Example of COI Disclosure Formats in Academic Presentations
These images provide examples of Conflict of Interest (COI) disclosure formats for oral and poster presentations in academic settings. They outline how authors can disclose any potential COIs in relation to their work over the past three years, including details on employment, stock ownership, patents, honoraria, research funding, and more. The formats emphasize transparency and compliance with disclosure requirements in academic conferences.
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Example of COI disclosure format at oral presentation Use this format if no COI exists during the past 3 years (please delete this note when you use in the presentation) The Physiological Society of Japan Disclosure of COI Authors John Doe, Jane Doe Authors have no COI to disclose in relation to the presentation.
Example of COI disclosure format at oral presentation Use this format if you have COI to disclose during the past 3 years (please delete this note when you use in the presentation) The Physiological Society of Japan Disclosure of COI Authors John Doe, Jane Doe Authors disclose following COI in relation to this presentation. RewardEmployment/Leadership position/Advisory role Stock ownership or options Patent royalties/licensing fees Honoraria (e.g., lecture fees) Manuscript fees Research funding Subsidies or Donation Endowed departments by commercial entities Travel fees, gifts, and others Please disclose any COI you have in relation to this presentation during the past 3 years name of relevant authors and companies Please also submit Form 3 to the secretary office of the annual meeting or regional meeting
Example of COI disclosure at poster presentation Use this format if no COI exists during the past 3 years (please delete this note when you use in the presentation) COI: No
Example of COI disclosure format at oral presentation Use this format if you have COI to disclose during the past 3 years 1) Please disclose any COI in the following format 2) Please also submit Form 3 to the secretary office of the annual meeting or regional meeting Authors disclose following COI in relation to this presentation. RewardEmployment/Leadership position/Advisory role Stock ownership or options Patent royalties/licensing fees Honoraria (e.g., lecture fees) Manuscript fees Research funding Subsidies or Donation Endowed departments by commercial entities Travel fees, gifts, and others Please disclose any COI you have in relation to this presentation during the past 3 years name of relevant authors and companies Please also submit Form 3 to the secretary office of the annual meeting or regional meeting
