ESMO Declaration of Interests (DOI) Statement

Transcription

1 ESMO Declaration of Interests (DOI) Statement Purpose and disclaimer As leaders in the field of oncology we all have a responsibility to ensure that our work is presented in the most appropriate fashion to protect the integrity of our research and to provide complete transparency. ESMO requires that all Chairs and Speakers participating in ESMO events complete a declaration of interest (DOI) form. Interests that you should disclose are anything which may be perceived as being a conflict between your private interests and your official responsibilities as a person in a position of trust. The declaration of interest must specify all financial interests you have in relation to the following organisations and cover up to the last 5 years: Pharmaceutical, diagnostic, biotechnology, medical technology and research companies, private healthcare providers and commercial medical education providers. You should provide details about any financial interests you may have in the abovementioned organisations, including, but not limited to, employment, honoraria for speaker engagements and advisory roles, funding and ownership of any stocks and shares. In addition, you should also declare non-financial interests which you have directly benefited from and which may be perceived as having enhanced your career, education or professional reputation, and may have given you access to privileged information. ESMO shall neither be responsible for the accuracy, completeness, usability or security of your declaration of interests data, nor shall ESMO be liable for any damage or loss of any sort arising from or relating to any inaccuracy or incompleteness of your declaration, or resulting from any unauthorised access, use or alteration of your data. ESMO s Declaration of Interest Policy can be found on the link below:

2 Personal financial interests 1) Honoraria you have directly received for any speaker, consultancy or advisory role or similar activity e.g. public speaking, writing engagements, expert testimony, participation in a speaker s bureau, which have been paid directly to you by any for-profit health care company (incl. pharmaceutical, diagnostics, biotechnology, medical technology and research companies or private healthcare or commercial medical education providers). Company Comment

3 2) Leadership role in any for-profit healthcare company (incl. pharmaceutical, diagnostics, biotechnology, medical technology and research companies or private healthcare or commercial medical education providers) for which you are financially compensated e.g. as an employee, officer or member of the Board of Directors. Company Comment

4 3) Details of any stocks or ownership interest that you have in any for-profit healthcare company (incl. pharmaceutical, diagnostics, biotechnology, medical technology and research companies or private healthcare or commercial medical education providers). Company Comment

5 4) Licensing fees or royalties that you directly receive from any Intellectual Property (IP) interests relating to the health or medicine industry. Company Comment

6 5) Direct research funding paid directly to you as a project lead (e.g. Principal Investigator) by any for-profit healthcare company (incl. pharmaceutical, diagnostics, biotechnology, medical technology and research companies or private healthcare or commercial medical education providers). Company Comment

7 Institutional financial interests 6) Details of any financial support which has been paid directly to your institution by any for-profit healthcare company (incl. pharmaceutical, diagnostics, biotechnology, medical technology and research companies or private healthcare or commercial medical education providers) in connection with work that you conduct for clinical trials or contracted research. Company Comment

8 Non-financial interests 7) Details of any non-remunerated activities you have performed for any for-profit healthcare company (incl. pharmaceutical, diagnostics, biotechnology, medical technology and research companies or private healthcare or commercial medical education providers) e.g. leadership position, advisory role, principal investigator function or project lead. Details

9 8) Leadership roles you hold in any other medical society, research group, foundation etc. and for which you are not remunerated. Details

10 9) Details of any non-remunerated membership or affiliation with political pressure groups or associations active in the field of oncology. Details

11 Other 10) We encourage you to declare any other relationship, role or activity not captured above, that you currently have or have had in the last 5 years, that you feel may have in some way influenced your work or your professional behaviour. Details

12 No disclosures to make I confirm that none of the above applies to me and that I have no interests to declare. Declaration I hereby declare that the information I have disclosed is true and complete to the best of my knowledge. By completing this form, I consent to disclosing my declaration of interests to meeting participants and confirm that I have included a slide within my presentation with my declaration. Name: Date: