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Sample Disclosure Slide for Presenters

Published bySibyl Dorsey Modified over 9 years ago

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Presentation on theme: "Sample Disclosure Slide for Presenters"— Presentation transcript:

1 Sample Disclosure Slide for Presenters

2 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.

3 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…

4 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

5 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

6 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.

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Faculty/Presenter Disclosure Faculty: [Speaker’s name] Relationships with commercial interests: – Grants/Research Support: PharmaCorp ABC – Speakers Bureau/Honoraria:

Faculty/Presenter Disclosure Faculty: [Speaker’s name] Relationships with commercial interests: – Grants/Research Support: PharmaCorp ABC – Speakers Bureau/Honoraria:
Sample Disclosure Slide for Presenters. Presentation Title Presenter’s Name My disclosure along with my co-authors is listed in the disclosure index on.

Sample Disclosure Slide for Presenters. Presentation Title Presenter’s Name My disclosure along with my co-authors is listed in the disclosure index on.
(session title) (speakers, credentials, insitutions)

(session title) (speakers, credentials, insitutions)
(session title) (speakers). Disclosure Speaker(s) should disclose any relationship that could reasonably be viewed as creating a conflict of interest,

(session title) (speakers). Disclosure Speaker(s) should disclose any relationship that could reasonably be viewed as creating a conflict of interest,
Presentation Title Speaker Name. Conflict of Interest Disclosures for Speakers 1. I do not have any relationships with any entities producing, marketing,

Presentation Title Speaker Name. Conflict of Interest Disclosures for Speakers 1. I do not have any relationships with any entities producing, marketing,
Presentation Title Speaker Name. Conflict of Interest Disclosures for Speakers 1. I do not have any potential conflicts to disclose. 2. I wish to disclose.

Presentation Title Speaker Name. Conflict of Interest Disclosures for Speakers 1. I do not have any potential conflicts to disclose. 2. I wish to disclose.
Www.amia.org [Session Number: Title] [Speaker Optional: Job title Institution]

[Session Number: Title] [Speaker Optional: Job title Institution]
Faculty/Presenter Disclosure Slide 1 Faculty: [Speaker’s name] Relationships with commercial interests: – Grants/Research Support: PharmaCorp ABC – Speakers.

Faculty/Presenter Disclosure Slide 1 Faculty: [Speaker’s name] Relationships with commercial interests: – Grants/Research Support: PharmaCorp ABC – Speakers.
Title of the presentation

Title of the presentation
Financial Disclosures Financial interests, arrangements or affiliations that could be perceived as a real or apparent “conflict of interest” in the context.

Financial Disclosures Financial interests, arrangements or affiliations that could be perceived as a real or apparent “conflict of interest” in the context.
Speaker Name: Disclosure of Relevant Financial Relationships

Speaker Name: Disclosure of Relevant Financial Relationships
NOTE: This should be the first slide after the title page slide.

NOTE: This should be the first slide after the title page slide.
Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: - A conflict of interest is any situation.

Disclosure In relation to this presentation, I declare the following, real or perceived conflicts of interest: - A conflict of interest is any situation.
Presentation Title Your company information.

Presentation Title Your company information.
Presentation Title Your company information.

Presentation Title Your company information.
Title Speakers. Title Speakers Disclosure Speaker(s) should disclose any relationship that could reasonably be viewed as creating a conflict of interest,

Title Speakers. Title Speakers Disclosure Speaker(s) should disclose any relationship that could reasonably be viewed as creating a conflict of interest,
Disclosure Slide Templates

Disclosure Slide Templates
PRESENTATION NUMBER: PRESENTATION TITLE PRESENTER Author Block.

PRESENTATION NUMBER: PRESENTATION TITLE PRESENTER Author Block.
Faculty Disclosure Off-Label Product Use

Faculty Disclosure Off-Label Product Use
DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.

DISCLOSURE SLIDE i. EITHER please state your disclosures including, but not limited to, - Personal financial interests, incl. honoraria you have received.

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