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[Session Number: Title] [Speaker Optional: Job title Institution]

Disclosure [Disclose relevant financial relationships with commercial interests from the past 12 months that have the potential to bias your presentation. Relevant financial relationships include those of your life partner If you and/or your life partner have NO relevant financial relationships with commercial interests, you must disclose the lack of these relationships] Examples are: [Edit as needed. You must disclose in order to be a speaker at AMIA 2014 Annual Symposium: Speaker A discloses that he has no relationships with commercial interests. Speaker A discloses that she has received grant funding from Astellas. Speaker A discloses that her partner owns stock in sanofi-aventis, has been a consultant for BMS, and receives royalties from licensed patents developed for Cook Medical. 2

Learning Objectives After participating in this activity, the learner should be better able to: [Use Learning Objectives from your abstract submission] Lorem ipsum dolor sit amet 3

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Questions Thank you! 5