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Faculty / Presenter Disclosure Faculty: [Speaker’s Name]

Faculty / Presenter Disclosure Faculty: [Speaker’s Name] Relationships with commercial interests: - Grants/Research Support: Pharma Corp ABC -Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd. -Consulting Fees: MedX Group Inc. -Other: Employee of XXY Hospital Group.

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Faculty / Presenter Disclosure Faculty: [Speaker’s Name]

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  1. Faculty / Presenter Disclosure Faculty: [Speaker’s Name] Relationships with commercial interests: -Grants/Research Support: Pharma Corp ABC -Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd. -Consulting Fees: MedX Group Inc. -Other: Employee of XXY Hospital Group

  2. Disclosure of Commercial Support This program has received financial support from [organization name] in the from of [describe support here e.g. an educational grant] This program has received in-kind support from [organization name] in the from of [describe support here e.g. logistical support] Potential for conflict(s) of interest: [Speaker/Faculty name] has received [payment/funding etc.] from [organization supporting this program AND/OR organization whose product(s) are being discussed in this program]. [Supporting organization name] [developed/licenses/distributes/benefits from the sale of, etc.] a product that will be discussed in this program: [insert generic brand name here].

  3. Mitigating Potential Bias Explain how potential sources of bias identified in slides 1 and 2 have been mitigated

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