ANNOUNCEMENT/FLYER TEMPLATE

KECKSCHOOL OF MEDICINE OF THE

UNIVERSITY OF SOUTHERN CALIFORNIA

DEPARTMENT OF______

Presents

GRAND ROUNDS

DATE:

TITLE:

SPEAKER:(indicate name of specific presenter and academic title)

SPEAKER DISCLOSURE:

Relevant relationships of the activity director and the speaker must be disclosed in writing to the audience prior to each activity. This must be included on the attendance sign-in sheet as well as announcements and flyers.

Examples:

For a speaker/Activity Director with no financial relationships:

Dr. X

Discloses no relevant financial relationships with a commercial interest.

For a speaker/Activity Director with relevant financial relationships:

Dr. X

Consultant: Amgen; Merck & Co.; Speaker’s Bureau: Amgen; Pfizer, Inc.; Merck & Co.; Grant/Research Support: ABC Technologies; Pfizer, Inc.; Stock/Shareholder: Pfizer, Inc.; Other: Employee of ABC Technologies

ACTIVITY DIRECTOR DISCLOSURE:

OBJECTIVE(S): Following participation in this activity, participants should be able to:

List specific lecture objectives for the speaker/presenter (speaker/presenter should provide them)

ACKNOWLEDGEMENT OF COMMERCIAL SUPPORT:

If an educational grant from a drug company was received, use this wording:

This activity is supported by an educational grant from ___(company name)__.

If NO educational grant from a drug company was received, use this wording:

No commercial support was provided for this session.

ACCREDITATION STATEMENT:

The Keck School of Medicine of the University of Southern California is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Keck School of Medicine of the University of Southern California designates this live activity for a maximum of _____AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Rev 11/10

ANNOUNCEMENT/FLYER TEMPLATE

KECKSCHOOL OF MEDICINE OF THE

UNIVERSITY OF SOUTHERN CALIFORNIA

DEPARTMENT OF______

Presents

CASE CONFERENCES

DATE:

TITLE:

SPEAKER:

SPEAKER DISCLOSURE:

Clinical Conferencesmust disclose relevant relationships of the activity director and planning committee members (only) in writing to the audience prior to each activity. This must be included on the attendance sign-in sheet as well as announcements and flyers.

Examples:

For a speaker/Activity Director with no financial relationships:

Dr. X

Discloses no relevant financial relationships with a commercial interest.

For a speaker/Activity Director with relevant financial relationships:

Dr. X

Consultant: Amgen; Merck & Co.; Speaker’s Bureau: Amgen; Pfizer, Inc.; Merck & Co.; Grant/Research Support: ABC Technologies; Pfizer, Inc.; Stock/Shareholder: Pfizer, Inc.; Other: Employee of ABC Technologies

ACTIVITY DIRECTOR DISCLOSURE:

OBJECTIVE(S): Following participation in this activity, participants should be able to:

List global learning objectives for case conferences (found in CME application)

ACKNOWLEDGEMENT OF COMMERCIAL SUPPORT:

If an educational grant from a drug company was received, use this wording:

This activity is supported by an educational grant from ___(company name)__.

If NO educational grant from a drug company was received, use this wording:

No commercial support was provided for this session.

ACCREDITATION STATEMENT:

The Keck School of Medicine of the University of Southern California is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Keck School of Medicine of the University of Southern California designates this live activity for a maximum of _____AMA PRA Category 1 Credit(s)™. Physicians shouldclaim only credit commensurate with the extent of their participation in the activity.

Rev 11/10

ANNOUNCEMENT/FLYER TEMPLATE

KECKSCHOOL OF MEDICINE OF THE

UNIVERSITY OF SOUTHERN CALIFORNIA

DEPARTMENT OF______

Presents

JOURNAL CLUB

DATE:

TITLE:

SPEAKER:

SPEAKER DISCLOSURE:

Journal Clubs must disclose relevant relationships of the activity director and planning committee members (only) in writing to the audience prior to each activity. This must be included on the attendance sign-in sheet as well as announcements and flyers.

Examples:

For a speaker/Activity Director with no financial relationships:

Dr. X

Discloses no relevant financial relationships with a commercial interest.

For a speaker/Activity Director with relevant financial relationships:

Dr. X

Consultant: Amgen; Merck & Co.; Speaker’s Bureau: Amgen; Pfizer, Inc.; Merck & Co.; Grant/Research Support: ABC Technologies; Pfizer, Inc.; Stock/Shareholder: Pfizer, Inc.; Other: Employee of ABC Technologies

ACTIVITY DIRECTOR DISCLOSURE:

OBJECTIVE(S): Following participation in this activity, participants should be able to:

List global learning objectives for journal club (found in CME application)

ACKNOWLEDGEMENT OF COMMERCIAL SUPPORT:

If an educational grant from a drug company was received, use this wording:

This activity is supported by an educational grant from ___(company name)__.

If NO educational grant from a drug company was received, use this wording:

No commercial support was provided for this session.

ACCREDITATION STATEMENT:

The Keck School of Medicine of the University of Southern California is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Keck School of Medicine of the University of Southern California designates this live activity for a maximum of _____AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Rev 11/10