuring the scientific validity and objectivity of the educational content and that the activity will support a doctor’s maintenance of Professional Competence. He or she must personally complete the Medical Organiser Declaration. The Medical Organiser cannot be an employee of an Industry Sponsor

Please include below the following information:
1. Name
2. IMC Number
3. Phone/Mobile
4. Email
8. Administrator
The Administrator is the person responsible for co-ordination and logistics, including contacting attendees, registration, and issuing of CPD attendance certificates following the event.

Please include below the following information:
1. Name
2. Title
3. Employer
4. Phone/Mobile
5. Email

9. Objectives - What are the objectives of the educational event?
10. Skills/Knowledge - What specific skills/knowledge will participants acquire during the event?

11. Teaching Methods - Which teaching methods will be used?

Please tick all that apply

12. Eight Domains of Good Professional Practice - Which of the Medical Council’s Eight Domains of Good Professional Practice are addressed in the educational activity? 

Please tick the domain(s) applicable
13. Registration Fee - Is there a registration fee for this activity?

Please also state the amount if there is a fee

14. Sponsorship - Is sponsorship sourced from an Industry Sponsor (pharmaceutical or medical device company) 

Please tick one

15. Sponsor Information - Please include below the following information:

1. Main Sponsor
2. Main Sponsor Contact Name
3. List all sponsors & how they are connected to event
4. Total value of the sponsorship
5. Relationship between the sponsor(s) and the speaker(s)

16. Declaration of Academic Independence

Industry sponsors must also provide the additional information listed in the Application Checklist section of this form

Please tick box for 'Yes'
Please leave box blank for 'No'  
17. Application Checklist

18. Additional Information - information required when application is submitted by or on behalf of an Industry Sponsor or Professional Commercial Education Provider

You have reached the end of application form. 

Please ensure you submit your supporting documentation to ensure your application can be processed fully.
 
A copy of your responses will be emailed to the address you provided.
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