Abstract Submission - THE VOICE FOUNDATION

Orig 2025 Abstract Submission

Step 1 of 2 – Abstract Information

Author Information

Role(Required)

Presenting Author

Co-Author

We customarily list the Presenting Authors first but, you may list authors in any order that you choose. The order in which the authors are entered in this form will be the order printed in our Symposium Program.

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

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Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

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Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

First Name(Required)

Last Name(Required)

Email(Required)

Degrees(Required)

If applicable, please check all that apply.

Other

Job or Position Title

optional

Association or Affiliation Name(Required)

If none, Please enter N/A

Department(Required)

If none, Please enter N/A

Phone(Required)

Address Line 1

Address Line 2

City

Zip/Postal Code

Country/State(Required)

Country State/Province

2nd Author?(Required)

Yes

2nd Author Information

Author #2 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #2 First Name(Required)

Author #2 Last Name(Required)

Author #2 Email(Required)

Author #2 Degrees(Required)

If applicable, please check all that apply.

Author #2 Other

Author #2 Job or Position Title

optional

Author #2 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #2 Department(Required)

If none, Please enter N/A

Author #2 Phone(Required)

Author #2 Address Line 1

Author #2 Address Line 2

Author #2 City

Author #2 Zip/Postal Code

Author #2 Country/State(Required)

Country State

3rd Author?(Required)

Yes

3rd Author Information

Author #3 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #3 First Name(Required)

Author #3 Last Name(Required)

Author #3 Email(Required)

Author #3 Degrees(Required)

If applicable, please check all that apply.

Author #3 Other

Author #3 Job or Position Title

optional

Author #3 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #3 Department(Required)

If none, Please enter N/A

Author #3 Phone(Required)

Author #3 Address Line 1

Author #3 Address Line 2

Author #3 City

Author #3 Zip/Postal Code

Author #3 Country/State(Required)

Country State

4th Author?(Required)

Yes

4th Author Information

Author #4 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #4 First Name(Required)

Author #4 Last Name(Required)

Author #4 Email(Required)

Author #4 Degrees(Required)

If applicable, please check all that apply.

Author #4 Other

Author #4 Job or Position Title

optional

Author #4 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #4 Department(Required)

If none, Please enter N/A

Author #4 Phone(Required)

Author #4 Address Line 1

Author #4 Address Line 2

Author #4 City

Author #4 Zip/Postal Code

Author #4 Country/State(Required)

Country State

5th Author?(Required)

Yes

5th Author Information

Author #5 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #5 First Name(Required)

Author #5 Last Name(Required)

Author #5 Email(Required)

Author #5 Degrees(Required)

If applicable, please check all that apply.

Author #5 Other

Author #5 Job or Position Title

optional

Author #5 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #5 Department(Required)

If none, Please enter N/A

Author #5 Phone(Required)

Author #5 Address Line 1

Author #5 Address Line 2

Author #5 City

Author #5 Zip/Postal Code

Author #5 Country/State(Required)

Country State

6th Author?(Required)

Yes

6th Author Information

Author #6 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #6 First Name(Required)

Author #6 Last Name(Required)

Author #6 Email(Required)

Author #6 Degrees(Required)

If applicable, please check all that apply.

Author #6 Other

Author #6 Job or Position Title

optional

Author #6 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #6 Department(Required)

If none, Please enter N/A

Author #6 Phone(Required)

Author #6 Address Line 1

Author #6 Address Line 2

Author #6 City

Author #6 Zip/Postal Code

Author #6 Country/State(Required)

Country State

7th Author?(Required)

Yes

7th Author Information

Author #7 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #7 First Name(Required)

Author #7 Last Name(Required)

Author #7 Email(Required)

Author #7 Degrees(Required)

If applicable, please check all that apply.

Author #7 Other

Author #7 Job or Position Title

optional

Author #7 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #7 Department(Required)

If none, Please enter N/A

Author #7 Phone(Required)

Author #7 Address Line 1

Author #7 Address Line 2

Author #7 City

Author #7 Zip/Postal Code

Author #7 Country/State(Required)

Country State

8th Author?(Required)

Yes

8th Author Information

Author #8 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #8 First Name(Required)

Author #8 Last Name(Required)

Author #8 Email(Required)

Author #8 Degrees(Required)

If applicable, please check all that apply.

Author #8 Other

Author #8 Job or Position Title

optional

Author #8 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #8 Department(Required)

If none, Please enter N/A

Author #8 Phone(Required)

Author #8 Address Line 1

Author #8 Address Line 2

Author #8 City

Author #8 Zip/Postal Code

Author #8 Country/State(Required)

Country State

9th Author?(Required)

Yes

9th Author Information

Author #9 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #9 First Name(Required)

Author #9 Last Name(Required)

Author #9 Email(Required)

Author #9 Degrees(Required)

If applicable, please check all that apply.

Author #9 Other

Author #9 Job or Position Title

optional

Author #9 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #9 Department(Required)

If none, Please enter N/A

Author #9 Phone(Required)

Author #9 Address Line 1

Author #9 Address Line 2

Author #9 City

Author #9 Zip/Postal Code

Author #9 Country/State(Required)

Country State

10th Author?(Required)

Yes

10th Author Information

Author #10 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

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I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

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Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

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Details

Author #10 First Name(Required)

Author #10 Last Name(Required)

Author #10 Email(Required)

Author #10 Degrees(Required)

If applicable, please check all that apply.

Author #10 Other

Author #10 Job or Position Title

optional

Author #10 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #10 Department(Required)

If none, Please enter N/A

Author #10 Phone(Required)

Author #10 Address Line 1

Author #10 Address Line 2

Author #10 City

Author #10 Zip/Postal Code

Author #10 Country/State(Required)

Country State

11th Author?(Required)

Yes

11th Author Information

Author #11 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

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I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

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Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #11 First Name(Required)

Author #11 Last Name(Required)

Author #11 Email(Required)

Author #11 Degrees(Required)

If applicable, please check all that apply.

Author #11 Other

Author #11 Job or Position Title

optional

Author #11 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #11 Department(Required)

If none, Please enter N/A

Author #11 Phone(Required)

Author #11 Address Line 1

Author #11 Address Line 2

Author #11 City

Author #11 Zip/Postal Code

Author #11 Country/State(Required)

Country State

12th Author?(Required)

Yes

12th Author Information

Author #12 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #12 First Name(Required)

Author #12 Last Name(Required)

Author #12 Email(Required)

Author #12 Degrees(Required)

If applicable, please check all that apply.

Author #12 Other

Author #12 Job or Position Title

optional

Author #12 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #12 Department(Required)

If none, Please enter N/A

Author #12 Phone(Required)

Author #12 Address Line 1

Author #12 Address Line 2

Author #12 City

Author #12 Zip/Postal Code

Author #12 Country/State(Required)

Country State

13th Author?(Required)

Yes

13th Author Information

Author #13 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #13 First Name(Required)

Author #13 Last Name(Required)

Author #13 Email(Required)

Author #13 Degrees(Required)

If applicable, please check all that apply.

Author #13 Other

Author #13 Job or Position Title

optional

Author #13 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #13 Department(Required)

If none, Please enter N/A

Author #13 Phone(Required)

Author #13 Address Line 1

Author #13 Address Line 2

Author #13 City

Author #13 Zip/Postal Code

Author #13 Country/State(Required)

Country State

14th Author?(Required)

Yes

14th Author Information

Author #14 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

Section Break

Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

This field is hidden when viewing the form

Details

Author #14 First Name(Required)

Author #14 Last Name(Required)

Author #14 Email(Required)

Author #14 Degrees(Required)

If applicable, please check all that apply.

Author #14 Other

Author #14 Job or Position Title

optional

Author #14 Association or Affiliation Name(Required)

If none, Please enter N/A

Author #14 Department(Required)

If none, Please enter N/A

Author #14 Phone(Required)

Author #14 Address Line 1

Author #14 Address Line 2

Author #14 City

Author #14 Zip/Postal Code

Author #14 Country/State(Required)

Country State

15th Author?(Required)

Yes

15th Author Information

Author #15 Role(Required)

Presenting Author

Co-Author

Continuing Medical Educational Credits Disclosure

All Presenting Authors must also complete the following financial disclosure required for our Continuing Medical Educational (CME) credit offering from PA Medical Society.

As a Category 1 CME provider, accredited by the ACCME, the Pennsylvania Medical Society requires that all individuals involved in the planning and execution of a Category 1 continuing medical education activity, as either planners, content developers or faculty, provide disclosure on any financial relationships in any amount that they may have or had with all ineligible companies within the last 24 months. Ineligible companies are those whose primary business is producing, marketing, selling, reselling, or distributing health care products used by or on patients.
As per the ACCME’s Standards for Integrity and Independence, any individual who refuses to disclose any relevant financial relationships with ineligible companies “will be disqualified from being a planning committee member, a teacher or an author of CME, and can’t have control of, or responsibility for, the development, management, presentation, or evaluation of the CME activity.”
Examples of any financial relationship may include, but are not limited to: receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit associated with roles such as speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected. The extent of the relationship explains the scope of the relationship in terms of monetary amount received, time frame of relationship, etc.

My role in this CME activity is:(Required)

Activity Planning – planning committee, director

Content Development – author, researcher

Content presentation – faculty

Do you have any financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on, patients?

I do not have any financial relationship(s) with any ineligible companies.

I have financial relationship(s) with ineligible companies.

This field is hidden when viewing the form

Section Break

I have the following financial relationship(s) to disclose: (If you have more than three relationships to disclose please email a document with the rest of your relationships to office@voicefoundation.org .)

Commercial Entity(Required)

Nature of Relationship(Required)

Extent of Relationship(Required)

Commercial Entity

Nature of Relationship

Extent of Relationship

Commercial Entity

Nature of Relationship

Extent of Relationship

Do any of the financial relationships that you have listed relate directly to the content of this CME activity?(Required)

Yes

IMPORTANT: You listed a relationship and you answered “No”, please describe briefly why each financial relationship you noted does not present a conflict.(Required)

This field is hidden when viewing the form

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Do you verify that this information is accurate to the best of your knowledge?(Required)

Yes

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Details

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Author #15 Degrees(Required)

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