Faculty Disclosure Slide Templates

Slides:



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

Faculty Disclosure Information Elements
Faculty Disclosures ATS – 2013 / Philadelphia Relevant financial relationships with a commercial interest: Relevant financial relationships with a commercial.
2015 ACRM Conference CME/CE Compliance Slides
Sample Disclosure Slides Information: A presenter must include Disclosure slides for each presentation – even if nothing to disclose Two slides are required.
Title of Presentation Speaker Names, Credentials, Full Title Collaborative Family Healthcare Association 12 th Annual Conference October 21-23, 2010 Louisville,
Activity Title (Presenter Name/credentials) Example: Mary Smith MD Associate Professor, USA Health Center USA.
Title of Presentation Speaker Names, Credentials, Full Title Collaborative Family Healthcare Association 17 th Annual Conference October 15-17, 2015 Portland,
American Thoracic Society 1.Relevant financial relationships with a commercial interest: Please retain the titles above. If you or your spouse/life partner,
[Session Number: Title] [Speaker Optional: Job title Institution]
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.
Faculty Disclosure Information
Session Title Speaker Names(s).
Title Goes Here Presenter, Name, Title.
Disclosure Slides Template and Examples.
Per SROA Policy, Workshop Speakers are Expected to:
Conflict of Interest Disclosure
Conflict of Interest Disclosure
Faculty Disclosure Slide Templates
Session Title Speaker Name(s).
Disclosure Slide Templates
Session Title Speaker Name(s).
Session Title Speaker Name(s).
Speaker Names, Credentials, Full Title
Relevant Financial Disclosure(s)
Your Name, Degrees, Title here
Faculty Disclosure Slide Templates
Topic Title Session Title
Disclosure Slides Template and Examples.
Continuing Medical Education Commercial Disclosure Requirement
Conflict of Interest Disclosure:
Disclosure Slides Template and Examples.
Session Title Speaker Name(s).
Title of Session Presentation Here
Copyright © 2016 by ASCP.
Disclosure Slides Template and Examples.
Conflict of Interest Disclosure (over the past 24 months)
Continuing Medical Education Commercial Disclosure Amedco, our CME provider, asks all individual involved in the development and presentation of Continuing.
Speaker Names, Credentials, Full Title
Conflict of Interest Disclosure
Disclosure of Faculty Conflict of Interest
Continuing Medical Education Commercial Disclosure Amedco, our CME provider, asks all individual involved in the development and presentation of Continuing.
PRESENTER NAME PRESENTER INSTITUTION
Speaker Names, Credentials, Full Title
DISCLOSURE INFORMATION
What do I need to do to comply with the Disclosure Policy?
Speaker Name(s) Location Time Date
Speaker Name(s) Location Time Date
Conflict of Interest Disclosure
Title of Talk Speaker name.
DISCLOSURE INFORMATION
Speaker Name(s) Location Time Date
Session Title Speaker Name(s).
Faculty/Presenter DISCLOSURE:
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.
Continuing Medical Education Commercial Disclosure Requirement
Financial Disclosure Financial Interest / Affiliation
Disclosure Slides Template and Examples.
Continuing Medical Education Commercial Disclosure Amedco, our CME provider, asks all individual involved in the development and presentation of Continuing.
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.
Presenter Name | Title | Institution
Disclosure SLIDEs Template and Examples.
Speaker Name(s) Location Time Date
Presentation transcript:

Faculty Disclosure Slide Templates Please note: for the ATS 2019 International Conference, the following Faculty Disclosure Slide templates are only intended for use by presenters of Sunrise, Meet the Professor, Medical Education and Faculty Development Seminars, who must bring their presentations on a flash drive to their meeting room. Each presenter in the above sessions must display their disclosure slide(s) at the start of their presentation to comply with accreditation requirements.

Faculty Disclosures Type your name here If you or your spouse/life partner, if any, HAVE NOT HAD A FINANCIAL RELATIONSHIP WITH A COMMERCIAL INTEREST (i.e., such as a pharmaceutical or medical device manufacturer that could be considered relevant to your presentation) WITHIN THE PAST 3 YEARS, OR DO NOT EXPECT TO HAVE ONE BY THE END OF 2019, please type in at least 20 point type: No financial relationships with commercial interests. If you or your spouse/life partner, if any, HAVE HAD A FINANCIAL RELATIONSHIP WITH A RELEVANT COMMERCIAL INTEREST WITHIN THE PAST 3 YEARS, OR EXPECT TO HAVE ONE BY THE END OF 2019, instead type the following. If involved with more than one company, make a separate bulleted entry for each. Also use the optional blank slide in this set if needed. Financial relationships with commercial interests: Company Name (or the relevant Intellectual Property of yours if not yet sold or licensed to a company), followed by the Type of Relationship(s) with that company, e.g., Research Support, Consultant, Advisory Committee, followed by, within parentheses, whether: (Now or ended within past year), (Ended more than a year ago), or (Expected by end of 2019).

Financial relationships with commercial interests: Faculty Disclosures u Type your name here Use this optional extra slide template if needed to disclose additional financial relationships. First type the category title as shown in previous slides: Financial relationships with commercial interests: Then type your additional disclosure(s) here, using the same format you used for your first slide. Use at least 20 point type.