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This document outlines the policy of the VCU School of Pharmacy regarding the disclosure of financial relationships and potential conflicts of interest in relation to Continuing Pharmacy Education
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How to fill out Conflict of Interest Declaration

01
Gather necessary information, including your personal details and any relevant affiliations.
02
Read the instructions carefully to understand the criteria for conflict of interest.
03
List all roles, positions, or relationships that may present a conflict.
04
Indicate whether these relationships are financial, personal, or professional.
05
Provide details for each potential conflict, including nature and extent.
06
Review your declaration for accuracy and completeness.
07
Submit the declaration to the designated authority as per guidelines.

Who needs Conflict of Interest Declaration?

01
Employees in organizations or institutions that require transparency in decision-making.
02
Board members or trustees who influence organizational governance.
03
Researchers applying for grants or conducting studies.
04
Consultants or contractors engaging with organizations.
05
Anyone whose professional responsibilities might lead to a conflict of interest.
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I declare that: I am aware that my information is being collected for the purpose of identifying material personal interests that could influence, or could be seen to influence, the decisions that my family member takes or the advice they give as Agency Head.
Name of party/ individual with whom I may have a direct or indirect potential relationship: Details of my relationship with the party: Type of Conflict (select which apply): Relationship of the conflicted party with the Group: Any other details:
Name of party/ individual with whom I may have a direct or indirect potential relationship: Details of my relationship with the party: Type of Conflict (select which apply): Relationship of the conflicted party with the Group: Any other details:
A conflict of interest statement should include all sources of financial support (for example, sponsors, and grant numbers) other support for the study (such as collecting, analyzing, or interpreting data), writing or revising the manuscript, or any factor that limited (or will limit in the future) the investigators'
Example: I declare that I have no conflicts of interest related to this research/study/project. I have no personal or financial relationships that could influence my work.
Employees must declare any private, financial or other interests of their immediate family (including spouses/partners and children) that they are aware of that could, or could be seen to, influence the decisions or actions they take or the advice they provide in the course of their official duties.
A conflict of interest statement should include all sources of financial support (for example, sponsors, and grant numbers) other support for the study (such as collecting, analyzing, or interpreting data), writing or revising the manuscript, or any factor that limited (or will limit in the future) the investigators'

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A Conflict of Interest Declaration is a formal statement made by individuals disclosing any potential conflicts between their personal interests and their professional responsibilities.
Typically, employees, board members, and officials of organizations, especially those in public service or governance roles, are required to file a Conflict of Interest Declaration.
To fill out a Conflict of Interest Declaration, individuals must provide their personal information, describe any potential conflicts, and sign the declaration to confirm its accuracy.
The purpose of a Conflict of Interest Declaration is to ensure transparency, prevent ethical breaches, and maintain the integrity of decision-making within organizations.
Individuals must report any personal interests, relationships, financial interests, or affiliations that could potentially influence their professional decisions or actions.
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