Sample Disclosure Slide for Presenters

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Presenter Disclosure Information (SAMPLE DISCLOSURE SLIDE)

Presentation transcript:

Sample Disclosure Slide for Presenters

Presentation Title Presenter’s Name My disclosure along with my co-authors is listed in the disclosure index on the ORS website. I have no potential conflicts with this presentation.

Presentation Title Presenter’s Name My disclosure along with my co-authors is listed in the disclosure index on the ORS website. I have a potential conflict with this presentation due to…

One or more of the authors of the next presentation have identified the following potential conflicts of interest. Royalties from pharmaceutical/orthopaedic product/device Speakers Bureau/paid presentations Employee, Paid Consultant, or Unpaid Consultant Stock or stock options

One or more of the authors of the next presentation have identified the following potential conflicts of interest. 5. Research or institutional support from company/supplier Financial/material support from medical or orthopaedic company/supplier Royalties, financial/material support from medical/orthopaedic publisher

My disclosure along with my co-authors is listed Title of Talk Jane Doe My disclosure along with my co-authors is listed on the ORS website I have a potential conflict with this presentation – Royalties received from ABC Company; Research support received from XYZ Company; stock in 123 Company, Inc.