ACCP-SEEK Conflict of Interest Disclosure Information
IT IS IMPORTANT THAT YOU REVIEW THE INFORMATION BELOW as it relates to this educational activity. Disclosed conflict of interest information will be reviewed initially by the chair, the ACCP staff, and any additional planning committee member, to determine if further review is necessary. The initial review is to be evaluative. All relevant information for each member will be reviewed and a final determination made as to whether a conflict of interest situation exists. Through this evaluation process, a determination will be made to identify the best way to manage the disclosed conflict of interest in one of the following categories:
- Permitted, with the implementation of one or more recommendations to preclude a potential bias as determined by the course director/chair
- Permitted as-is, because the disclosed conflict of interest does not appear to represent a possible source of bias
- Further review is necessary by an ACCP governing body to determine the best way to manage the disclosed conflict of interest
If an additional review is needed, the program director/chair will provide information to the education committee (EC). If further review is necessary, a final decision will be made by the ACCP Conflict of Interest Review Committee, who will be asked to provide final clarification on how best to resolve a specific disclosed conflict as it relates to the educational content within the activity.
The intent of disclosure is to inform participants of any potential conflict of interest, and assure that the ACCP's standards of continuing medical education is to provide a balanced, independent, objective, and scientifically rigorous product. The ACCP's policy is not to prevent a committee member with a significant financial or other relationship from participating unless the disclosed conflict of interest is determined to be unresolvable. The ACCP considers financial relationships between the activity planning members, course directors, and committee members with commercial entities that are related to the educational content within this continuing medical education activity to possibly be in conflict with one another. Thus, the ACCP requires each member of this educational planning activity, course directors, and committee members who will be providing content expertise, to review and disclose any information regarding possible financial conflict of interest. Refusal to disclose any identified conflicts of interest or no conflicts of interest to the ACCP means you relinquish your eligibility to participate in this educational activity.
Planning members, course directors, and committee members are all required to disclose relationships with a commercial interest if both of the following are present: (1) a relationship is financial and occurred within the past 12 months, and (2) you have the opportunity to affect the educational content of this activity about a product or service related to the disclosed commercial interest. If a potential conflict of interest is to develop after you complete this agreement, but occurs before the date the product goes to print, you must inform the ACCP activity staff member immediately.
The ACCP defines any financial relationship to be a potential conflict when the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (eg, stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles, such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities for which remuneration is received or expected. There is no set minimum dollar amount for financial relationships to be considered significant; therefore, any amount is considered an incentive to maintain or increase the value of a possible commercial entity. The ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.
Your name typed below, along with the submission of this form, will be accepted as your electronic signature.
