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Faculty Disclosure Slide Templates

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1 Faculty Disclosure Slide Templates
Please note: for the ATS 2017 International Conference, the following Faculty Disclosure Slide templates are intended for use by presenters of Sunrise, Meet the Professor, Medical Education and Faculty Development Seminar and Thematic Seminar series, who must bring their presentations to their meeting room (i.e., do not use the advance upload process), and must personally produce and display a disclosure slide at start of presentation to comply with accreditation requirements. Faculty for other CME-accredited sessions will instead use the new automatic process described in the “Revised Instructions for Disclosure by Presenters of Relevant Commercial Interests” posted at:

2 No relevant commercial interests.
Faculty Disclosures Type your name here Relevant financial relationships with a commercial interest: Please retain the titles above. If you or your spouse/life partner, if any, HAVE NOT HAD A RELEVANT COMMERCIAL INTEREST (i.e., a financial relationship with a commercial interest that could be considered relevant to your presentation subject matter), in the past 3 years or expected by end of 2017, please use the following, in at least 20 point type, to state this. (Remove all instructions from slide.) No relevant commercial interests. If you or your spouse/life partner, if any, HAVE HAD A RELEVANT COMMERCIAL INTEREST in the past 3 years or expected by end of 2017, instead list it using the format below, in at least 20 point type. Remove all instructions from slide. If more than one, type a separate bulleted entry for each. The company name (or the name of a relevant Intellectual Property of yours if not yet sold or licensed to a particular company) , followed by the type(s) of relationship (e.g., Research Support) , followed by (within parentheses) whether that relationship is (Active), (Past), or (Expected). If you need additional space, use the optional 3rd slide in this slide set. If you need more information, such as on “types of relationship”, see the 2017 Session Faculty Disclosure Slide Instructions memo.

3 Faculty Disclosures u Type your name here “Off-label” use discussed within my presentation: Do not use this slide if YOU WILL NOT discuss within your presentation any “off-label” use (i.e., use of product that has not yet been approved by the U.S. Food and Drug Administration for the use presented, or investigational use of a drug or device that has not yet been approved by the U.S. Food and Drug Administration). If YOU WILL discuss “off-label” use during your presentation, please instead replace these instructions with the following information and format, using at least 20 point type. If you will discuss more than one “off-label use” within your presentation, type a separate bulleted line or paragraph for each. Name of the commercial product (use the generic name rather than brand name), followed by a brief description of the nature of the off-label use discussed. (If you need additional space, use the optional 3rd slide in this slide set. If you need more information, see the 2017 Session Faculty Disclosure Slide Instructions memo)

4 Faculty Disclosures u Type your name here Use this optional extra slide template if an additional slide is needed. Please first type the category title (i.e., either Relevant financial relationships with commercial interests or Off-label use discussed within my presentation). Then type your additional disclosure(s) here, using the same format you used for your first slide of the same category. Use at least 20 point type.


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