Disclosure Form


The Accreditation Council for Continuing Medical Education (ACCME) requires the IUSM Division of Continuing Medical Education to identify and resolve conflicts of interest for all individuals responsible for the development, management, presentation, and/or evaluation relevant to an CME activity. Disclosed information is reviewed in advance in order to manage and resolve any possible conflicts of interest for each CME activity. Specific disclosure information will be shared with the audience prior to the speaker’s presentation.

Purpose: To assure fair and unbiased presentation of valuable educational materials and to comply with the ACCME Standards for Commercial Support.

Who: Planning committee members, speakers, presenters, moderators, authors, etc.

How Often: Annually or within 30 days of terminating or acquiring a new relevant financial relationship.

Next Step:  Click the link below and complete the online disclosure form.  

Those who fail to complete the forms in advance of the CME activity are not eligible to be involved in the activity.



Division of Continuing Medical Education
410 W. 10th Street, HS 2100 | Indianapolis, IN 46202 | Phone: (317) 274-0104 | Fax: (317) 274-5182