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ANZMUSC Living Guidelines Declaration of Interests Form
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Please declare all interests, even if you think they may not be relevant
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Please complete all fields highlighted in yellow
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NameGrainne Murray
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EmployerRoyal Children's Hospital Melbourne
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Committee/GroupExpert Guideline Panel
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RoleOther
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Financial Interests
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Note: Disclose support ONLY from entities that could be affected financially by the published work, such as drug companies, or foundations supported by entities that may have a financial stake in the outcome. Public funding sources, such as government agencies or academic institutions need not be disclosed. Time period for disclosure is within 2 years from when this form is completed.
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Type of InterestSource of funding
(provide sponsor names)		Title or theme of project / activity. If activity was linked to a specific product, please name the product. i.e. fees for speaking about product X or consulting regarding product XPeriod of activity (whether current, include date range)Value of payment (AUD)
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No financial interests to declare
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Dissolution of Financial Interests
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Note: This is a voluntary option for panellists who have declared personal financial interests in the last 2 years. Panellists who choose 'Yes' below declare that they will immediately discontinue the declared personal financial relationship with the declared entities, and will not enter into any further personal financial relationships of this nature until the final guideline is published.
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There is no obligation to select this option. Financial interests that are dissolved in this manner attract a lower conflict of interest rating which may enable greater participation in the guideline panel activities for this recommendation.
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I elect to dissolve my active personal financial relationships with the entities declared above:N/AEnter name as electronic signature
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Organizational Interests
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Conflicts of interest may also arise if guideline development group members serve as representatives of additional organisations (e.g. not meeting criteria listed above) with a pecuniary or non-pecuniary interest in the guideline recommendations.
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Type of InterestType of relationship (e.g. employment, leadership, position, membership, etc)Description
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Relationship with organisations which advocate known industry or policy positionsmembershipGlobal MSK Taskforce advocating for equality of access to treatment for children for rheumatic condition, involved with advocacy to WHO Essential Medicines List policy
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Intellectual Interests (non-financial)
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Intellectual interests may become conflicts of interest if guideline development group members have established views (and vested, albeit non-financial interests, in maintaining such views) that might limit their willingness to give equal weight to alternative arguments concerning a recommendation.
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Note: It is possible that the potential for intellectual interests to become conflicts of interest may not be realised until discussion of a recommendation is underway. Should this be the case, the interest must be declared immediately.
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Type of interestType of relationship (e.g. employment, leadership, position, membership, etc)Description
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EXAMPLE: Indirectly related academic activity:Employment/researchI have a grant comparing two types of tapering regimens. As such, I would not be open to an argument that tapering should not be undertaken.
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Indirectly related academic activityResearchCurrently completing a study on biosimilar efficacy compared to bio-originator molecules, no direct grant award
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OtherAre there any other relevant interests, factors, or circumstances that are not addressed above?
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Additional InformationIs there any additional information you would like to provide relating to the above declarations of interest?
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