Presenter Financial Relationship Disclosure and Conflict of Interest Overview
Explore the relationships between speakers/presenters and financial sponsors, including direct financial ties and involvement in grants or trials. Disclosure of conflicts of interest is highlighted, along with measures to mitigate potential bias.
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Presentation Transcript
Speaker/Presenter Relationship Disclosure Speaker/Presenter: [Name] Relationships with financial sponsors: Any direct financial relationships including receipt of honoraria: PharmaCorp ABC, Canadian Cancer Org. Funded grants or clinical trials: Memberships on advisory boards or speakers bureau: XYZ Biopharmaceuticals Ltd. Patents for drugs or devices: Widget ABC Other: financial relationships/investments Employee of XXY Hospital Group, consultant for Company X CPD Disclosure Form for Speakers/Presenters/Facilitators
Speaker/Presenters Relationship Disclosure Relationships with financial sponsors Name Any direct financial relationships including receipt of honoraria Funded grants or clinical trials Memberships on advisory boards or speakers bureau Patents for drugs or devices Other: financial relationships/in vestments Speaker/prese nter name Speaker/prese nter name Speaker/prese nter name Speaker/prese nter name Speaker/prese nter name Speaker/prese nter name Speaker/prese nter name Speaker/prese nter name
Conflicts of Interest Potential for conflict(s) of interest: [Speaker/Presenter] 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
Mitigating Potential Bias [Explain how the potential sources of bias identified in earlier slides have been mitigated by the scientific planning committee, including any potential conflicts identified for committee members].
