In promotional efforts, the ASHA Approved CE Provider must provide instructional personnel disclosure for every presenter involved in the course and may need to disclose that the course is focused on a specific product or service. Prior to accepting the presenters for a course, ASHA CE Providers should have them fill out a Speaker Disclosure Form [DOCX] that outlines the financial and nonfinancial relationships that are relevant to their presentations.
Each disclosure must address three things: (1) instructional personnel's name, (2) whether there are relevant financial relationships (or not) and (3) whether there are relevant nonfinancial relationships (or not). Examples follow:
Examples of a disclosure statement for a single presenter
Dr. Wadelmann, Cognitive Rehabilitation After Traumatic Brain Injury, employed by University of Malibu Health Science Center
Disclosure:
Financial — Author for ABC SLP Publishers and receives royalty payments.
Nonfinancial — Board of directors: Association for Traumatic Brain Injury Specialist. Receives no compensation as member of board of directors.
Example of relevant financial relationship(s), no relevant nonfinancial relationship(s) statement
Lynn Kaplan, Cognitive Rehabilitation After Traumatic Brain Injury
Disclosure:
Financial— Received a speaking fee from CE to Go and receives a salary from the Traumatic Brain Injury Association where she is the Executive Director.
Nonfinancial— No relevant nonfinancial relationship exists.
Example of no relevant financial relationship(s), relevant nonfinancial relationship(s) statement
Dr. Kim, Cognitive Rehabilitation After Traumatic Brain Injury
Disclosure:
Financial— No relevant financial relationship exists.
Nonfinancial— Board of directors: Association for Traumatic Brain Injury Specialist. Dr. Kim receives no compensation as a member of the board of directors.
Example of no relevant financial relationship(s) or nonfinancial relationship(s) statement
Evan Batten, Cognitive Rehabilitation After Traumatic Brain Injury
Disclosure:
Mr. Batten has no relevant financial or nonfinancial relationships to disclose.
Example of disclosures of multiple presenters
View an example of a course with multiple sessions and presenters [PDF] courtesy of North Carolina Area Health Education Center Program and the cooperative party North Carolina Academy of Hearing Rehabilitation.
In regard to self-study products developed prior to July 1, 2012, we encourage you to obtain instructional personnel disclosure information. However, if you are unable to do so in order to satisfy this requirement and inform participants who are expecting to see disclosure information, please use the following statement in promotional material:
Instructor Disclosure: Not available. The content for this program was developed and published prior to the ASHA Continuing Education Board requiring instructional personnel to provide financial and nonfinancial disclosure statements.
When a course is focused on a specific product or service, the ASHA Approved CE Provider must disclose that there will be limited or no information provided about similar products or services. Here's an example:
The [product]
This presentation will focus exclusively on
The ASHA Approved CE Provider must disclose 2 things prior to the start of the course: (1) Instructional personnel disclosure and (2) The names of organizations that have provided financial or in-kind support (if applicable).
Relevant financial relationship(s) and nonfinancial relationship(s)
Good morning, my name is Dr. Wadelmann, and I am here to discuss cognitive rehabilitation after traumatic brain injury. I am the author of the book "Management of Closed Head Injury" and of the Assessment of Language Skills in Head-Injured Patients test published by ABC SLP Publishers. Many of the concepts I'm presenting today are from my book and test. I do benefit financially from royalty payments from the sale of these products. I'm also a member of the board of directors for the Association for Traumatic Brain Injury Specialist; however, I do not receive any compensation for this role.
Relevant financial relationship(s), no relevant nonfinancial relationship(s)
Good morning, my name is Lynn Kaplan, and I am here to discuss cognitive rehabilitation after traumatic brain injury.
I received a speaking fee from CE to Go for this presentation and also receive a salary from the Traumatic Brain Injury Assocation. I have no relevant nonfinancial relationships to disclose.No relevant financial relationship(s), relevant nonfinancial relationship(s)
Good morning, my name is Dr. Kim, and I am here to discuss cognitive rehabilitation after traumatic brain injury.
I have no relevant financial relationships to disclose, but do want to disclose that I am on the board of directors of the Association for Traumatic Brain Injury Specialists. I do not receive financial compensation for my role in the organization.No relevant financial relationship(s) or nonfinancial relationship(s)
My name is James Booker and I'm speaking on Social Media and Continuing Education. I work for Hearing Health Education. I have no relevant financial or nonfinancial relationships to disclose.
Relevant financial relationship(s) and relevant nonfinancial relationship(s)
I have the following relevant relationships in the products or services described, reviewed, evaluated or compared in this presentation.
Relevant financial relationship(s), no relevant nonfinancial relationship(s)
I have the following relevant financial relationship(s) in the products or services described, reviewed, evaluated or compared in this presentation.
No relevant financial relationship(s), relevant nonfinancial relationship(s)
I have the following relevant nonfinancial relationship(s) in the products or services described, reviewed, evaluated or compared in this presentation.
No relevant financial relationship(s) or nonfinancial relationship(s)
I have no relevant financial or nonfinancial relationships in the products or services described, reviewed, evaluated or compared in this presentation.
Relevant financial relationship(s) and nonfinancial relationship(s)
Dr. Wadelmann, Cognitive Rehabilitation After Traumatic Brain Injury, employed by University of Malibu Health Science Center
Disclosure:
Financial — Author for ABC SLP Publishers and receives royalty payments.
Nonfinancial — Board of directors: Association for Traumatic Brain Injury Specialist. Receives no compensation as member of board of directors.
Relevant financial relationship(s), no relevant nonfinancial relationship(s)
Lynn Kaplan, Cognitive Rehabilitation After Traumatic Brain Injury
Disclosure:
Financial — Received a speaking fee from CE to Go and receives a salary from the Traumatic Brain Injury Association where she is the Executive Director.
Nonfinancial — No relevant nonfinancial relationship exists.
No relevant financial relationship(s), relevant nonfinancial relationship(s)
Dr. Kim, Cognitive Rehabilitation After Traumatic Brain Injury
Disclosure:
Financial — No relevant financial relationship exists.
Nonfinancial — Board of directors: Association for Traumatic Brain Injury Specialist. Dr. Kim receives no compensation as member of board of directors.
No relevant financial relationship(s) or nonfinancial relationship(s)
Evan Batten, Cognitive Rehabilitation After Traumatic Brain Injury
Disclosure:
Mr. Batten has no relevant financial or nonfinancial relationships to disclose.
Prior to the beginning the CE course offering, The ASHA Approved CE Provider must disclose to learners the names of organizations providing financial or in-kind support (if applicable). Definitions and examples follow:
Definition of and examples of disclosing financial support
Financial support is money given by another organization used to pay all or part of the costs of a CE course.
For a live, group course
This webinar, "Clinical Examination of Voice Disorders," was funded in its entirety by the Computer Voice Analysis Company of St. Louis, manufacturers of computer-based voice analysis equipment.
For an asynchronous course
This self-study online course was written by Dr. Boyd-Hester. Partial funding to develop and deliver this course was provided by Hilyer Pharmaceutical Company.
Definition of and examples of disclosing in-kind support
In-kind support is contributions of things such as products, materials and equipment, volunteers, professional or other services, publicity, etc., but not money.