RSS ACTIVITY TITLE________________________________________________________________
SESSION DATE: ______________________________
CME Disclosure of Financial Interests
FY15
ACCME requires that every person who presents at a conference in which discussion takes place as the
bulk of the conference must disclose to the audience their financial interests.
Presenters of
cases/articles
John Smith, MD (example)
Jim Jones, MD (example)
Jane Doe, MSN (example)
ATTENDEES
Marcus Welby, MD
Benjamin Spock, MD
Mehmet Oz, MD
Has
nothing
to
disclose
X
Disclosure
Disclosure
Research grant - Pfizer
Stockholder – Merck
expires
6/30/2015
6/30/2015
6/30/2015
Attendance Sign-In
X
X
X
Disclosure Policy
It is the policy Southern Illinois University School of Medicine, Continuing Medical Education, to ensure balance, independence, objectivity and
scientific rigor in all its educational activities. All faculty participating in this activity are expected to disclose to the audience any financial interest
or other relationship he/she has with the manufacturer(s) of any commercial product(s) discussed in an educational presentation. Presentations
are expected to be based on evidence that is accepted within the profession of medicine as adequate justification for their indications in the care
of patients. All scientific research should conform to the generally accepted standards of experimental design, data collection and analysis.