UAMS.EDU

Biographical/COI Form for Diamond 2014 Faculty

Biographical & Conflict of Interest Form - 2014 Diamond Conference

Step 1 of 3

33%
  • Please list your title and credentials in the format you wish to appear in our promotional materials.
  • Please list your administrative assistant's name and contact information (if applicable)

  • (###)###-####
  • Please upload your most current CV/resume
    *Off-label use is the practice of prescribing pharmaceuticals or devices for an unapproved indication or in an unapproved age group, unapproved dose or unapproved form of administration.
    Select all that apply.
  • If the target audience is not listed above, please list your target audience.


  • Please list 2-3 objectives per credit hour of presentation.

    Remember learning objectives must be consistent with the above activity type and must be measurable. If your target audience includes both pharmacists and technicians, you must write separate objectives for both audiences that apply to their scope of practice.

    (*Verbs to AVOID while writing objectives: appreciate, enjoy, really understand, be acquainted with, fully appreciate, realize, be aware of, grasp the significance of, remember, be familiar with, sympathize with, believe, know, understand, comprehend, learn)

  • Please list learning objectives for your presentation.