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Thomas Jefferson University Sidney Kimmel Medical College

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If you are from Jefferson, we recommend the use of your CAMPUS KEY as your user name. All others, please create a username that you can easily remember.
This is part of your unique record identifier. Enter the email address you will ALWAYS use with this system as all your records are tied to it.
JEFFERSON emails should be entered in "CAMPUS KEY" Format. EX: campuskey@jefferson.edu
Provide a password for the new account in both fields.
Profile
Example: Dr, Ms, Mr, Mrs
Enter your first name as you want it to appear on your certificate/documents.
Enter your middle initial.
Include any suffix to your name (ie, Jr., III, etc). Do not list degrees after your name; you will enter these below.
Location
For US Licensed Physicians only: Please identify the state you are licensed in, along with your license number in the space provided. Only one state need be recorded.
This information is used only when a transfer of value under the Sunshine Act is expected to occur. Contact the Office of CME if you have questions.
Entry instructions: Use a two-character abbreviation for the state name. Add a space and a # sign, enter your license number. EXAMPLE: PA #123456
Enter your degree/credential abbreviation EXACTLY as it should appear on official documents (ie, badge, transcript). Use ONLY capital letters. Do NOT use periods. Place a comma and a space between each credential. EXAMPLE: MD, MBA or RN, BSN, CRNP
Please identify the company or organization you are most closely associated with. Please do not use abbreviations.
Please identify your PRIMARY position title. Please do not use abbreviations.
Select the one Learner Type that most closely describes you.
Select all the areas of practice that most closely describes you. Use the Control or Command key to make multiple selections.
Check all that apply.
Some associations require your membership or other number to verify participation in an activity. If you have a specialty certification (e.g., CRNA, AARC, ACPE, etc), and you know they will need specific information on any credit reports, please identify the association in this space. (format example: CRNA).
Enter your specialty certification number and ANY ADDITIONAL information that you know your association requires (e.g., Month & Date of birth),
Example using Pharmacy ACPE Identifiers: NABP #12345 DOB MM/DD)
Please advise us of any special accommodation needed, dietary requirements, etc.
Please indicate your preference. Note, we do not provide your information to anyone outside of Jefferson.
For US Licensed Physicians only: Please provide your National Provider Identifier (NPI#) in the space provided. For information on the Sunshine Act and NPI#, please see our home page. This information is used only when a transfer of value under the Sunshine Act is expected to occur. Contact us if you have questions.

For NON-U.S. Licensed Physicians: please enter “NA” below as international physicians are not subject to Sunshine reporting.

Provide your landline phone number.
Mobile settings
You will receive a message to confirm your mobile information upon login.
Your mobile phone number may be used as a means to record your attendance at Grand Rounds and other selected activities. This number will not be distributed without your consent. For non-US/Canada residents only, please provide only the first 10 digits of your international mobile number (excluding the country code).
Provide the country where your mobile phone has service. This is needed to send text messages correctly.
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Sidney Kimmel Medical College Office of CME
** Jefferson Alumni Hall ** 1020 Locust Street ** Suite M5 **
Philadelphia, PA 19107 **Phone: (215) 955-6992 Toll Free: 1-888-JEFF-CME **
Fax: (215) 923-3212 ** Email: jeffersoncme@jefferson.edu

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