AHNS 2013 Annual Meeting - American Head and Neck Society

Commercial Bias Reporting FormYou are encouraged to …1) Document (on this form) any concerns about commercially-biasedpresentations/materials during educational sessions,2) Make suggestions about how bias might have been avoided/minimized, and3) Immediately take your completed form to the AHNS staff at theRegistration DeskYour feedback will be shared with a member of the CME ComplianceCommittee, who will make the faculty aware of the concerns and/orsuggestions.Commercial BiasThe AHNS CME Compliance Committee has defined “bias” as anexisting predisposition that may interfere with objectivity in judgment.Bias may be minimized through prior declaration of any source ofconflict of interest, reference to evidence-based literature and expertopinions, and/or an independent peer-review process.If an educational presentation certified for CME includes bias of anycommercial interests*, please provide the following details:(*Commercial interest is defined by the ACCME as an entity producing,marketing, re-selling, or distributing health care goods or servicesconsumed by, or used on, patients.)Presentation: Commercial Bias by: Promotion via:(eg session name, etc) (ie faculty name, company rep) (eg handouts, slides, whatthey said, actions)Commercial Bias about:(check all that apply)Patient treatment/management recommendations were not based on strongestlevels of evidence available.Emphasis was placed on one drug or device versus competing therapies, andno evidence was provided to support its increased safety and/or efficacy.Trade/brand names were used.Trade names versus generics were used for all therapies discussed.The activity was funded by industry and I perceived a bias toward the grantors.The faculty member had a disclosure and I perceived a bias toward thecompanies with which he/she has relationships.Other (please describe): __________________________________________________________________________________________________________________________________________________________________________________________________________Suggestions for avoiding or minimizing bias:______________________________________________________________________________________________________________________________________________________________________________________________________Extra Copies Are Available at the AHNS DeskPlease return this form to the AHNS Membership Boothor the Registration Desk, or mail it to:AHNS CME, 11300 W. Olympic Blvd, Suite 600,Los Angeles, CA 9006436 AHNS 2013 Annual Meeting