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SPEAKER DISCLOSURE STATEMENT TSA requires that all presenters complete a disclosure statement prior to course approval. Please complete the below form and return it to your sponsoring organization. COURSE

How to fill out speaker disclosure statement

How to fill out a speaker disclosure statement:

1. Begin by gathering all the necessary information. This includes your full name, contact information, and any relevant professional affiliations or credentials.
2. Next, clearly state the purpose of the speaker disclosure statement. This may be to disclose any potential conflicts of interest, financial relationships, or affiliations that could influence your presentation or the information you provide.
3. Identify any potential conflicts of interest. This could include any financial relationships with pharmaceutical companies, medical device manufacturers, or other entities that could be seen as potentially influencing your presentation or the information provided.
4. Disclose any relevant financial relationships. Provide details about any financial compensation, grants, or sponsorships received from third parties that could be considered a potential conflict of interest.
5. If applicable, disclose any relevant non-financial relationships or affiliations. This could include membership in professional organizations, advisory board positions, or any other associations that could be seen as influencing your presentation.
6. Provide a brief explanation or justification for any potential conflicts of interest or financial relationships disclosed. This could include information about steps taken to mitigate any potential bias or influence on your presentation.
7. Review the completed speaker disclosure statement for accuracy and completeness. Make sure all relevant information is included and clearly stated.

Who needs a speaker disclosure statement:

1. Speakers at professional conferences or events: Most professional conferences and events require speakers to complete a speaker disclosure statement to ensure transparency and maintain the integrity of the event.
2. Researchers presenting findings: Researchers who present their findings at conferences or symposiums may need to disclose their financial relationships or potential conflicts of interest to ensure unbiased and transparent communication of their research.
3. Healthcare professionals: Healthcare professionals, such as doctors, nurses, and pharmacists, who engage in speaking engagements or educational activities may need to complete a speaker disclosure statement to inform others about any potential conflicts of interest that could influence their presentation or recommendations.

Remember, it is important to carefully review the specific requirements of the event or organization you are presenting for, as each may have their own guidelines and expectations for speaker disclosure statements.

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What is speaker disclosure statement?

Speaker disclosure statement is a document that discloses any relevant financial relationships or conflicts of interest that a speaker may have.

Who is required to file speaker disclosure statement?

Speakers who are presenting at a conference, seminar, or event where they are being compensated for their participation are typically required to file a speaker disclosure statement.

How to fill out speaker disclosure statement?

To fill out a speaker disclosure statement, the speaker must provide information about any financial relationships or conflicts of interest they have that could potentially bias their presentation.

What is the purpose of speaker disclosure statement?

The purpose of a speaker disclosure statement is to promote transparency and integrity in presentations by ensuring that any potential biases are disclosed to the audience.

What information must be reported on speaker disclosure statement?

Information that must be reported on a speaker disclosure statement includes any financial relationships, such as consulting fees, honoraria, or stock ownership, that could create a conflict of interest.