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* 1. Help Shape the 2025 AGS Annual Meeting!

The AGS Research Committee has issued a call for Reviewers for Annual Meeting Abstract Submissions. You can help by volunteering to review abstracts in your area of expertise. Your reviews will contribute to ensuring that #AGS25 is presenting cutting edge research focused on improving care of older adults.

To become an Abstract Reviewer, you must meet the criteria listed below, submit a biosketch (NIH- style, 4 pages maximum), and complete the short application form.

Abstract Reviewer Criteria:
- must have first-authored two or more peer-reviewed original research articles
- must have advanced degree training (MD, PhD, MPH, PharmD, MS, etc...) or equivalent non-clinical health care degree

We are looking forward to having the opportunity to include you as a reviewer in the accredited continuing education activity, the AGS 2025 Annual Meeting.
______________________________________________________________________

Contact Information: Please enter your complete contact information below. Your name will be published exactly as you list it. Please include your degree.

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* 2. Please indicate your area of expertise below:

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* 3. Which abstract submission categories are you interested in reviewing? Check all that applies.

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* 4. What is your prospective role(s) that you may have in the planning and delivery of AGS25? (choose all that apply)

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* 5. As a prospective reviewer, planner, or faculty member, we would like to ask for your help in protecting our learning environment from industry influence.

The ACCME Standards for Integrity and Independence require that we disqualify individuals who refuse to provide this information from involvement in the planning and implementation of accredited continuing education. Thank you for your diligence and assistance.

Please disclose all financial relationships that you have had in the past 24 months with ineligible companies (see definition below).

For each financial relationship, you will be asked to enter the name of the ineligible company and the nature of the financial relationship(s).

There is no minimum financial threshold; we ask that you disclose all financial relationships, regardless of the amount, with ineligible companies. You should disclose all financial relationships regardless of the potential relevance of each relationship to the education.

Ineligible Companies
An ineligible company is any entity whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. For specific examples of ineligible companies visit accme.org/standards.

Financial Relationships
Examples of financial relationships include employee, researcher, consultant, advisor, speaker, independent contractor (including contracted research), royalties or patent beneficiary, executive role, and ownership interest. Individual stocks and stock options should be disclosed; diversified mutual funds do not need to be disclosed.

Research funding from ineligible companies should be disclosed by the principal or named investigator even if that individual’s institution receives the research grant and manages the funds.

Do you have any financial relationships with ineligible companies to disclose?

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* 6. Disclosure of Financial Relationships:  Company 1

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* 7. Has the Relationship Ended? If the financial relationship existed during the last 24 months, but has now ended, please enter YES. This will help the education staff determine if any mitigation steps need to be taken

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* 8. Do you have additional financial relationships with ineligible companies to disclose?

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* 9. Disclosure of Financial Relationships: Company 2

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* 10. Has the Relationship Ended? If the financial relationship existed during the last 24 months, but has now ended, please enter YES. This will help the education staff determine if any mitigation steps need to be taken

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* 11. Do you have additional financial relationships with ineligible companies to disclose?

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* 12. Disclosure of Financial Relationships: Company 3

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* 13. Has the Relationship Ended? If the financial relationship existed during the last 24 months, but has now ended, please enter YES. This will help the education staff determine if any mitigation steps need to be taken

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* 14. Please upload a brief biosketch by clicking on the "Choose File" option below.

PDF, DOC, DOCX file types only.
Choose File

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