Medical Library Association | The Academy of Health Information Professionals : Form IPR Guidelines

The Academy of Health Information Professionals

Form IPR Guidelines

The Individual Participant Request (Form IPR) provides an avenue for applicants to earn CE points through non-MLA- approved CE activities. Be aware that activities such as MLA journal clubs require submission of a completed IPR form.

Form IPR is available on the academy forms page or directly from MLA headquarters.

Completing Form IPR

Completing the IPR form is straightforward, but requires completion of all parts of the form. The portfolio reviewer will use the information provided on this form to determine if the activity will be awarded points.

Identifying Information

your name
title of the activity
date(s) of the activity
location of the activity (institution, city, state)
contact hours, not including lunch or breaks

Description of Course Content

Provide the following information about the activity (copies of program announcements/course materials can be used to address any or all of these issues)

course/activity objectives
program content and time schedule
intended audience
means of assessing achievement (pre-test, post-test, etc.)
means of assessing satisfaction
instructor's name and affiliation

Relevance to Health Information Science

Describe why this activity was relevant to your professional assignment and/or your goals of professional growth and development.

Documentation of Accomplishment

Include evidence you have completed the entire activity described above. This evidence can be a copy of a certificate of completion or a letter from the instructor or the organization that sponsored the activity.