Disclose All Commercial Interest and Relevant Financial Relationships
The MNI Great Lakes ECHO CME Program must ensure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities. Therefore, all participating activity organizers, program directors, committee members, and lecturers in a sponsored event are expected to disclose any relevant financial relationships or other relationship
1.) with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and
2.) with any commercial supporters of the CME activity.
The intent of this disclosure is not to prevent a speaker, presenter, event organizer or committee member who may have influence over material from contributing, but rather to provide activity organizers and listeners with information on which they can make their own judgments. It remains for the audience to determine whether the speaker’s interests or relationships may influence the presentation with regard to exposition or conclusion.
Although organizers and committee members may not actually present at a planned event, their responsibility of program planning, oversight and credit approval places them in positions to potentially influence educational events. The significance to influence, therefore requires full disclosure of potential conflicts of interests in the fulfillment of their responsibilities.
The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as any entity producing, marketing, re‐selling, or distributing health care goods or services consumed by, or used on, patients.
The ACCME defines "'relevant' financial relationships" as financial relationships in any amount occurring within the past 12 months that create a conflict of interest.
Affirmation (Required) I attest to the following:
1.) I will prepare fair & balanced presentations that are objective & scientifically rigorous. Content – including therapeutic options, recommendation, or emphasis – will be well‐balanced, evidence based where possible & unbiased. Source and type of evidence will be made clear to the participants and be HIPAA compliant, i.e., I will only use de‐identified patient information. No single product or service will be over represented when other equal but competing products or services are available for inclusion.
2.) I will use generic names to the extent possible when discussing specific health care products or service. If I need to use trade names, I will use trade names from several companies when available, & not just trade names from any single company.
3.) If I have been trained or utilized by a commercial entity or its agent as a speaker for any commercial interest, the promotional aspects of that presentation will not be included in any way with this activity.
4.) If I am presenting research funded by a commercial company, the information presented will be based on generally accepted scientific principles & methods, & will not promote the commercial interest of the funding company.
5.) The handouts and slides will not include my company logo other than on the first slide (the copyright symbol may be included on each of the slides.
6.) I will not include any advertising, trade names or product‐group messages in any of the educational materials for this CE activity (slides, abstracts, handouts, etc.).
7.) I understand that MNI and activity planners need to review my presentation &/or content prior to the activity & I have provided my educational content and resources with this form. If I make changes to my presentation after submitting this form that could affect my compliance with accreditation or the activity planners agreement, I will notify all parties prior to live event and submit a new form.
8.) I have not and will not accept any honoraria, additional payments or reimbursements beyond that which has been agreed upon directly with Sponsor of this activity.
8.) I understand that participants will be asked to evaluate these requirements. Consent (Required) I consent for United For Healthcare Workers, LLC to share the content I provided in this application to MNI Great Lakes ECHO for CME accreditation. Furthermore, I consent to United For Healthcare Workers, LLC to share the content presented in this application to the educational institutions/platforms listed above whom I have consented to host my course. I give MNI Great Lakes ECHO permission to house my course content on their platform where participants may assess enduring materials and download course certification. I understand that at anytime I may request to withdraw this application and my content from United Healthcare Workers, LLC and MNI Great Lakes ECHO in writing. I affirm that: (i) I or my employer are the owner(s) of the content provided above; (ii) In the event any materials used in my course content contain the work of other individuals or organizations (including any copyright protected works), I confirm that I have all necessary permissions and/or licenses that may be required; and (iii) my course content and all associated services provided by me shall be performed in a professional manner, comply with applicable laws and regulations, and be of a high grade, nature and quality.