Welcome to Orbit. We want you to know and understand your rights and our rights as defined below. Please review carefully. Here are some highlights:
- Nurses in California and many other states are now eligible to use our AMA PRA Category 1 CreditTM for contact (CE) hours
- We offer AMA PRA Category 1 CreditTM and ABIM MOC Points as detailed in the CME accreditation statement
- Information you upload or post to Orbit may be seen by others
- You agree not to upload any individually identifiable health information, in accordance with HIPAA
- We want your feedback on Orbit, and you give us a right to use it
- No warranties are made by Orbit and Orbit is not liable for your activities connected with the site
- We can cancel your account if you act inappropriately
- There are easy ways to reach us if you have questions or need help
Continuing Nursing Education (CNE) AccreditationIn many states, AMA PRA Category 1 Credit™ satisfies CNE requirements for nurses. As always, verify directly with your nursing board for the most accurate information related to their policies and regulations.
Please see below for the Course Director, description of Course Content and Objectives (section "Activity Goal"), Learner Objectives/Outcomes, and policy on refunds.
Accreditation Statement for Registered Nurses in California
Transcend Review, Inc. is approved by the California Board of Registered Nursing, Provider Number CEP16946.
Accreditation Statement for Registered Nurses in Other States
Activities designated for AMA PRA Category 1 Credit™ are eligible to satisfy requirements for state nursing boards in the following states (updated 11/14/17): Alabama, Alaska, California, Delaware, Illinois, Michigan, Minnesota, Nebraska, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Utah, Washington D.C. Please verify with your directly with your nursing board for the most accurate information related to their policies and regulations.
Continuing Medical Education (CME) Accreditation
Activity Name: Orbit CMETM
Jointly provided by Tufts University School of Medicine Office of Continuing Education (TUSM OCE) and Transcend Review, Inc.
Original Release Date: 8/7/17
Last Review Date: 8/7/22
Expiration Date: 8/6/25
This activity is jointly provided by Tufts University School of Medicine Office of Continuing Education (TUSM OCE) and Transcend Review, Inc. TUSM OCE is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Course Director and Reviewer
Lakshminarayan Srinivasan, MD, PhD, Course Director and Reviewer, Division of Medical Education, Transcend Review, Inc.
Healthcare professionals, including physicians, physician assistants, pharmacists, nurses, residents, fellows, medical students.
The activity goal is to convert self-directed, online searches into meaningful, clinically-relevant learning that occurs in the immersive context of clinical practice. This activity includes the AMA-required reflective process in which you’ll document your clinical question, sources consulted, and application to practice. This course is also committed to culturally and linguistically appropriate care, so keep that in mind with your searches and your application to practice.
For some topic-specific credits, the activity goal additionally relates to specific topic content, as specified in Learner Objectives/Outcomes.
At the conclusion of the activity, learners will be able to:
- Integrate patient interaction with Internet resources to create informed diagnoses or differential diagnoses.
- Develop treatment plans, by combining patient interaction with Internet resources to create an informed strategy for treatment.
Learner Permission, Data, and Reports:
Learner completion data and personal information is shared by Transcend Review, Inc. and TUSM OCE with the ACCME, American Board of Anesthesiology (ABA), and American Board of Internal Medicine (ABIM).
This activity is designed to address the following ACGME/ABMS and IOM competencies:
- Medical Knowledge: Demonstrate knowledge about established and evolving biomedical, clinical, and cognate sciences and their application in patient care.
- Patient Care: Provide care that is compassionate, appropriate, and effective treatment for health problems and to promote health.
- Systems-Based Practice: Demonstrate awareness of and responsibility to the larger context and systems of health care. Be able to call on system resources to provide optimal care (e.g. coordinating care across sites or serving as the primary case manager when care involves multiple specialties, professions or sites).
- Provision of Patient-Centered Care: Identify, respect, and care about patients' differences, values, preferences, and expressed needs; listen to, clearly inform, communicate with, and educate patients; share decision making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health.
- Effective Use of Evidence-Based Medicine: Integrate best research with clinical expertise and patient values for optimum care, and participate in learning and research activities to the extent feasible.
There is no commercial support for this activity.
All faculty including course directors, planning committee members, and others in a position to control the content of an educational activity are required to disclose any financial relationships with an ACCME-defined ineligible company. The ACCME defines an ineligible company as any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. Financial relationships are relevant if the following three conditions are met for the individual who will control content of the education: 1) A financial relationship, in any amount, exists between the person in control of content and an ineligible company, 2) The financial relationship existed during the past 24 months, and 3) The content of the education is related to the products of an ineligible company with whom the person has a financial relationship. All relevant financial relationships have been mitigated by TUSM OCE prior to the activity (if applicable for faculty listed below). The following individuals have no relevant financial relationship to report in the past 24 months with an ACCME-defined ineligible company.
Transcend Review, Inc./Orbit: Lakshminarayan Srinivasan, MD, PhD
TUSM OCE: Karin Pearson, CHCP, Mirosleidy Olivo, MS, Katelyn McBurney, Joseph Baldasari
Accreditation Statement for Physicians
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Tufts University School of Medicine Office of Continuing Education (TUSM OCE) and Transcend Review, Inc. TUSM OCE is accredited by the ACCME to provide continuing medical education for physicians.
AMA Credit Designation Statement
TUSM designates this Internet Point-of-Care activity for a maximum of 0.5 AMA PRA Category 1 Credits™ per cycle (per page redeemed). Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC Credit
This activity has been registered to offer MOC points. Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 MOC points per cycle (per page redeemed) in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s (TUSM OCE) responsibility to submit participant completion information to the ACCME for the purpose of granting ABIM MOC credit. MOC credit must be redeemed from the Dashboard on the Orbit CME site so that TUSM OCE can report learner completion for MOC credit to the ACCME/ABIM each month.
By using this service, you give permission to have my learner completion data and personal information shared by Transcend Review, Inc. and TUSM OCE with the ABIM via the Accreditation Council for Continuing Medical Education (ACCME) Program and Activity Reporting System (PARS).
Requirements for Successful Completion
To receive continuing education credit (including ABIM MOC credit), participants must register, access eligible sites, complete the evaluation component, and complete the redeem cycle. Certificates are available immediately from the Dashboard, aggregating credits across multiple site accesses over any desired time interval. There is no limit on total credit earned.
TUSM’s ADA/OEO Nondiscrimination Policy and TUSM OCE’s Policy on Privacy and Confidentiality
Click here for this policy.
Contact InformationFor questions regarding accreditation, please contact TUSM OCE at email@example.com or 617-636-6579. For any other questions, feel free to email Orbit.
Other Instructions for Learners
Select and study peer-reviewed references related to opioid prescribing for the management or treatment of pain, or for the treatment of opioid use disorders.
Human Trafficking Training for Health Care Practitioners (TX)
Read peer-reviewed articles that cover the following five specific areas: Definitions, Types of Trafficking, Dynamics, and Vulnerability Factors, Health Impact, Identification and Assessment, Response and Follow Up. Be sure to cover the specific topics included in the TX medical board guidelines here.
You agree that by clicking “Try free for 1 week”, “Join the waitlist”, “Sign up” or similar, registering, accessing or using our services (described below), you are agreeing to enter into a legally binding contract with Orbit (even if you are using our Services on behalf of a company). If you do not agree to this contract (“Contract” or “User Agreement”), do not click “Try free for 1 week” (or similar) and do not access or otherwise use any of our Services.
This Contract applies to orbitcme.com, Orbit-branded apps, and other Orbit-related sites, apps, communications and other services that state that they are offered under this Contract (“Services”), including the offsite collection of data for those Services, such as our ads and the “Orbit” and “Orbit for Chrome” plugins. Registered users of our Services are “Members” and unregistered users are “Visitors”. This Contract applies to both.
You are entering into this Contract with Transcend Review, Inc. (also referred to as “Orbit”, “we” and “us”). If you reside in or out of the United States, you are entering into this Contract with Transcend Review, Inc. and your personal data provided to, or collected by or for, our Services is controlled by Transcend Review, Inc.
1.2 Members and Visitors
When you register and join the Orbit Service, you become a Member. If you have chosen not to register for our Services, you may access certain features as a visitor.
Here are some promises you make to us in this Contract:
2.1 Service Eligibility
You’re eligible to enter into this Contract and you are at least our “Minimum Age.”
The Services are not for use by anyone under the age of 16.
To use the Services, you agree that: (1) you must be the “Minimum Age” (described below) or older; (2) you will only have one Orbit account, which must be in your real name; and (3) you are not already restricted by Orbit from using the Services.
Members who were below this new Minimum Age when they started using the Services under a previous User Agreement may continue to use them, as they have already reached the new Minimum Age since then or will reach it in the near future.
“Minimum Age” means 16 years old. However, if law requires that you must be older in order for Orbit to lawfully provide the Services to you without parental consent (including using of your personal data) then the Minimum Age is such older age.
2.2 Your Account
You’ll keep your password a secret.
You will not share an account with anyone else and will follow our rules and the law. Members are account holders. You agree to: (1) try to choose a strong and secure password; (2) keep your password secure and confidential; (3) not transfer any part of your account (e.g., connections) and (4) follow the law and our list of Dos and Don’ts. You are responsible for anything that happens through your account unless you close it or report misuse.
As between you and others (including your employer), your account belongs to you. However, if the Services were purchased by another party for you to use (e.g. Enterprise access bought by your employer), the party paying for such Service has the right to control access to and get reports on your use of such paid Service; however, they do not have rights to your personal account.
You’ll honor your payment obligations and you are okay with us or Braintree/PayPal Inc. storing your payment information. You understand that there may be fees and taxes that are added to our prices.
We don't provide refunds unless required by law.
If you buy any of our paid Services (“Premium Services”), you agree to pay us the applicable fees and taxes and to any additional terms specific to the paid Services. Failure to pay these fees will result in the termination of your paid Services. Also, you agree that:
- Your purchase may be subject to foreign exchange fees or differences in prices based on location (e.g. exchange rates).
- We may store and continue billing your payment method (e.g. credit card), such as with Braintree/PayPal Inc., even after it has expired, to avoid interruptions in your Services and to use to pay other Services you may buy.
- If you purchase a subscription, your payment method automatically will be charged at the start of each subscription period for the fees and taxes applicable to that period. To avoid future charges, cancel before the renewal date.
- All of your purchases of Services are subject to Orbit’s refund policy, which is no refunds unless legally required.
- We may calculate taxes payable by you based on the billing information that you provide us at the time of purchase.
- You will receive a copy of your invoice through email.
2.4 Notices and Service Messages
You’re okay with us providing notices to you through our websites, apps, and contact information your provided to us. If the contact information you provide is out of date, you may miss out on important notices.
When you share information, others can see, copy and use that information.
Our Services allow messaging and sharing of information in some ways, such as your audit report. Information and content that you share or post may be seen by other Members or Visitors.
We are not obligated to publish any information or content on our Service and can remove it in our sole discretion, with or without notice.
3. Rights and Limits
3.1. Your License to Orbit
You own all of the content, feedback, and personal information you provide to us, but you also grant us a non-exclusive license to it.
We’ll honor the choices you make about who gets to see your information and content.
You promise to only provide information and content that you have the right to share, and that your Orbit profile will be truthful.
As between you and Orbit, you own the content and information that you submit or post to the Services and you are only granting Orbit and our affiliates the following non-exclusive license: A worldwide, transferable and sublicensable right to use, copy, modify, distribute, publish, and process, information and content that you provide through our Services, without any further consent, notice and/or compensation to you or others. These rights are limited in the following ways:
- You can end this license for specific content by deleting such content from the Services, or generally by closing your account, except (a) to the extent you shared it with others as part of the Service and they copied, re-shared it or stored it and (b) for the reasonable time it takes to remove from backup and other systems.
- We will get your consent if we want to give third parties the right to publish your posts beyond the Service. However, other Members and/or Visitors may access and share your content and information, consistent with your choices.
- While we may edit and make formatting changes to your content (such as translating it, modifying the size, layout or file type or removing metadata), we will not modify the meaning of your expression.
- Because you own your content and information and we only have non-exclusive rights to it, you may choose to make it available to others, including under the terms of a Creative Commons license.
By submitting suggestions or other feedback regarding our Services to Orbit, you agree that Orbit can use and share (but does not have to) such feedback for any purpose without compensation to you.
You agree to only provide content or information that does not violate the law nor anyone’s rights (including intellectual property rights). You also agree that your profile information will be truthful. Orbit may be required by law to remove certain information or content in certain countries.
3.2 Service Availability
We may change, suspend or end any Service, or change and modify prices prospectively in our discretion. To the extent allowed under law, these changes may be effective upon notice provided to you.
We may change or discontinue any of our Services. We don’t promise to store or keep showing any information and content that you’ve posted.
3.3 Other Content, Sites and Apps
Your use of others’ content and information posted on our Services, is at your own risk. Others may offer their own products and services through Orbit, and we aren’t responsible for those third-party activities.
By using the Services, you may encounter content or information that might be inaccurate, incomplete, delayed, misleading, illegal, offensive or otherwise harmful. Orbit generally does not review content provided by our Members or others. You agree that we are not responsible for others’ (including other Members’) content or information. We cannot always prevent this misuse of our services, and you agree that we are not responsible for any such misuse. You also acknowledge the risk that you or your organization may be mistakenly associated with content about others when we let connections and followers know you or your organization were mentioned in the news.
You are responsible for deciding if you want to access or use third party apps or sites that link from our Services. If you allow a third party app or site to authenticate you or connect with your Orbit account, that app or site can access information on Orbit related to you and your connections. Third party apps and sites have their own legal terms and privacy policies, and you may be giving others permission to use your information in ways we would not. Except to the limited extent it may be required by applicable law, Orbit is not responsible for these other sites and apps – use these at your own risk.
We have the right to limit how you connect and interact on our Services.
Orbit reserves the right to limit your use of the Services, including the number of your connections and your ability to contact other Members. Orbit reserves the right to restrict, suspend, or terminate your account if Orbit believes that you may be in breach of this Contract or law or are misusing the Services (e.g. violating any Do and Don’ts).
3.5 Intellectual Property Rights
We’re providing you notice about our intellectual property rights.
Orbit reserves all of its intellectual property rights in the Services. Using the Services does not give you any ownership in our Services or the content or information made available through our Services. Trademarks and logos used in connection with the Services are be the trademarks of their respective owners. Orbit, Orbit CMETM, and other Orbit trademarks, service marks, graphics, and logos used for our Services are trademarks or registered trademarks of Orbit.
4. Disclaimer and Limit of Liability
4.1 No Warranty
This is our disclaimer of legal liability for the quality, safety, or reliability of our Services. TO THE EXTENT ALLOWED UNDER LAW, ORBIT AND ITS AFFILIATES (AND THOSE THAT ORBIT WORKS WITH TO PROVIDE THE SERVICES) (A) DISCLAIM ALL IMPLIED WARRANTIES AND REPRESENTATIONS (E.G. WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, ACCURACY OF DATA, AND NONINFRINGEMENT); (B) DO NOT GUARANTEE THAT THE SERVICES WILL FUNCTION WITHOUT INTERRUPTION OR ERRORS, AND (C) PROVIDE THE SERVICE (INCLUDING CONTENT AND INFORMATION) ON AN “AS IS” AND “AS AVAILABLE” BASIS.
SOME LAWS DO NOT ALLOW CERTAIN DISCLAIMERS, SO SOME OR ALL OF THESE DISCLAIMERS MAY NOT APPLY TO YOU.
4.2 Exclusion of Liability
These are the limits of legal liability we may have to you.
TO THE EXTENT PERMITTED UNDER LAW (AND UNLESS ORBIT HAS ENTERED INTO A SEPARATE WRITTEN AGREEMENT THAT OVERRIDES THIS CONTRACT), ORBIT AND ITS AFFILIATES (AND THOSE THAT ORBIT WORKS WITH TO PROVIDE THE SERVICES) SHALL NOT BE LIABLE TO YOU OR OTHERS FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES, OR ANY LOSS OF DATA, OPPORTUNITIES, REPUTATION, PROFITS OR REVENUES, RELATED TO THE SERVICES (E.G. OFFENSIVE OR DEFAMATORY STATEMENTS, DOWN TIME OR LOSS, USE OF, OR CHANGES TO, YOUR INFORMATION OR CONTENT).
IN NO EVENT SHALL THE LIABILITY OF ORBIT AND ITS AFFILIATES (AND THOSE THAT ORBIT WORKS WITH TO PROVIDE THE SERVICES) EXCEED, IN THE AGGREGATE FOR ALL CLAIMS, AN AMOUNT THAT IS THE LESSER OF (A) FIVE TIMES THE MOST RECENT MONTHLY OR YEARLY FEE THAT YOU PAID FOR A PREMIUM SERVICE, IF ANY, OR (B) US $100.
THIS LIMITATION OF LIABILITY IS PART OF THE BASIS OF THE BARGAIN BETWEEN YOU AND ORBIT AND SHALL APPLY TO ALL CLAIMS OF LIABILITY (E.G. WARRANTY, TORT, NEGLIGENCE, CONTRACT, LAW) AND EVEN IF ORBIT OR ITS AFFILIATES HAS BEEN TOLD OF THE POSSIBILITY OF ANY SUCH DAMAGE, AND EVEN IF THESE REMEDIES FAIL THEIR ESSENTIAL PURPOSE.
SOME LAWS DO NOT ALLOW THE LIMITATION OR EXCLUSION OF LIABILITY, SO THESE LIMITS MAY NOT APPLY TO YOU.
We can each end this Contract anytime we want.
Both you and Orbit may terminate this Contract at any time with notice to the other. On termination, you lose the right to access or use the Services. The following shall survive termination:
- Our rights to use and disclose your feedback;
- Members and/or Visitors’ rights to further re-share content and information you shared through the Service to the extent copied or re-shared prior to termination;
- Sections 4, 6 and 7 of this Contract;
- Any amounts owed by either party prior to termination remain owed after termination.
You can email us at firstname.lastname@example.org to close your account.
6. Dispute Resolution
In the unlikely event we end up in a dispute, you agree to arbitrate.
The parties shall use their best efforts to settle any dispute, claim, question, or disagreement directly through good-faith negotiations, which shall be a precondition to either party initiating a lawsuit or arbitration. Except for disputes relating to the Orbit’s intellectual property (such as trademarks, trade dress, domain names, trade secrets, copyrights, and patents) or if you opt out of this agreement to arbitrate, all claims arising out of or relating to this Agreement and your use of the Services shall be finally settled by binding arbitration administered by JAMS in accordance with its provisions and procedures for consumer-related disputes, excluding any rules or procedures governing or permitting class actions. The arbitrator, and not any court or agency, shall have exclusive authority to resolve all disputes arising out of or relating to this Agreement, including, but not limited to, any claim that all or any part of this Agreement is void or voidable. The arbitrator shall be empowered to grant whatever relief would be available in a court; provided, however, that the arbitrator will not have authority to award damages, remedies, or awards that conflict with this Agreement. The arbitrator’s award shall be binding on the parties and may be entered as a judgment in any court of competent jurisdiction. To the extent the filing fee for the arbitration exceeds the cost of filing a lawsuit, Orbit will pay the additional cost. You and Orbit hereby expressly waive trial by jury. You also agree not to participate in claims brought in a private attorney general or representative capacity, or consolidated claims involving another person’s account, if Orbit is a party to the proceeding. This dispute resolution provision will be governed by the Federal Arbitration Act.
The parties understand that, absent this mandatory provision, they would have the right to sue in court and have a jury trial. They further understand that, in some instances, the costs of arbitration could exceed the costs of litigation and that the right to discovery may be more limited in arbitration than in court.
The parties further agree that any arbitration shall be conducted in their individual capacities only, and not as a class action or other representative action. If any court or arbitrator determines that the class-action waiver set forth in this section is void or unenforceable for any reason, or that an arbitration can proceed on a class basis, then the arbitration provision set forth above shall be deemed null and void in its entirety and the parties shall be deemed to have not agreed to arbitrate disputes.
Exception—Litigation of Small-Claims-Court Claims
Notwithstanding the parties’ decision to resolve all disputes through arbitration, either party may also seek relief in a small claims court for disputes or claims within the scope of that court’s jurisdiction.
Thirty-Day Right to Opt Out
You have the right to opt out and not be bound by the arbitration- and class-action-waiver provisions set forth in this section by sending email notice of your decision to opt out to the following address: email@example.com . The notice must be sent within 30 days of registering to use the Services; otherwise, you shall be bound to arbitrate disputes in accordance with these Terms. If you opt out of these arbitration provisions, Orbit also will not be bound by them. In addition, if you elect to opt out of these arbitration provisions, Orbit may terminate your use of the Services.
Time Limitation on Claims
You agree that any claim you may have arising out of or related to your relationship with Orbit and these Terms must be filed within one year after such claim arose; otherwise, your claim is permanently barred.
Choice of Law and Forum
Any action related to the Terms, Content, the Services, and your relationship with the Orbit shall be governed by, and construed and interpreted in accordance with, the laws of the State of California without regard to its conflict of laws principles AND WILL SPECIFICALLY NOT BE GOVERNED BY THE UNITED NATIONS CONVENTIONS ON CONTRACTS FOR THE INTERNATIONAL SALE OF GOODS, IF OTHERWISE APPLICABLE. Subject to the Section entitled “Dispute Resolution”, the parties irrevocably consent to bring any action to enforce this Agreement in the federal or state courts embracing San Francisco, California and you consent to the exclusive jurisdiction of the federal or state courts embracing San Francisco, California. If any party hereto brings any suit or action against another for relief, declaratory or otherwise, arising out of these Terms, the prevailing party will have and recover against the other party, in addition to all court costs and disbursements, such sum as the court may adjudge to be reasonable attorneys’ fees. Except to the extent prohibited by applicable law, the parties agree that any claim or cause of action arising out of or related to use of the Services or the Terms must be filed within one (1) year after such claim or cause of action arose or be forever barred.
7. General Terms
Here are some important details about how to read the Contract.
If a court with authority over this Contract finds any part of it not enforceable, you and us agree that the court should modify the terms to make that part enforceable while still achieving its intent. If the court cannot do that, you and us agree to ask the court to remove that unenforceable part and still enforce the rest of this Contract. To the extent allowed by law, the English language version of this Contract is binding and other translations are for convenience only. This Contract (including additional terms that may be provided by us when you engage with a feature of the Services) is the only agreement between us regarding the Services and supersedes all prior agreements for the Services.
If we don't act to enforce a breach of this Contract, that does not mean that Orbit has waived its right to enforce this Contract. You may not assign or transfer this Contract (or your membership or use of Services) to anyone without our consent. However, you agree that Orbit may assign this Contract to its affiliates or a party that buys it without your consent. There are no third party beneficiaries to this Contract.
We reserve the right to change the terms of this Contract and will provide you notice if we do and we agree that changes cannot be retroactive. If you don't agree to these changes, you must stop using the Services.
You agree that the only way to provide us legal notice is at the address(es) provided in Section 10.
8. Orbit “Dos” and “Don’ts”
You agree that you will:
a. Comply with all applicable laws, including, without limitation, privacy laws, intellectual property laws, anti-spam laws, export control laws, tax laws, and regulatory requirements;
b. Provide accurate information to us and keep it updated;
c. Use your real name on your profile;
d. Use the Services in a professional manner.
You agree that you will not:
a. Act in an unlawful or unprofessional manner in connection with our Services, including being dishonest, abusive or discriminatory;
b. Post inaccurate, defamatory obscene, shocking, hateful, threatening or otherwise inappropriate content or airing personal grievances or disputes;
c. Use an image that is not your likeness or a head-shot photo for your profile;
d. Create a false identity on Orbit. The occasional creation of clearly fictional profiles by Orbit or with its express permission in connection with a promotional campaign does not waive this obligation;
e. Misrepresent your identity (e.g. by using a pseudonym), your current or previous positions, qualifications or affiliations with a person or entity;
f. Create a Member profile for anyone other than yourself (a real person);
g. Invite people you do not know to join your network;
h. Use or attempt to use another's account;
i. Harass, abuse or harm another person;
j. Send or post any unsolicited or unauthorized advertising, “junk mail,” “spam,” “chain letters,” “pyramid schemes,” or any form of solicitation unauthorized by Orbit;
k. Develop, support or use software, devices, scripts, robots, or any other means or processes (including crawlers, browser plugins and add-ons, or any other technology or manual work) to scrape the Services or otherwise copy profiles and other data from the Services;
l. Bypass or circumvent any access controls or Service use limits (such as caps on keyword searches);
m. Copy, use, disclose or distribute any information obtained from the Services, whether directly or through third parties (such as search engines), without the consent of Orbit;
n. Solicit email addresses or other personal information from Members you don’t know, without authorization.
o. Use, disclose or distribute any data obtained in violation of this policy;
p. Disclose information that you do not have the consent to disclose (such as confidential information of others (including your employer));
q. Violate the intellectual property rights of others, including copyrights, patents, trademarks, trade secrets, or other proprietary rights. For example, do not copy or distribute (except through the available sharing functionality) the posts or other content of others without their permission, which they may give by posting under a Creative Commons license;
r. Violate the intellectual property or other rights of Orbit, including, without limitation, (i) copying or distributing our learning videos or other materials or (ii) copying or distributing our technology, unless Orbit has released this intellectual property under open source licenses; (iii) using the word “Orbit CMETM” or our logos in any business name, email, or URL except as provided in our Brand Guidelines;
s. Use Orbit invitations to send messages to people who don’t know you or who are unlikely to recognize you as a known contact;
t. Post anything that contains software viruses, worms, or any other harmful code;
u. Manipulate identifiers in order to disguise the origin of any message or post transmitted through the Services.
v. Create profiles or provide content that promotes escort services or prostitution.
w. Create or operate a pyramid scheme, fraud or other similar practice;
x. Reverse engineer, decompile, disassemble, decipher or otherwise attempt to derive the source code for the Services or any related technology that is not open source;
y. Imply or state that you are affiliated with or endorsed by Orbit without our express consent (e.g., representing yourself as an accredited Orbit trainer);
z. Rent, lease, loan, trade, sell/re-sell access to the Services or related data;
aa. Sell, sponsor, or otherwise monetize any Service without Orbit’s consent;
bb. Deep-link to our Services for any purpose other than to promote your profile or a Group on our Services, without Orbit’s consent;
cc. Remove any copyright, trademark or other proprietary rights notices contained in or on our Service;
dd. Remove, cover or obscure any advertisement included on the Services;
ee. Use bots or other automated methods to access the Services, add or download contacts, send or redirect messages;
ff. Monitor the Services’ availability, performance or functionality for any competitive purpose;
gg. Engage in “framing,” “mirroring,” or otherwise simulating the appearance or function of the Services;
hh. Overlaying or otherwise modifying the Services or their appearance;
ii. Access the Services except through the interfaces expressly provided by Orbit, such as its Orbit for Chrome extension/browser plugin, and orbitcme.com;
jj. Use a Service for tasks that it is not intended for;
kk. Override any security feature of the Services;
ll. Interfere with the operation of, or place an unreasonable load on, the Services (e.g., spam, denial of service attack, viruses, gaming algorithms); and/or
mm. Violate any additional terms concerning a specific Service that are provided when you sign up for or start using such Service.
9. Complaints Regarding Content
We respect the intellectual property rights of others. We require that information posted by Members be accurate and not in violation of the intellectual property rights or other rights of third parties. Please email firstname.lastname@example.org for complaints concerning content posted by our Members.
10. How To Contact Us
If you have any questions, need help, or want send us notices or service of process, please email us at email@example.com.
All promotions are subject to changes in duration or availability at any time.
Friends in Orbit
This promotion rewards you and your friends when you share Orbit. Here's how it works.
- Share your unique link. There's a signup button on the page assigned to your custom link. Anyone who signs up for Orbit using that signup button receives $20 off their registration when their subscription goes from Trial to Active.
- Get your friends to convert from Trial to Active. When their subscription switches from Trial to Active, you'll earn credit that gets applied to your second year charge, or the next year's charge if you're currently in year two. Each subscription that registered for Orbit through your unique link and converts from Trial to Active earns you $20 of this credit.
- Earn a maximum of $200 total credit. You're allowed to earn up to $200 in aggregate (maximum total) credit through this promotion.
- Count your karma. If you exceed the $200 credit limit, you'll still be able to invite friends to use Orbit through your unique link, but you won't earn additional credit. We'll still count the number of friends you converted from Trial to Active, so you'll know how much good karma you're generating!
Tip: Try sharing your unique link to your Facebook page, newsletters for your society, or anywhere else. Get creative with it!
We are an online platform for professionals.
Our registered users (“Members”) share their professional identities, engage with their network, exchange knowledge and professional insights, post and view relevant content, learn and find business and career opportunities. Content on some of our services is available to non-members (“Visitors”).
You are entering into the User Agreement with Transcend Review Inc., who will be responsible for your personal data provided to, or collected by or for, our Services.
1. Information We Collect
1.1 Information You Provide to Us
You provide data to create an account with us.
You agree that the information you submit to Orbit (self-study report, activity files, other materials) will not include individually identifiable health information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
To create an account you provide data including your name, email address and/or mobile number, password, board ID information, scope of practice, and other personal information. If you register for a subscription Service, we ask you for payment (e.g., credit card) and billing information.
You create your Orbit profile (a complete profile helps you get the most from our Services).
You have choices about the information on your profile, such as your education, work experience, skills, photo, city or area and endorsements. Profile information helps you to get more from our Services, including new features in development for suggesting CME goals based on board guidelines, and recommending relevant live events. It’s your choice whether to include sensitive information on your profile. Please do not post or add personal data to your profile that you would not want to be publicly available.
Posting and Uploading
We collect personal data from you when you provide, post or upload it to our Services, such as when you fill out a form or respond to a survey (e.g., Members’ salary).
1.2 Information From Others
Others may post or write about you.
Content and News
You and others may post content that includes information about you on our Services (as part of blog posts, feed updates and comments, videos).
Customers and partners may provide data to us.
We receive personal data about you when you use the services of our customers and partners, such as prospective employers and applicant tracking systems providing us job application data.
1.3 Service Use
We log your visits and use of our Services, including the Orbit for Chrome plugin/extension and mobile apps.
We log usage data when you visit or otherwise use our Services, including our sites, app and platform technology (e.g., our off-site Orbit for Chrome browser plugin/extension), such as when you view or click on content (e.g., learning video) or ads (on or off our sites and apps), perform a search, install one of our mobile apps, share articles or apply for jobs. We use log-ins, cookies, device information and internet protocol (“IP”) addresses to identify you and log your use.
The ad blocking plugins we suggest for use in conjunction with Orbit are entirely unaffiliated with Orbit and have their terms of service, own data protocols, and privacy policies. We make no guarantees regarding their operation.
1.4 Cookies, Web Beacons and Other Similar Technologies
We collect data through cookies and similar technologies.
1.5 Your Device and Location
We receive data from your devices and networks, including location data. When you visit or leave our Services (including our plugins or cookies or similar technology on the sites of others), we receive the URL of both the site you came from and the one you go to next. We also get information about your IP address, proxy server, operating system, web browser and add-ons, device identifier and features, and/or ISP or your mobile carrier. If you use our Services from a mobile device, that device will send us data about your location. Most devices allow you to prevent location data from being sent to us and we honor your settings.
If you communicate through our Services, we learn about that. We collect information about you when you send, receive, or engage with messages in connection with our Services. We also use automatic scanning technology on messages.
1.7 Workplace Provided Information
When your employer buys a premium Service for you to use at work, they may give us data about you.
An employer (or other person or entity procuring our Services for your use) may provide us information about their employees or contractors who make use of these Services. For example, we will get contact information administrators and for authorizing users of our premium Services.
1.8 Sites and Services of Others
We get data when you visit sites that include our plugins, ads or cookies or log-in to others’ services with your Orbit account.
We receive information about your visits and interaction with services provided by others when you log-in with Orbit or visit others’ services while logged into our plugins (such as Orbit for Chrome), ads, cookies or similar technologies. For example, when you’re logged into our browser plugin, all of your browsing information is sent to our servers.
We are improving our Services, which means we get new data and create new ways to use data.
2. How We Use Your Data
We use your data to provide, support, personalize and develop our Services.
We use the data that we have about you to provide, support, personalize and make our Services (including ads) more relevant and useful to you and others.
Our Services help you stay up to date with your continuing medical education and other professional requirements, connect with others, discover new learning opportunities, find and be found for work and business opportunities, stay informed, get training and be more productive.
We use your data to authenticate you and authorize access to our Services.
Our Services allow you to stay informed about news, events and ideas regarding professional topics you care about, and from professionals you respect. Our Services also allow you to improve your professional skills, or learn new ones. We use the information about you to recommend relevant content across our Services, suggest skills you may have to add to your profile and skills that you might need to pursue your next opportunity. So, if you let us know that you are interested in a new skill (e.g., by watching a learning video), we will use this information to personalize content in your feed, suggest that you follow certain members on our site, or watch related learning content to help you towards that new skill. We use your content, activity and other data, including your name and picture, to provide notices to your network and others. For example, subject to your settings, we may notify others that you have updated your profile, posted a blog, took a social action, made new connections or were mentioned in the news.
Our Services may allow you to explore careers, evaluate educational opportunities, and seek out, and be found for, career opportunities. Your profile can be found by those looking to hire or be hired by you. We will use your data to recommend jobs, show you and others who work at a company, in an industry, function or location or have certain skills and connections. We may use your profile and activity to recommend jobs to you and you to recruiters.
Our Services allow you to collaborate with colleagues, search for potential clients, customers, partners and others to do business with. Our Services allow you to communicate with other professionals and schedule and prepare meetings with them. We scan messages to provide “bots” or similar tools that facilitate tasks such as scheduling meetings, draft responses, summarize messages or recommend next steps.
We contact you and enable communications between members. We offer settings to control what and how often you receive some types of messages.
We will contact you through email, notices posted on our websites or apps, messages to your Orbit Feed, and other ways through our Services, including text messages and push notifications. We will send you messages about the availability of our Services, security, or other service-related issues. We also send messages about how to use the Services, network updates, reminders, job suggestions and promotional messages from us and our partners.
We may also enable communications between you and others through our Services.
We serve you tailored ads both on and off of our Services.
We target (and measure the performance of) ads to Members, Visitors and others both on and off of our Services through a variety of ad networks and exchanges, using the following data, whether separately or combined:
- Data from advertising technologies on and off of our Services, like web beacons, pixels, ad tags, cookies, and device identifiers;
- Member-provided information (e.g., contact information, title and industry);
- Data from your use of our Services (e.g., search history, feed, content you read, who you follow or is following you, connections, groups participation, page visits, videos you watch, clicking on an ad, etc.), including as described in Section 1.3;
- Information from others (e.g. advertising partners, publishers and data aggregators);
- Information inferred from data described above (e.g., using job titles to infer age, industry, seniority, and compensation bracket; or names to infer gender).
We will show you ads called sponsored content which look like similar non-sponsored content, except that they are labeled ads or sponsored. If you take an action (such as like, comment or share) on these ads, your action is associated with your name and viewable by others, including the ad provider.
Info to Advertisers
We do not share your personal data with any third-party advertisers or (other than hashed or device identifiers, to the extent they are personal data in some countries) ad networks for their advertising without your separate permission. However, if you click on an ad, the ad poster will know you visited the page that you clicked on. Also, advertising partners can associate personal data collected by the advertiser directly from you with our cookies and similar technologies.
We promote our Services to you and others.
We use data and content about Members for invitations and communications promoting membership and network growth, engagement and our Services.
2.5 Developing Services and Research
We develop our Services and conduct research.
We use data, including public feedback, to conduct research and development for the further development of our Services in order to provide you and others with a better, more intuitive and personalized experience, drive membership growth and engagement on our Services, and help connect professionals to each other and to economic opportunity.
We seek to promote the discovery and adoption of best practices. We use the data available to us to discover critical practice updates, to understand the pressures placed on healthcare providers, and to help maximize the happiness and proficiency of healthcare professionals everywhere. In some cases, we work with trusted third parties to perform this research, under controls that are designed to protect your privacy. We publish or allow others to publish insights, presented as aggregated data rather than personal data.
Polls and surveys are conducted by us and others through our Services. You are not obligated to respond to polls or surveys and you have choices about the information you provide.
2.6 Customer Support
We use data to help you and fix problems.
We use the data (which can include your communications) needed to investigate, respond to and resolve complaints and Service issues (e.g., bugs).
2.7 Aggregate Insights
We use data to generate aggregate insights.
We use your information to produce aggregate insights that do not identify you. For example we may use your data to generate statistics about our users, their profession or industry, the number of ad impressions served or clicked on, or the demographic distribution of visitors to a site.
2.8 Security and Investigations
We use data for security, fraud prevention and investigations.
3. How We Share Information
3.1 Our Services
Any information you include on your profile and any content you post or social action (e.g. likes, follows, comments, shares) you take on our Services may be seen by others.
Learner Permission, Data, and Reports:
Learner completion data and personal information is shared by Transcend Review, Inc. and TUSM OCE with the ACCME, American Board of Anesthesiology (ABA), and American Board of Internal Medicine (ABIM).
Some elements of your profile will be fully visible to all Members and customers of our Services, such as name, institution, specialty, subspecialty, board certifications, and locations served (hospitals, clinics, outpatient surgery centers, etc.).
Other elements of your profile (such as board ID numbers and detailed audit reports including images designated as certificates, credits earned) will be shared with boards, hospitals, or other organizations, in a process where either they request this information from you through Orbit, or in which you authorize access to your information by these organizations on a continuous basis. For example, you may be able to designate whether you’d like your audit report to be shared on a continuous or annual basis with your state medical board.
Your settings impact the availability of your profile and certain fields.
Posts, Likes, Follows, Comments, Messages
Our Services may allow viewing and sharing information including through posts, follows, likes and comments.
- When you submit answers to a post such as with Orbit Stories/Expeditions, your answers will be shared with Orbit and the third party organization initiating the post. This allows us or the third party organization to grade your results, track your learning, compare your response to peer groups, and award continuing medical education credits where applicable.
- When you share a post (e.g., an update, video or blog), the default is to share it publicly. Others who are not your connections will be able to find (including through search engines) and see your post.
- When you like, comment on or share another’s post, others will see it, including the person who initiated the post.
- Any information you share through companies’ or other organizations’ pages on our Services will be viewable by it and others who visit those pages.
- When you follow a person or organization, you are visible to others and that “page owner” as a follower. We provide aggregate insights about the followers and viewers to the respective page owners.
Your employer can see how you use Services they provided for your work and related information.
Your employer may offer you access to our enterprise Services such as Browser CME. They can also buy access for you to our online learning products such as Orbit Stories. Your employer can review and manage your use of such enterprise Services.
3.2 Others’ Services
You may link your account with others’ services such as a member board of the American Board of Medical Specialties (ABMS) so that they can look up your CME credits, licenses, specialty interests, etc.
Subject to your preference, other services such as medical boards may look-up your profile.
When you opt to link your account with other services, personal data will become available to them. You may revoke the link with such accounts in your settings. Revoking the link will not erase your data from their services. Your profile information linked to their services remains on these services until they choose to alter or remove it.
3.4 Related Services
We share your data across our different Services and Orbit-affiliated entities.
3.5 Service Providers
We may use others to help us with our Services.
We use others to help us provide our Services (e.g., sign-on/login, maintenance, analysis, audit, payments, fraud detection, marketing and development). They will have access to your information as reasonably necessary to perform these tasks on our behalf and are obligated to not to disclose or use it for other purposes.
3.6 Legal Disclosures
We may need to share your data when we believe it’s required by law or to protect your and our rights and security.
It is possible that we will need to disclose information about you when required by law, subpoena, or other legal process or if we have a good faith belief that disclosure is reasonably necessary to (1) investigate, prevent, or take action regarding suspected or actual illegal activities or to assist government enforcement agencies; (2) enforce our agreements with you, (3) investigate and defend ourselves against any third-party claims or allegations, (4) protect the security or integrity of our Service (such as by sharing with companies facing similar threats); or (5) exercise or protect the rights and safety of Orbit, our Members, personnel, or others. We attempt to notify Members about legal demands for their personal data when appropriate in our judgment, unless prohibited by law or court order or when the request is an emergency. We may dispute such demands when we believe, in our discretion, that the requests are overbroad, vague or lack proper authority, but we do not promise to challenge every demand.
3.7 Change in Control or Sale
4. Your Choices & Obligations
4.1 Data Retention
We keep most of your personal data for as long as your account is open.
We retain the personal data you provide while your account is in existence or as needed to provide you Services. Even if you only use our Services every few years, we will retain your information and keep your profile open until you decide to close your account. In some cases we choose to retain certain information (e.g., browsing history determined without clicking on the Orbit for Chrome plugin) in a depersonalized or aggregated form.
4.2 Rights to Access and Control Your Personal Data
You can access or delete your personal data.
To access your data, visit your account. To delete your data, contact us at firstname.lastname@example.org.
4.3 Account Closure
We may keep some of your data even after you close your account.
If you choose to close your Orbit account, we generally delete closed account information within 30 days of account closure, except as noted below. This means that when your account switches to inactive, we do not guarantee storage of any of your personal data (including certificates, posts, license copies, etc.).
We may retain your personal data even after you have closed your account if reasonably necessary to comply with our legal obligations (including law enforcement requests), meet regulatory requirements, resolve disputes, maintain security, prevent fraud and abuse, enforce our User Agreement, or fulfill your request to “unsubscribe” from further messages from us. We will retain de-personalized information after your account has been closed.
Information you have shared with others (e.g., updates or group posts) will remain visible after you closed your account or deleted the information from your own profile or mailbox, and we do not control data that other Members copied out of our Services. Your profile may continue to be displayed in the services of others (e.g., search engine results) until they refresh their cache.
5. Other Important Information
We monitor for and try to prevent security breaches. Please use the security features available through our Services.
We implement security safeguards designed to protect your data, such as HTTPS. We regularly monitor our systems for possible vulnerabilities and attacks. However, we cannot warrant the security of any information that you send us. There is no guarantee that data may not be accessed, disclosed, altered, or destroyed by breach of any of our physical, technical, or managerial safeguards.
5.2. Cross-Border Data Transfers
We store and use your data outside your country. We process data both inside and outside of the United States.
5.3. Direct Marketing and Do Not Track Signals
We currently do not share personal data with third parties for their direct marketing purposes without your permission.
5.4. Contact Information
You can contact us or use other options to resolve any complaints.
If you have questions or complaints regarding this Policy, please contact email@example.com.
We are an online platform for professionals.
What is a cookie?
A cookie is a small file placed onto your device that enables Orbit features and functionality. For example, cookies enable us to identify your device, secure your access to Orbit and our sites generally, and even help us know if someone attempts to access your account from a different device. Cookies also enable you to easily share content on Orbit and help us serve relevant ads to you.
When does Orbit place cookies?
What types of cookies does Orbit use?
We use two types: persistent cookies and session cookies. A persistent cookie helps us recognize you as an existing user, so it's easier to return to Orbit or interact with our services without signing in again. After you sign in, a persistent cookie stays in your browser and will be read by Orbit when you return to one of our sites or a partner site that uses our services. Session cookies only last for as long as the session (usually the current visit to a website or a browser session).
Which Orbit entity is using cookies?
Orbit will be responsible for your personal data provided to, or collected by or for, our Services.
What are cookies used for?
Cookies can be used to recognize you when you visit Orbit, remember your preferences, and give you a personalized experience that's in line with your settings. Cookies also make your interactions with Orbit faster and more secure. Additionally, cookies allow us to bring you advertising both on and off the Orbit sites, and bring customized features to you through Orbit plugins such as our Orbit for Chrome browser plugin/extension.
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What is Do Not Track (DNT)?
DNT is a concept that has been promoted by regulatory agencies such as the U.S. Federal Trade Commission (FTC), for the Internet industry to develop and implement a mechanism for allowing Internet users to control the tracking of their online activities across websites by using browser settings. The World Wide Web Consortium (W3C) has been working with industry groups, Internet browsers, technology companies, and regulators to develop a DNT technology standard. While some progress has been made, it has been slow. No standard has been adopted to this date. As such, Orbit does not generally respond to "do not track" signals.
How are cookies used for advertising purposes?
Cookies and other ad technology such as beacons, pixels, and tags help us serve relevant ads to you more effectively. They also help us provide aggregated auditing, research, and reporting for advertisers, understand and improve our service, and know when content has been shown to you. Note: Because your web browser may request advertisements and beacons directly from third party ad network servers, these networks can view, edit, or set third party cookies, just as if you had requested a web page from their site. Ads served by Orbit may also set third party cookies.
If you are a Orbit member but logged out of your account on a browser, Orbit may still continue to log your interaction with our services on that browser in order to generate usage analytics for our services, which analytics we may share in aggregate form with our advertising customers.
Unless you clear these cookies from your browser, we may use this information to:
- provide more relevant, interest-based advertising
- provide aggregate reports of ads activity to advertisers and websites hosting the ads
- help website and app owners understand how visitors engage with their sites or apps
- detect and defend against fraud and other risks to protect users and partners
- improve our products
- European Interactive Digital Advertising Alliance (EU)
- Internet Advertising Bureau (US)
- Internet Advertising Bureau (EU)
- Google Chrome
- Internet Explorer
- Mozilla Firefox
- Safari (Desktop)
- Safari (Mobile)
- Android Browser
- Opera Mobile
We do not provide any personal information that we collect to advertisers unless you have given us permission to do so. If you are not a Orbit member, email us at firstname.lastname@example.org to learn how to opt out.
What third-party cookies does Orbit use?
Most browsers allow you to control cookies through their settings preferences. However, if you limit the ability of websites to set cookies, you may worsen your overall user experience, since it will no longer be personalized to you. It may also stop you from saving customized settings like login information.
What to do if you don't want cookies to be set or want them to be removed?
If you do not want to receive cookies, you can change your browser settings on your computer or other device you're using to access our services. If you use Orbit without changing your browser settings, we'll assume that you're happy to receive all cookies on the Orbit website. Most browsers also provide functionality that lets you review and erase cookies, including Orbit cookies. Please note that the Orbit site will not work properly without cookies.
Other helpful resources
Browser manufacturers provide help pages relating to cookie management in their products. Please see below for more information.
For other browsers, please consult the documentation that your browser manufacturer provides.