SIU School of Medicine

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Forms and Policies

In order to identify and resolve all potential conflicts of interests we ask that presenters and planners complete the Conflict of Interest Disclosure Form. For your convenience it is available as a fillable pdf document, editable on your computer. Please submit it as an attachment to an email addressed to Laura Worrall ( at least 1 month prior to the activity.It is recommended that you save a copy for any modifications that you may need to make for future presentations.

SIU School of Medicine Faculty and Staff please use the
SIU SOM Conflict of Interest Website >

Conflict of Interest Disclosure & Attestation Form   [ MS Word ]
Conflict of Interest Policy [ PDF ]  
Honorarium and Reimbursement Policy [ PDF ]  
Policies on Industry Relations [ PDF ]  
Policy on Marketing Presentations [ PDF ]  
ACCME Standards for Commercial Support [ PDF ]  
Letter of Agreement for Commercial Support   [ MS Word ]
Credit for Learning from Teaching    
FAQs for the learning associated with teaching medical students and residents [ PDF ]  
Credit for Learning from Teaching Guidelines   [ MS Word ]
Learning From Teaching Credit Documentation Form [ PDF ]