**Speakers please note: Your disclosure slide can be uploaded with your completed COI form. Have your completed slide, as well as a brief bio, ready before you begin to fill out this form.This form is collecting the following
- Conflict of Interest Declaration for Accreditation
- CFPC Disclosure Slide (For speakers: first fill out your CFPC disclosure slide before completing the electronic conflict-of-interest (COI) form.
- 2-3 sentence speaker bio for introductory purposes
- Speaker headshot (Headshots may be used for ASM promotion and are not mandatory)
- Speaker Release for Video and Audio Recording
Click REGISTER in the left-hand column, once you are ready to complete your form.
What to Disclose
It has become increasingly important to Continuing Medical Education/Continuing Professional Development (“CME/CPD”) planners and participants that there is full disclosure and if feasible, resolution of any competing interests with respect to information being presented at a CME/CPD event. Please list any affiliation (financial or otherwise) with a commercial or other interest that may have a direct or indirect connection to the content of a CME/CPD presentation. A potential conflict of interest is a situation where the personal and professional interests of individuals may have actual, potential, or apparent influence. In particular, for the 2 year period prior to a CME activity, we are asking all presenters and course planners to disclose conflicts using the online form by clicking the REGISTER button. A conflict of interest could include, but is not limited to, the following:
It is the presenter’s responsibility to ensure that their presentation (including any recommendations made) is balanced, and reflects the current scientific literature. Presentations must give a balanced view of all relevant therapeutic options available and a fair assessment must be presented.
Unapproved use of products or services must be declared at the beginning of the presentation.
In addition, the college requires faculty presentations to be consistent in their use generic names during their presentation. When using trade names, it is preferable to use multiple trade names per product (if available) rather than referencing a single trade name.
How to Disclose
Each presenter should announce to the audience both verbally and in writing disclosure of the preceding information, if applicable, prior to any presentation with a slide. Speakers who have no involvement with commercial interests should also inform the audience that they are unable to identify any potential conflict of interest and have nothing to disclose.
Each presenter should announce to the audience disclosure of discussion of off-label use, if applicable, prior to any presentation content with a slide.
False disclosure or failure to disclose conflict of interest as outlined in this document could require the planning committee to replace the presenter/speaker.