American Thoracic Society

1. Relevant financial relationships with a commercial interest:• Please retain the titles above.• If you or your spouse/life partner, if any, HAVE NOT HAD A RELEVANT

COMMERCIAL INTEREST (i.e., a financial relationship with a commercial interest that could be considered relevant to your presentation subject matter), in the past 3 years or expected by end of 2016, please use the following, in at least 20 point type, to state this. (Remove all instructions from slide.)

No relevant commercial interests.• If you or your spouse/life partner, if any, HAVE HAD A RELEVANT

COMMERCIAL INTEREST in the past 3 years or expected by end of 2016, instead list it using the format below, in at least 20 point type. Remove all instructions from slide. If more than one, type a separate bulleted entry for each.

• The company name (or the name of a relevant Intellectual Property of yours if not yet sold or licensed to a particular company) , followed by the type(s) of relationship (e.g., Research Support) , followed by (within parentheses) whether that relationship is (Active), (Past), or (Expected).

If you need additional space, use the optional 3rd slide in this slide set. If you need more information, such as on “types of relationship”, see the 2016 Session Faculty Disclosure

Slide Instructions memo.

Session Faculty DisclosuresType your name here

American Thoracic Society

2. “Off-label” use discussed within my presentation:

• Do not use this slide if YOU WILL NOT discuss within your presentation any “off-label” use (i.e., use of product that has not yet been approved by the U.S. Food and Drug Administration for the use presented, or investigational use of a drug or device that has not yet been approved by the U.S. Food and Drug Administration).

• If YOU WILL discuss “off-label” use during your presentation, please instead replace these instructions with the following information and format, using at least 20 point type. If you will discuss more than one “off-label use” within your presentation, type a separate bulleted line or paragraph for each.• Name of the commercial product (use the generic name

rather than brand name), followed by a brief description of the nature of the off-label use discussed.

(If you need additional space, use the optional 3rd slide in this slide set. If you need more information, see the 2016 Session Faculty Disclosure Slide Instructions memo)

Session Faculty Disclosures

uType your name here

American Thoracic Society

Use this optional extra slide template if an additional slide is needed. Please first type the category title (i.e., either Relevant financial relationships with commercial interests or Off-label use discussed within my presentation).

• Then type your additional disclosure(s) here, using the same format you used for your first slide of the same category. Use at least 20 point type.

Session Faculty Disclosures

uType your name here