1. Title of Presentation Speaker Names, Credentials, Full Title Collaborative Family Healthcare Association 13 th Annual Conference October 27-29, 2011 Philadelphia, Pennsylvania U.S.A. Session # October __, 2011 0:00 AM

2. Faculty Disclosure Please add the commercial interest disclosures that you reported on your signed Disclosure form: I/We have not had any relevant financial relationships during the past 12 months. OR I/We currently have or have had the following relevant financial relationships (in any amount) during the past 12 months: (list them here)

3. Need/Practice Gap & Supporting Resources What is the scientific basis for this talk?

4. Objectives Should tie the Needs and Outcomes together

5. Expected Outcome What do you plan for this talk to change in the participant’s practice?

6. Learning Assessment A learning assessment is required for CE credit. Attention Presenters: Please incorporate audience interaction through a brief Question & Answer period during or at the conclusion of your presentation. This component MUST be done in lieu of a written pre- or post-test based on your learning objectives to satisfy accreditation requirements.

7. You can begin your slides here and REMOVE THIS SLIDE Powerpoint presentations will be reviewed in advance and education sessions audited during the Conference to ensure compliance for accreditation purposes. Commercial support standards require that your presentation be free from commercial bias. Educational materials that are a part of a continuing education activity such as slides, abstracts and handouts cannot contain any advertising or product ‐ group message. The content or format of a continuing education activity or its related materials must promote improvements or quality in health care and not a specific propriety business interest of a commercial interest. Presentations must give a balanced view of therapeutic options. Use of generic names will contribute to this impartiality. If the educational material or content includes trade names, where available trade names for products of multiple commercial entities should be used, not just trade names from a single commercial entity. Faculty must be responsible for the scientific integrity of their presentations. Any information regarding commercial products/services must be based on scientific (evidence ‐ based) methods generally accepted by the medical community.

8. Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!