Conflict of interest disclosure Committee of Scientific Affairs

Slides:



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

Faculty Disclosure Information Elements
Managing Conflicts of Interest © ACCME.
Corporate Governance Code for Commercial Banks in GEORGIA November 24, 2009 Association of Banks of Georgia.
Faculty/Presenter Disclosure Faculty: [name of speaker(s)] Relationships with commercial interests:  Grants/Research Support:  Speakers Bureau/Honoraria:
Financial Disclosures Financial interests, arrangements or affiliations that could be perceived as a real or apparent “conflict of interest” in the context.
The 68th Annual Scientific Meeting of the Japanese Association for Thoracic Surgery 20 years have passed since then... The Japanese Association for Thoracic.
Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: - A conflict of interest is any situation.
Per SROA Policy, Workshop Speakers are Expected to:
Conflict of Interest Disclosure
Conflict of Interest Disclosure
No conflicts of interest to disclose
様式1AB (Form 4-C) Disclosure of the state of conflict of interest at the end of a poster at a poster session Lead presenter: There are no companies, etc.
Faculty/Presenter Disclosure
Conflict of Interest Disclosure <First Name> <Last Name>, <Degree>
Title of the presentation
Conflict of Interest Disclosure
Conflict of Interest Disclosure Form
Conflict of Interest Disclosure
Conflict of Interest Disclosure:
Has no real or apparent conflicts of interest to report.
<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.
Conflict of Interest Disclosure (over the past 24 months)
Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: Type Company Employment full time / part.
Title Authors’ Name.
Faculty/Presenter Disclosure
The 53rd Japanese Occupational Therapy Congress & Expo in Fukuoka COI Disclosure   Name of Author: xxx xxx There are no companies, etc. in a relation.
様式1AB (Form4-A) If there is no state of conflict of interest requiring disclosure The Japanese Society of Neurology (JSN) COI Disclosure   Name of Lead.
The 52nd Japanese Occupational Therapy Congress & Expo in Nagoya COI Disclosure   Name of Author: xxx xxx There are no companies, etc. in a relation.
There is no state of conflict of interest requiring disclosure
Conflict of Interest Disclosure
In relation to this presentation, the following COI to be disclosed:
Disclosure of conflict of interest by lead presenter
Disclosures The project was funded from the following sources:
様式1AB (Form4-A) If there is no state of conflict of interest requiring disclosure The Japanese Society of Neurology (JSN) COI Disclosure   Name of Lead.
Form 1-A  (There is a state of conflict of interest (in the past three years) requiring disclosure) The Japanese Society of Gastroenterology (JSGE) COI.
Conflict of Interest Disclosure
Financial Interest/ Affiliation Name of Company(s)
Financial Interest/ Affiliation Name of Company(s)
Conflict of Interest Disclosure Form
様式1AB (Form4-A) If there is no state of conflict of interest requiring disclosure The Japanese Society of Neurology (JSN) COI Disclosure   Name of Lead.
様式1AB (Form4-A) If there is no state of conflict of interest requiring disclosure The Japanese Society of Neurology (JSN) COI Disclosure   Name of Lead.
Conflict of Interest Disclosure
様式1AB (Form 4-C) Disclosure of the state of conflict of interest at the end of a poster at a poster session Lead presenter: There are no companies, etc.
Please use the sample slide format to disclose COI status.
様式1AB (Form 4-C) Disclosure of the state of conflict of interest at the end of a poster at a poster session Lead presenter: There are no companies, etc.
Conflict of Interest Disclosure
Faculty/Presenter Disclosure
Japan Society of Ningen Dock COI Disclosure First author: ○○ ○○
Post of executive /consultant: AB Pharma Co.,
Title of the presentation
Subtitle (if applicable)
Please use the sample slide format to disclose COI status.
様式1AB (Form 4-C) Disclosure of the state of conflict of interest at the end of a poster at a poster session Lead presenter: There are no companies, etc.
Financial Interest/ Affiliation Name of Company(s)
TITLE & AUTHORS Presenter Name, Institution, Country.
Financial and Other Disclosures
Financial Disclosure Financial Interest / Affiliation
Conflict of Interest Disclosure
There is a state of conflict of interest requiring 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.
様式1AB (Form 4-C) Disclosure of the state of conflict of interest at the end of a poster at a poster session Lead presenter: There are no companies, etc.
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.
Conflict of Interest Disclosure Form
Form1 (Example : If there is NO state of conflict of interest requiring disclosure) 18th WCBIP/WCBE COI Disclosure   Name of Lead Presenter: __________________.
様式1AB (Form4-A) If there is no state of conflict of interest requiring disclosure The Japanese Society of Neurology (JSN) COI Disclosure   Name of Lead.
様式1AB (Form 4-C) Disclosure of the state of conflict of interest at the end of a poster at a poster session Lead presenter: There are no companies, etc.
Presentation transcript:

Conflict of interest disclosure Committee of Scientific Affairs None Committee of Scientific Affairs Committee of Scientific Affairs

Conflict of interest disclosure Lecture/consultation fee: Grants: Stock: Employment: Membership on the board of directors or any relationship with another organization: Others: Committee of Scientific Affairs

Committee of Scientific Affairs Example Committee of Scientific Affairs

Conflict of interest disclosure Lecture/consultation fee: Rilly, Nobo Grants: Pizer Stock: Dakeda Committee of Scientific Affairs