The New York State Society of Anesthesiologists, Inc.
1.) *Do you or your spouse/partner have, within the last 12 months, a relevant financial interest or other relationship with a commercial entity (A commercial interest is any entity producing, marketing, re-selling, or distributing health goods or services consumed by, or used on, patients. The ACCME does not consider providers of clinical services directly to patients to be commercial interests.)
2.) *Do you intend to discuss an unlabeled/unapproved/experimental/investigational drug or device (not FDA approved)? If YES, you agree to acknowledge this to the learners.
3.) Is the content of your presentation based on research that was supported by an industry grant? (Do not consider grants from government or non-profit organizations or non-health related companies)
4.) If you answered yes to questions 1 and/or 3 please indicate the type of support and who it is from below
4a.) Funded Research Support
4c.) Consultant Fees
4e.) Speakers Bureau
4g.) Stock Options
4h.) Equity Positions
4k.) Other Financial
4l.) Material Support
5.) I agree to the following (If you do not agree, you cannot participate in this program):
Yes I agree to these terms
PGA70 – December 9-13, 2016