Presenting Author
Mailing address
Address (cont.)
City
State
Zip Code
Country
Work Phone
Work Fax
Cell Phone
E-mail
University Affiliation & Title

Instructions : If an abstract book is to be published for the convention, all selected abstracts will be reproduced in as it is submitted on this page. Research abstracts should include the purpose of the study, methods used, the results and the conclusions.

Presentation Format: Oral Poster No Preference

Abstract Type: Research Review Topic

This abstract is being considered or will be submitted to another scientific conference:

Yes No

Abstract Title:

Field of Medicine:

Abstract Description (please limit to 150 words):

Faculty Disclosure Declaration

It is policy of the National Arab American Medical Association to insure balance, independence, objectivity, and scientific rigor in all its individually sponsored or jointly sponsored programs. All faculty members participating in any NAAMA apparent sponsored programs are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing medical education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic.

The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. Speakers are free to discuss off-label uses for drugs, products or modalities, provided the audience is informed of this off-label use.

It remains for the audience to determine whether the speaker’s outside interests may reflect a possible bias in either the exposition or the conclusions presented.

CME Program:

Date: October 8-11, 2010

Title of Presentation

Presenter's Name

I have no actual or potential conflict of interest in relation to this program or presentation I will inform the audience of any off-label uses discussed.

I have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this presentation. I will inform the audience of any off-label uses discussed.

Affiliation	Organization
Grant/Research Support
Consultant
Speakers’ Bureau
Major Stock Shareholder
Other

I certify that all information provided above is accurate to the best of my knowledge. This electronic form qualifies as an electronic signature on my behalf