Slide 1: Faculty/Presenter Disclosure Faculty/Presenter Name Relationships with Commercial Interests: (activity/presentation) Grant/Research Support: commercial entity name Speakers Bureau/Honoraria: commercial entity name Other: commercial entity name Disclosure statements must be displayed in writing on slides and verbalized to audience at the beginning of an activity

Slide 2: Disclosure of Commercial Support Specific details of relationship: (activity/presentation) This activity/presentation has received financial support from: commercial entity name in the form of … (educational grant, etc.…) This activity/presentation has received in-kind support from: commercial entity name in the form of… (logistical support, etc.…) Potential for conflict(s) of interest: Receipt of payment/honoraria/funding received from: commercial entity name Disclosure statements must be displayed in writing on slides and verbalized to audience at the beginning of an activity

Slide 3: Mitigation of Potential Bias Description of measures taken to deal with and mitigate potential sources of bias in the activity/ presentation Disclosure statements must be displayed in writing on slides and verbalized to audience at the beginning of an activity

LEARNING OBJECTIVES Clear learning objectives state what the learner will be able to do upon completion of a continuing professional development activity, in terms of behavioral change. These behaviors and/or outcomes have been identified through the needs assessment process. Step 1 Learning objectives begin with the phrase, “At the conclusion of this activity, participants will be able to …”   Step 2 Describe the information, skills, behaviors, or perspectives participants in the session will acquire through attendance and participation. Use verbs that describe an action that can be observed and that is measurable within the time frame of the activity. Step 3 Conclude with the specifics of what the learner will be doing when demonstrating achievement or mastery of the objectives. Emphasize what the learner will be able to do as a result of participation in the activity.

LEARNING OBJECTIVES SAMPLE At the conclusion of this activity, participants will be able to list three of the currently approved statin drugs. At the conclusion of this activity, participants will be able to describe the physical attributes of a school-age child with undiagnosed diabetes. At the conclusion of this activity, participants will be able to provide chronic disease management in a planned, proactive manner.