Faculty/Presenter Disclosure

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Faculty/Presenter Disclosure Faculty: [Speaker’s name] Relationships with financial sponsors: Grants/Research Support: PharmaCorp ABC Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd. Consulting Fees: MedX Group Inc. Patents: Widget ABC Other: Employee of XXY Hospital Group This slide must be visually presented to the audience AND verbalized by the speaker.

Disclosure of Financial Support This program has received financial support from [organization name] in the form of [describe support here – e.g. an educational grant]. This program has received in-kind support from [organization name] in the form of [describe support here – e.g. logistical support]. Potential for conflict(s) of interest: [Speaker/Faculty name] has received [payment/funding, etc.] from [organization supporting this program AND/OR organization whose product(s) are being discussed in this program]. [Supporting organization name] [developed/licenses/distributes/benefits from the sale of, etc.] a product that will be discussed in this program This slide must be visually presented to the audience AND verbalized by the speaker.

Mitigating Potential Bias The FMF Committee has mitigated the bias for this presentation as follows: Presenter agrees to adhere to all Mainpro+ and National Standards Presenter has received the COI Quick Tips document Presenter agrees to present only evidence-based content or declare otherwise Presenter advised to use generic names only when discussing therapeutic options Presenter agrees to include COI slides and verbal mention in each presentation This slide must be visually presented to the audience AND verbalized by the speaker.