Medical Learning Institute, Inc. (MLI) is committed to providing high quality accredited continuing education (CE) to healthcare professionals, as individuals and teams, with a protected space to learn, teach, and engage in scientific discourse free from influence from ineligible companies (formerly known as commercial interests) that may have an incentive to insert commercial bias into education. To that end, MLI abides by the Standards for Integrity and Independence in Accredited Continuing Education as well as the European Board for Accreditation of Continuing Education for Health Professions (EBAC(R)) that is applicable to accredited CE across the health professions and are designed to:

• Ensure that accredited CE serves the needs of the patients and the public;
• Present learners with only accurate, balanced, scientifically justified recommendations;
• Assure healthcare professionals and teams that they can trust accredited continuing education to help them deliver safe, effective, cost- effective, compassionate care that is based on best practice and evidence;
• Create a clear, unbridgeable separation between accredited continuing education and marketing and sales; and
• Identify any other potential or real conflicts of interest that may interfere with the presentation of accredited continuing education.

In accordance with guidelines set forth by Joint Accreditation for Interprofessional Continuing Education, including but not limited to, the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nursing Credentialing Center (ANCC), Medical Learning Institute, Inc (MLI) has implemented a process whereby all speakers/faculty/presenters, authors, planners, content reviewers and others who have the potential to affect the content of accredited CE are required to disclose for themselves all financial relationships with ineligible companies within the last 36 months. Financial relationships, or other financial benefits create a real, or apparent, conflict of interest which must be identified and mitigated prior to the commencement of the CE activity.

The information listed on this form will be used to assess and mitigate any potential conflict of interest you may have and will be disclosed to the audience of the CE activity. In order to meet the expectations of not only of Joint Accreditation for Interprofessional Continuing Education(TM) (JA) but including the European Board for Accreditation of Continuing Education for Health Professionals (EBAC(R)), please complete this online questionnaire regarding any financial relationships for the last 36 months you may hold with ineligible companies.

Any individual who refuses to disclose their financial relationships will be disqualified from participating in the CE activity.

Please include a brief biography as you would like it printed online or in educational materials.

Please enter your bio below (limit 500 words) or you may attach it below.

Please provide only information related to any financial relationships with ineligible companies.