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Sample Disclosure Slide for Presenters

Sample Disclosure Slide for Presenters. Presentation Title Presenter’s Name My disclosure along with my co-authors is listed in the disclosure index on the DVD-Rom of the Transactions of the ORS 2012 Annual Meeting. I have no potential conflicts with this presentation. Presentation Title

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Sample Disclosure Slide for Presenters

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  1. Sample Disclosure Slide for Presenters

  2. Presentation Title • Presenter’s Name • My disclosure along with my co-authors is listed in the disclosure index on the DVD-Rom of the Transactions of the ORS 2012 Annual Meeting. • I have no potential conflicts with this presentation.

  3. Presentation Title • Presenter’s Name • My disclosure along with my co-authors is listed in the disclosure index on the DVD-Rom of the Transactions of the ORS 2012 Annual Meeting. • I have a potential conflict with this presentationdue to…

  4. One or more of the authors of the next presentation have identified the following potential conflicts of interest. • Royalties • Speakers Bureau/paid presentations • Employee, Paid Consultant, or Unpaid Consultant • Financial/Material Support • Stock or stock options

  5. One or more of the authors of the next presentation have identified the following potential conflicts of interest. • Research or institutional support from company/supplier • Research or institutional support through department, division, or practice • Financial/material support from medical or orthopaedic publisher • Research or institutional support from medical and/or orthopaedic publisher • Research or institutional support from medical • and/or orthopaedic publisher through • department, division or practice.

  6. Title of Talk • Jane Doe • My disclosure along with my co-authors is listed in the disclosure index on the DVD-Rom of the Transactions of the ORS 2012 Annual Meeting. • I have a potential conflict with this presentation– Royalties received from ABC Company; Research support received from XYZ Company; stock in 123 Company, Inc.

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