In accordance with the Accreditation Council for Continuing Medical Education’s (ACCME) Standards for Commercial Support, The George Washington University Office of CEHP requires that all individuals involved in the development of activity content disclose their relevant financial relationships and that conflicts of interest be identified and resolved prior to the planning and implementation of this activity. Any individual who refuses to disclose relevant financial relationships will be disqualified from participating in the activity.

By submitting this form, you acknowledge the following: 

  • I understand that this information will be reviewed to determine whether a conflict of interest may exist, and this information will be provided to participants.
  • I understand that failure or refusal to disclose, false disclosure, or inability to resolve conflicts of interest will require the Office of CEHP to find a substitute planner/presenter.
  • I understand that if I enter a new financial relationship between the time I complete this form and the educational activity, it is my responsibility to notify CEHP prior to the activity. 
 
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Commercial Interest, what was received, for what role, by whom
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