Financial Disclosure Form to be completed by Planners/Authors/Editors/Presenters
Before completing the disclosure form, you may find this brief ACCME video on financial relationship disclosure helpful. Click here to view the video.
This form must be completed by all planners, faculty, and others who would be in positions to control content.
Oakstone Publishing is accredited by the ACCME. In accordance with the ACCME Standards for Integrity and Independence, Oakstone Publishing requires all planners, faculty, and others in a position to control the educational content of an accredited CE activity to disclose the absence or existence of all financial relationships (of any dollar amount) with any ineligible companies within the past 24 months.
The ACCME defines ineligible companies as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
There is no minimum financial threshold; you must disclose all financial relationships, regardless of the amount, with ineligible companies. We ask you to disclose regardless of whether you view the financial relationships as relevant to the education. Oakstone Publishing will determine whether any disclosed financial relationships are relevant to the educational activity. Financial relationships are considered relevant if the content of the education is related to the products or services of the ineligible company. Individuals must disclose all financial relationships with ineligible companies, regardless of whether they believe the relationships are relevant to the content. The accredited provider is responsible for determining relevance. For more information on the Standards for Integrity and Independence in Accredited Continuing Education, please visit accme.org/standards.
What are the next steps in this process? After we receive your disclosure information, we will review it to determine whether your financial relationships are relevant to the education. Please note: the identification of relevant financial relationships does not necessarily mean that you are unable to participate in the planning and implementation of this educational activity. Rather, the accreditation standards require that relevant financial relationships are mitigated before you assume your role in this activity. If no relevant financial relationships are identified, no mitigation is required.
Mitigation strategies will be appropriate to the role(s) on the activity and may include recusal from planning decisions, peer review of planning decisions and content by a person without relevant financial relationships, attesting that clinical recommendations are evidence-based and free of commercial bias, or other action consistent with ACCME Standards.
If any new financial relationships arise prior to or during the educational activity, you must immediately notify Oakstone Publishing so that review, mitigation, and disclosure to learners can occur. All planners, faculty, and others who would be in positions to control content are required to complete this form. All relevant financial relationships, or the absence of relevant financial relationships, will be disclosed to learners prior to the start of the educational activity in accordance with ACCME Standards for Integrity and Independence. Disclosure to learners will include the name of the ineligible company and the nature of the relationship, or a statement that no relevant financial relationships exist. Disclosure to learners will also include a statement that all relevant financial relationships have been mitigated in accordance with ACCME Standards for Integrity and Independence.
If you complete this form annually, rather than by activity, you are required to notify the Office of Continuing Education at oakcmeoffice@ebix.com of any new relationships to ensure up-to-date information is relayed to the learner.
If you have questions about these expectations please contact us at oakcmeoffice@ebix.com.
Failure to provide required disclosure information or to comply with ACCME Standards for Integrity and Independence will prevent participation in the planning, development, or presentation of this activity. Individuals who refuse to disclose financial relationships will be disqualified from participation in the activity.
Please make sure you have made the appropriate selection. If you do not agree to present balanced, objective, evidence-based content, disclose all financial relationships, and comply with ACCME Standards for Integrity and Independence, you may NOT participate in the planning, development, or presentation of this program or its contents. If you made this selection in error, then please make the correction and continue.
The following information is required:
Select the activity from the menu for which you are a planner/author/editor/presenter.