AOA Standard 2.2.4.2, ACCME Criterion 7 (SCS 6), CPME 8.0

Des Moines University must ensure balance, independence, objectivity, and scientific rigor in all its individually sponsored educational activities. This document must be completed by all individuals who have influence over the content of the educational activity (i.e., activity director(s), planning committee, faculty, etc). Any individual who refuses to disclose relevant financial relationships will be disqualified from influencing continuing medical education (CME) content and cannot have control of, or responsibility for, the development, management, presentation, or evaluation of the activity. The intent of the disclosure is not to prevent an individual with a significant financial or other relationship from being involved in a CME activity, but rather to provide the audience with information on which they can make their own judgments. 

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 does not consider providers of clinical service directly to patients to be commercial interests.

A conflict of interest may be considered to exist if such person or their spouse or partner has financial relationships with the grantor or any commercial interest(s) that may have a direct impact on the content of the program. Financial relationship is defined as being a shareholder, consultant, grant recipient, research participant, employee, and/or recipient of other financial or material support. Recent is defined as the past 12 months.

This disclosure policy is intended to protect all parties involved from any potential conflict of interest that may arise. Individuals participating in a DMU educational activity must be made aware of any such financial relationship(s) or the lack of a financial relationship. If you are a speaker, please include a disclosure statement at the beginning of your presentation. Example disclosure statements are below. 

  • No Relevant Financial Conflicts: Relevant to the content of this educational activity, I do not have any financial conflicts with commercial interest companies to disclose.
  • Self: Relevant to the content of this educational activity, I am a consultant for ABC Pharma Company. 
  • Spouse or Partner: Relevant to the content of this educational activity, my spouse or partner is an advisory board member for XYZ Medical Device Manufacturer. 

How can I determine if my organization is a commercial interest?

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Relevant financial relationships are those in which an individual (including the individual’s spouse/partner) in the last 12 months has had a personal financial (any amount) relationship with a commercial interest who produces, markets, re-sells, or distributes health care goods or services consumed by, or used on, patients and/or who also has control over educational content (planning or presenting) about this activity.
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Principal investigator or working directly for company or the company’s agent
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Providers of clinic services directly (i.e., clinics, hospitals, etc.) are NOT commercial interests.
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If at any time during my presentation I discuss an off-label use of a commercial product/device, I understand that I must provide disclosure of that intent.
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I will uphold Des Moines University’s continuing medical education standards and guidelines to ensure balance, independence, objectivity, and scientific rigor in my role in the planning, development or presentation of this activity. I understand that continuing education accreditation guidelines prohibit me from accepting any reimbursement (financial, gifts, or in-kind exchange) for this presentation from any source other than the accredited CME provider or its educational partner. Additional information may be requested to address any perceived conflict of interest. All identified conflicts of interest will be managed and resolved in advance of the activity and disclosure information will be shared with the activity participants. By signing this box with my electronic signature, I attest that the information I have provided is complete to the best of my knowledge and I accept responsibility for the accuracy of the information in response to the aforementioned questions.