National Sleep Foundation faculty are recommended by the appointed program activity chairs. If you are interested in serving as a faculty member for NSF, submit your request via the Contact Us button in the upper right hand corner of the screen.

Faculty Disclosure Form

Instructions:

Please read through the following definitions and then complete the Faculty Disclosure Form.

Purpose:

This disclosure form provides a standardized mechanism for identification, review and analysis of any financial relationship(s) that may affect the independence, integrity and scientific balance of CME activities designated for credit by the National Sleep Foundation. Please respond to the questions below with regard to your relationship with industry over the past 12 months.

Definitions:

Definition of a Conflict of Interest

The Accreditation Council for Continuing Medical Education (ACCME) considers financial relationships to create actual conflicts of interest in CME when individuals have both a financial relationship with a commercial interest and the opportunity to affect the content of CME about the products or services of that commercial interest with which he/she has a financial relationship.

Definition of a Financial Relationship

The ACCME defines financial relationships as relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria for promotional speakers’ bureau, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research and clinical trials), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.

Definition of a Commercial Interest

The ACCME defines commercial interests as any proprietary entity producing, marketing, re- selling, or distributing health care goods or services consumed by, or used on, patients.

Definition of a Relevant Financial Relationship

In accordance with ACCME standards and policies, NSF defines relevant financial relationships as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. There is no minimum dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationships.