Presenting Author's Personal Details: THE FORM BELOW MUST BE COMPLETED ALONG WITH ALL SUBSQUENT FORMS (Conflict of Interest and Disclosure Forms) FOR ABSTRACTS TO BE REVIEWED AND CONSIDERED BY THE ICA SCIENTIFIC COMMITTEE. (Please see our pull-down menus of download the PDF file on this page for completion). *(Past recipients of the Young Investigator Award Competition are ineligible). ONLY ONE ABSTRACT PER PRESENTER WILL BE CONSIDERED FOR PRESENTATION. PDF FILES OF YOUR ABSTRACT ARE UNACCEPTABLE.
International College of Angiology
Member, Council for International Organizations of Medical Sciences (CIOMS)
EXECUTIVE OFFICE: 161 MORIN DRIVE, JAY, VERMONT 05859-9283 U.S.A.
TELEPHONE: +802.988.4065 FAX: +802.988.4066
ICA EMAIL: email@example.com or firstname.lastname@example.org
It is the policy of the International College of Angiology to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Anyone engaged in content development, planning or presentation MUST complete the disclosure form above. Persons who fail to complete this form may not participate in the educational activity.
Please read the Abstract Guidelines page on this site carefully before completing this form.
A PDF Abstract Form is available on this website, should you not wish to submit your abstract online.
General Page Set-up: General Page Set-up: Submit your original abstract via e-mail or via the ICA’s Website (preferred). Substances should be named by their international non-proprietary (generic) name. All abstract submissions or the manuscript thereof must not have been accepted for presentation and/or publication at another scientific meeting or journal. DO NOT SEND YOUR ABSTRACT IN PDF FORMAT.
Author(s): Insert all authors' full name, middle initial and surname, degrees, department, and address in this section. Indicate the corresponding author with full mailing address and e-mail address. The presenter MUST submit a current, abbreviated CV with your abstract submission.
Please note the following instructions for the preparation of abstracts:
The International College of Angiology requires that audiences at the College's educational programs be informed of a presenter's (moderators, speakers, faculty, authors, contributors and planners) academic and professional affiliations, as well as other commercial relationships relevant to the content of the material that is presented. This policy allows the listener/attendee to be fully informed in evaluating the information being presented. The situations may include but are not limited to 1) stock options or bond holdings in a for-profit corporation or self-directed pension plan, 2) research grants, 3) employment (full or part time), 4) ownership or partnership, 5) consulting fees or other remuneration received by the presenter or his/her immediate family, including support that may be provided to attend the educational meeting, 6) non-remuneration received by the presenter or his/her officer, board member, trustee, or public spokesperson. The disclosure will be shown as an indication (by an **) for those presenters who have stated that a relationship(s) exists relevant to the topic(s) being discussed. Indicate any author(s) who has a possible conflict of interest (see policy statement) by two (2) asterisks (**) next to that author(s) name in the heading of the abstract.
This program must insure balance, independence, objectivity, and scientific rigor in all educational activities. Faculty and planners participating in such activities must disclosure any significant financial interests or other relationships. Any potential conflicts of interest will be revealed and resolved in the course syllabus.
FINANCIAL RELATIONSHIPS, CONFLICTS OF INTEREST & OFF-LABEL DISCLOSURE POLICIES
Financial relationships are those 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), 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.
Individuals need to disclose relationships with a commercial interest if both (a) the relationship is financial and occurred within the past 12 months and (b) the individual has the opportunity to affect the content of CME about the products or services of that commercial interest.
Conflict of Interest: A potential conflict of interest exists when there is involvement between the speaker/presenter with any for-profit commercial form or organization (FPC). This includes, but is not limited to, one or more of the following: consultant, scientific advisory committee member; or lecturer for a FPC from which income is derived; officer, board member, trustee, owner or employee of an FPC; stock or bond holdings in an FPC (investments entirely managed by a third party such as mutual funds and pension plans are excluded); stock options held in an FPC.
Off-Label Disclosure (Including Generic Trade Names and Reporting Scientific Research): Presentations must give a balanced view of options. Faculty use of generic names will contribute to this impartiality. Presentations supported by any commercial entity reporting the results of scientific research must conform to the generally accepted standards of experimental design, data collection, and analysis. When an unlabeled use of a commercial product, or an investigational use not yet approved for any purpose is being discussed during an educational activity, it is required that the speaker disclose that the product is not labeled for the use under discussion or that the product is still investigational.
ABSTRACT FORM - ONLINE SUBMISSION - GUIDELINES
ABSTRACT DEADLINE: 31 March 2020