Faculty, planners, and managers who affect the content of a CME/CE activity are required to disclose their own financial relationships, as well as relationships to products or devices their spouse/life partner have, with commercial interests related to the content of this CME/CE activity of any amount over the past 12 months. 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 from which remuneration is received, or expected (honoraria received from a CME/CE provider for serving as a CME/CE faculty member by you or your spouse/life partner, even though those funds may have been provided through an educational grant from a commercial interest, DO NOT HAVE TO BE DISCLOSED). A commercial interest is defined by the ACCME, AAPA, ACPE, ANCC, and ARBO/COPE as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients. Relationships with governmental agencies (e.g., the NIH) do not have to be disclosed.

Project ID: 17129-LJ
Activity: 2022 SPS Annual Conference

Your Name:

I am a/an: Faculty Member Planner/Manager Other

An ineligible entity is any entity whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. For specific examples, visit accme.org/standards.

In the past 24 months, I have not had any financial relationships with ineligible companies.

I attest that the above information is correct as of date of submission.

Signature:

Date:

The ACCME Standards for Integrity and Independence require that we disqualify individuals who refuse to provide this information from involvement in the planning and implementation of accredited continuing education. Thank you for your diligence and assistance.