ACP Disclosure of Interest Policy

The American College of Phlebology (ACP) has adopted a policy of full disclosure for all ACP volunteers and leadership. The intent of disclosure is not to prevent a volunteer with a relevant financial or other relationship from serving, but rather to provide the ACP membership, other volunteers, and management with full disclosure of potential conflicts of interest. The formal disclosure provides transparency and demonstrates that the ACP is acting with due diligence.

When performing volunteer work for the ACP (such as Board involvement or committee activities), it is imperative that all members be aware of their colleagues' external interests and potential conflicts. This practice is meant to ensure balance, independence, objectivity, and ethical rigor in all ACP activities.

Volunteers are required to disclose financial or other relationships with commercial interests that they or their spouse/partner have that may be relevant to the committee work in which they will engage in the coming 12 month period. Changes to these relationships should be communicated to the ACP as they occur.

The ACP has adopted the definition of a commercial interest described by the Accreditation Council for Continuing Medical Education (ACCME). A commercial interest, as defined by the ACCME, is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The ACCME does not consider providers of clinical service directly to patients to be commercial interests. Additionally, 501(c) non-profit organizations, government organizations, non-health care related companies, insurance providers, among other entities, are not considered commercial interests.

Instructions

  1. Please use this form to disclose all financial relationships you and your spouse/partner have or have had with an ACCME-defined commercial interest within the last 12 months. If you and your spouse/partner have not had any relationships with ACCME-defined commercial interests that too should be disclosed.
  2. Read the ACP's Governance Integrity attestationand indicate your willingness to abide by its mandates.
  3. Type your name and add the date to the form prior to submission to attest to the accuracy of the information being provided and your willingness to abide by the ACP's policies and procedures. 
  4. The ACP realizes that financial relationships are not static and often change over time. Please contact the ACP (info@acpmail.org or 510-346-6800) at any time to update your disclosure information, or simply submit a new form here.

NOTE: You do not need to log into the ACP's Online Education Center to submit a form. However, if you do log in prior to submission you will be able to amend previous submissions rather than starting from scratch in the future when your disclosures inevitably change.

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1 Start 2 Interest Disclosure 3 Volunteer Attestation 4 Complete