A Guide to Mainpro Accreditation - The College of Family Physicians ...

APPENDIX 7: Disclosure of Potential Conflict of Interest
Effective September 1, 2009, all live Mainpro-accredited programs and sessions must include written and verbal disclosure of
potential conflict of interest.
The CFPC has developed a sample PowerPoint template/reference for CME/CPD providers (see below). At a minimum, the
following items must be included as part of the written or verbal disclosure for each presenter or speaker.
Name of presenter or speaker
Topic the speaker will address
Financial disclosure
o Grants/Research support
o Speaker bureau/Honoraria amounts
o Consulting fees
o Other
If speakers have not been identified at the time of application, please ensure that a placeholder slide is included in the materials
submitted for accreditation (to be filled in once speakers have been identified).
Disclosure of Potential for
Conflict of Interest
Sarah K. Roads, MD
Eating Disorders and Adolescence – A Novel Study
FINANCIAL DISCLOSURE
Grants/Research Support: PharmaCorp ABC
Speakers Bureau/Honoraria: XYZ Biopharmaceuticals Ltd.
Consulting Fees: MedX Group Inc.
Other: Employee of XXY Hospital Group
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