際際滷

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Faculty/Presenter Disclosure
 Faculty: [Speakers name]
 Relationships with financial sponsors:
 Any direct financial relationships including receipt of honoraria:
PharmaCorp ABC, Canadian Cancer Org.
 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
CFPC CoI Templates: 際際滷 1  used in Faculty presentation only.
Disclosure of Financial Support
 This program has received financial support from [organization name] in
the form of [describe support here  e.g. an educational grant].
 This program has received in-kind support from [organization name] in the
form of [describe support here  e.g. logistical support].
 Potential for conflict(s) of interest:
 [Speaker/Faculty name] 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
CFPC CoI Templates: 際際滷 2
Mitigating Potential Bias
 [Explain how the potential sources of bias identified in slides 1
and 2 have been mitigated by the scientific planning
committee, including any potential conflicts identified for
committee members].
 Refer to Quick Tips document for information on how this
can be done
CFPC CoI Templates: 際際滷 3

More Related Content

Disclosure-際際滷s-Revised-for-national-standard-Aug-2019-ENG.pptx

  • 1. Faculty/Presenter Disclosure Faculty: [Speakers name] Relationships with financial sponsors: Any direct financial relationships including receipt of honoraria: PharmaCorp ABC, Canadian Cancer Org. 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 CFPC CoI Templates: 際際滷 1 used in Faculty presentation only.
  • 2. Disclosure of Financial Support This program has received financial support from [organization name] in the form of [describe support here e.g. an educational grant]. This program has received in-kind support from [organization name] in the form of [describe support here e.g. logistical support]. Potential for conflict(s) of interest: [Speaker/Faculty name] 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 CFPC CoI Templates: 際際滷 2
  • 3. Mitigating Potential Bias [Explain how the potential sources of bias identified in slides 1 and 2 have been mitigated by the scientific planning committee, including any potential conflicts identified for committee members]. Refer to Quick Tips document for information on how this can be done CFPC CoI Templates: 際際滷 3

Editor's Notes

  • #1: This slide must be visually presented to the audience AND verbalized by the speaker.
  • #2: This slide must be visually presented to the audience AND verbalized by the speaker.
  • #3: This slide must be visually presented to the audience AND verbalized by the speaker.