Submit Your Financial Interest Disclosure
As a sponsor accredited by the Accreditation Council on Continuing Medical Education, ASCRS•ASOA must ensure balance, independence, objectivity, and scientific rigor in all its individually or jointly sponsored activities.
All individuals participating in a sponsored activity must disclose any financial interest or relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation or lack thereof. Financial interest can include such things as grants or research support, consultant, major stockholder, member of speaker's bureau, financial relationships held by spouse, etc.
The intent of this disclosure is to provide the Program Committee with information so they can design and implement a balanced, independent, and scientific educational activity. The Financial Interest Index within the sponsored activity's Final Program provides information to attendees so they can make their own judgment regarding the interest or relationship and the materials presented.
Potential participants in ASCRS-sponsored CME programs, including coauthors/coproducers/co-instructors and faculty, must provide a complete listing of ALL financial relationships relevant to ophthalmology—not just those related to a specific talk—in the financial interest disclosure database. Any relevant relationship that occurred within the previous 12 months should be reported. Those who have no financial interests to disclose should indicate "none" in the database. Disclosure information will be kept on file and used during the calendar year in which it was collected for all CME-bearing activities.
Who must submit a financial interest disclosure? All program participants to include:
This system ensures our continued compliance with the ACCME's guidelines and ensures we continue to provide exceptional quality continuing education; we also believe this system will streamline the process for you, thus improving your overall experience as a participant in our meetings. We thank you in advance for your assistance.
A complete listing of relationships to disclose and their corresponding codes is listed below. Please review the descriptions carefully before continuing.
Submit Your Financial Interest Disclosure
|
Category |
Code |
Specific Financial Interest |
|
Product |
P |
I earn royalty or derive other financial gain from an ophthalmic product or service. |
|
Investor |
R |
I have a significant investment interest in a company that makes/develops/provides ophthalmic products/devices/drugs related to patient clinical care. |
|
Consultant |
A |
I receive a retainer, ad hoc fees, or other consulting income from a company that makes/develops/provides ophthalmic products or services. |
|
B |
I am a member of the speaker's bureau of a company that makes/develops/provides ophthalmic products/devices/drugs related to patient clinical care. |
|
|
Practice Management Consultant |
C |
I provide practice management or marketing consulting services to ophthalmic practices. |
|
Research |
D |
My research is fully or partially funded by a company that makes/develops/provides ophthalmic products/devices/drugs related to patient clinical care. |
|
Travel |
E |
My travel expenses have been reimbursed, paid in full or subsidized, by a company that makes/develops/provides ophthalmic products/devices/drugs related to patient clinical care. |
|
Employee* |
y |
I am a full-time employee of a company that makes/develops/provides ophthalmic products/devices/drugs related to patient clinical care. |
|
Z |
I am a part-time employee of a company that makes/develops/provides ophthalmic products/devices/drugs related to patient clinical care. |
|
|
Spouse |
S |
My spouse has a financial relationship with a company that makes/develops/produces ophthalmic products or services, encompassing either royalties, investment, consulting/speakers bureau, research grants, travel reimbursement or employment. |
* Employee is defined as someone who receives a W-2 from a company.