Pursuant to the Code of Ethics for the American Academy of Allergy, Asthma and Immunology (AAAAI) and the Standards for Integrity and Independence in Accredited Continuing Education of the Accreditation Council for Continuing Medical Education, the AAAAI requires disclosure of financial relationships from all staff members whose jobs may provide the opportunity to influence the content of AAAAI educational activities.

Disclosure by staff will be made in writing through use of the Staff Disclosure Form. A completed form is to be returned to the Director of Education at the time of employment and annually thereafter. Disclosure must be updated whenever circumstances require or once per calendar year, whichever is sooner.

Staff Disclosure Forms will be compiled by the Director of Education and, if financial relationships are disclosed, reviewed by the EDI Chief Operating Officer (COO).  Any necessary determination of conflict of interest will be made and addressed by the COO and the Director of Education.  Following review, Staff Disclosure Forms will be maintained in a sealed envelope and locked in the EDI Human Resources Department.  Forms and information contained in them will be maintained with the utmost confidentiality.

Please review the AAAAI Disclosure Policy (attached) for additional information about the AAAAI's management of financial relationships and conflict of interest.

Definitions
For purposes of the Staff Disclosure Form, Conflict of Interest is defined as having a financial relationship with an ineligible company and the ability to affect content of AAAAI educational activities related to the products or services of the ineligible company.  An ineligible company is defined by the ACCME as “an organization whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.” A list of eligible and ineligible companies can be reviewed on the ACCME website. Note:  Mutual funds, IRAs etc. are excluded from the disclosure requirement.

Instructions
Complete the questions below. If you indicate that you have financial relationships with ACCME-defined ineligible companies you will be contacted to provide additional details about these relationships, and this information will then be reviewed. If you indicate that you have no financial relationships with ACCME-defined ineligible companies then no further action will be required.