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Managing Conflicts of Interest © ACCME.

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Presentation Essentials for HIMSS Faculty October 19, :00 AM CT October 21, :00 PM CT © 2010 Healthcare Information and Management Systems.

Disclaimer The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug.

Managing Conflicts of Interest © ACCME.

Title of Presentation Presenter Name, Designation Presenter 2 Name, Designation Presenter 3 Name, Designation.

Financial Disclosures Financial interests, arrangements or affiliations that could be perceived as a real or apparent “conflict of interest” in the context.

DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position.

Paper Title Line 1 Paper Title Line 2 (if required)

Please Session Title Here

DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.

Teradata Analytics Universe 2018 Presentation Template

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Conflict of Interest Disclosure <First Name> <Last Name>, <Degree>

Exponation AIA Provider Number: Session Title Session Number

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Speaker Social Media Cards

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Exponation Session Title Speaker AIA Provider Number:

Exponation Session Title Speaker Date AIA Provider Number:

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Session Title Here Presenter’s Name Title Company

Has no real or apparent conflicts of interest to report.

Disclosure Neither I nor any members of my immediate family have a financial interest/arrangement or affiliation that could be perceived as a real or apparent.

[INSERT TITLE OF PRESENTATION]

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<Title> <sub-title>

Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.

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Exponation AIA Provider Number: Session Title Session Number

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Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.

Disclaimer The views and opinions expressed in the following PowerPoint slides are those of the individual presenter and should not be attributed to Drug.

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DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.

DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.

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DISCLOSURE INFORMATION

DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.

Disclosures The project was funded from the following sources:

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DISCLOSURE INFORMATION

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DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.

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Conflict of Interest Disclosure , Salary: Royalty: Receipt of Intellectual Property Rights/Patent Holder: Consulting Fees.

Conflict of Interest Disclosure , Salary: Royalty: Receipt of Intellectual Property Rights/Patent Holder: Consulting Fees.

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Conflict of Interest Disclosure Form DISCLOSURE

< Title > < Sub-title >

Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.

Please include this slide if you answered “yes” to at least one of the questions.

Conflict of Interest Disclosure <First Name> <Last Name>, <Degree>

Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.

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SESSION TITLE Session #<insert number here> Date Month Year

Your name Your organization Your

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Please Session Title Here Session #, Date of Session (spell month out, example: March 6, 2018) Speaker Name(s), Title, Organization Organization logo(s) may be placed on this slide

Conflict of Interest (30pt Verdana) <First Name> <Last Name>, <Degree> Has no real or apparent conflicts of interest to report.

Conflict of Interest (30pt Verdana) <First Name> <Last Name>, <Degree> Salary: Royalty: Receipt of Intellectual Property Rights/Patent Holder: Consulting Fees (e.g., advisory boards): Fees for Non-CME Services Received Directly from a Commercial Interest or their Agents (e.g., speakers’ bureau): Contracted Research: Ownership Interest (stocks, stock options or other ownership interest excluding diversified mutual funds): Other:

Agenda List the order of your presentation content

Learning Objectives List your 3-5 session learning objectives that have been approved by HIMSS - do not use periods after each learning objective

Start Presentation Slides Here 60-Minute Lecture The speaker must provide a 45-50 minute PowerPoint presentation (approx. 25-30 slides). Please do not exceed this time limit. Leave 10-15 minutes at the end for Q&A

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