Faculty Disclosure Slide Templates

Slides:



Advertisements
Similar presentations
Disclosure Slides Council Operations Committee 1 Template and Examples.
Advertisements

Faculty Disclosure Information Elements
Getting Started with your Course Staff Guide. Turn Editing On Click either the link or the button as below:
Faculty Disclosures ATS – 2013 / Philadelphia Relevant financial relationships with a commercial interest: Relevant financial relationships with a commercial.
What do I need to do to comply with the Disclosure Policy? Every planner, course director, CME associate, speaker, moderator, panelist or anyone else involved.
Title of Presentation Speaker Names, Credentials, Full Title Collaborative Family Healthcare Association 12 th Annual Conference October 21-23, 2010 Louisville,
Title of Presentation Speaker Names, Credentials, Full Title Collaborative Family Healthcare Association 17 th Annual Conference October 15-17, 2015 Portland,
(Type your Project Name Here) (Partner #1 Name) (Partner #2 Name) Period (**) (Partner #1 Name) (Partner #2 Name) Period (**)
American Thoracic Society 1.Relevant financial relationships with a commercial interest: Please retain the titles above. If you or your spouse/life partner,
Title of Presentation Speaker Names, Credentials, Full Title Collaborative Family Healthcare Association 13 th Annual Conference October 27-29, 2011 Philadelphia,
Disclosure Basics Disclosure must always be done in all CME accredited activities (lectures, workshops, etc). One must disclose even if they have nothing.
Financial Disclosures Financial interests, arrangements or affiliations that could be perceived as a real or apparent “conflict of interest” in the context.
OU Neurology THE TITLE OF MY TALK John Doe, M.D. Professor Department of Neurology The University of Oklahoma Health Sciences Center.
Financial Interest Disclosure (over the past 24 months) Commercial Interest Relationship Company A advisory board, consultant, investigator Company B speaker.
Speaker Name: Disclosure of Relevant Financial Relationships
Insert Abstract Title Text Here in Calibri, Arial, or Helvetica
Session Title Speaker Names(s).
Disclosure Slides Template and Examples.
Family Medicine Grand Rounds University of Washington TITLE
Remove this slide before submitting.
2018 Canadian Transplant Summit - DISCLOSURE FORM
Session Title Speaker Name(s).
Disclosure Slide Templates
Session Title Speaker Name(s).
Presentation Title Lorum Ipsum: Lorum Ipsum Dolor
Session Title Speaker Name(s).
Speaker Names, Credentials, Full Title
Family Medicine Grand Rounds University of Washington TITLE
Faculty Disclosure Slide Templates
Topic Title Session Title
Jane Smith MS, RN, LD, CDE Title Job Title 1 Organization City, ST.
Disclosure Slides Template and Examples.
Significant (greater than $10K)
Faculty Disclosure In accordance with the policy of the Cardiac Society of Australia and New Zealand the following presenter has indicated that they have.
Disclosure Slides Template and Examples.
Session Title Speaker Name(s).
Presenter Name(s) Presenter Institution(s)
Title of Session Presentation Here
Copyright © 2016 by ASCP.
Disclosure Slides Template and Examples.
Presenter Name(s) Institutions(s)
Presenter Name Institution
Speaker Names, Credentials, Full Title
Presenter Name(s) Institution(s)
Faculty Disclosure In accordance with the policy of the Cardiac Society of Australia and New Zealand the following presenter has indicated that they have.
Speaker Name: Disclosure of Relevant Financial Relationships
Faculty Disclosure Slide Templates
Speaker Names, Credentials, Full Title
Jane Smith MS, RN, LD, CDE Title Job Title 1 Organization City, ST.
What do I need to do to comply with the Disclosure Policy?
Speaker Name(s) Location Time Date
Jane Smith MS, RN, LD, CDE Title Job Title 1 Organization City, ST.
Disclosures Relevant financial relationships in the past twelve months by presenter or spouse/partner.    Employment: Company Name(s) Speakers Bureau:
Speaker Name(s) Location Time Date
Title of Talk Speaker name.
Speaker Name(s) Location Time Date
Speaker Name: Disclosure of Relevant Financial Relationships
Session Title Speaker Name(s).
Presentation (Program) Number
Add You Title Here Your Text
List disclosure information here.
Disclosure Slides Template and Examples.
THE TITLE OF MY TALK John Doe, M.D. Professor Department of Neurology
Speaker Name(s) Location Time Date
Session Title Speaker Name(s).
Please include this slide if you answered “yes” to at least one of the questions.
Disclosure SLIDEs Template and Examples.
Poster Template Instructions (delete this slide once you are done making your poster) The purpose of this poster template is make it easy to display your.
Presenter Name(s) Institution(s)
Speaker Name(s) Location Time Date
Presentation transcript:

Faculty Disclosure Slide Templates Please note: for the ATS 2017 International Conference, the following Faculty Disclosure Slide templates are intended for use by presenters of Sunrise, Meet the Professor, Medical Education and Faculty Development Seminar and Thematic Seminar series, who must bring their presentations to their meeting room (i.e., do not use the advance upload process), and must personally produce and display a disclosure slide at start of presentation to comply with accreditation requirements. Faculty for other CME-accredited sessions will instead use the new automatic process described in the “Revised Instructions for Disclosure by Presenters of Relevant Commercial Interests” posted at: http://conference.thoracic.org/speakers/index.php

No relevant commercial interests. Faculty Disclosures Type your name here Relevant financial relationships with a commercial interest: Please retain the titles above. If you or your spouse/life partner, if any, HAVE NOT HAD A RELEVANT COMMERCIAL INTEREST (i.e., a financial relationship with a commercial interest that could be considered relevant to your presentation subject matter), in the past 3 years or expected by end of 2017, please use the following, in at least 20 point type, to state this. (Remove all instructions from slide.) No relevant commercial interests. If you or your spouse/life partner, if any, HAVE HAD A RELEVANT COMMERCIAL INTEREST in the past 3 years or expected by end of 2017, instead list it using the format below, in at least 20 point type. Remove all instructions from slide. If more than one, type a separate bulleted entry for each. The company name (or the name of a relevant Intellectual Property of yours if not yet sold or licensed to a particular company) , followed by the type(s) of relationship (e.g., Research Support) , followed by (within parentheses) whether that relationship is (Active), (Past), or (Expected). If you need additional space, use the optional 3rd slide in this slide set. If you need more information, such as on “types of relationship”, see the 2017 Session Faculty Disclosure Slide Instructions memo.

Faculty Disclosures u Type your name here “Off-label” use discussed within my presentation: Do not use this slide if YOU WILL NOT discuss within your presentation any “off-label” use (i.e., use of product that has not yet been approved by the U.S. Food and Drug Administration for the use presented, or investigational use of a drug or device that has not yet been approved by the U.S. Food and Drug Administration). If YOU WILL discuss “off-label” use during your presentation, please instead replace these instructions with the following information and format, using at least 20 point type. If you will discuss more than one “off-label use” within your presentation, type a separate bulleted line or paragraph for each. Name of the commercial product (use the generic name rather than brand name), followed by a brief description of the nature of the off-label use discussed. (If you need additional space, use the optional 3rd slide in this slide set. If you need more information, see the 2017 Session Faculty Disclosure Slide Instructions memo)

Faculty Disclosures u Type your name here Use this optional extra slide template if an additional slide is needed. Please first type the category title (i.e., either Relevant financial relationships with commercial interests or Off-label use discussed within my presentation). Then type your additional disclosure(s) here, using the same format you used for your first slide of the same category. Use at least 20 point type.