Research Conflict of Interest Disclosure Statement
A Research Conflict of Interest (RCOI) Disclosure form is to be completed in connection with the Saint Luke’s Health System Policy on Conflicts of Interest in Research, RES-052, by all individuals responsible for Sponsored Research activities, regardless of title or position, who are responsible for the design, conduct, or reporting of Research or proposals for funding of Research. Potential conflicts may be related to Conflicts of Commitment or Financial Interests, as defined by the policy.
The disclosure form must be completed based on the time points specified per policy:
- Annually. Individuals participating in Research must submit an updated RCOI Disclosure Form at least annually, even if attesting to no actual or potential conflicts. The updated disclosure will include any new information that was not disclosed initially or in any subsequent disclosure of Significant Financial Interests (SFIs) and Significant Conflicts of Commitment (SCOCs), and will include updated information regarding any previously disclosed SFIs or SCOCs (e.g., the updated value of a previously disclosed equity interest).
- Initiating Sponsored Research. Individuals with a potential or actual SFI or SCOC, that is potentially related to their Institutional Responsibilities and the proposed Sponsored Research project, must submit an RCOI Disclosure Form prior to submitting the project for IRB consideration.
- Joining Sponsored Research. Individuals with a potential or actual SFI or SCOC, that is potentially related to their Institutional Responsibilities and the ongoing Sponsored Research project, must submit an RCOI Disclosure Form prior to their involvement in the project.
- Ad Hoc Disclosures. All individuals must submit an RCOI Disclosure Form within 30 days of discovering or acquiring a potential or actual SFI or SCOC that is potentially related to their Institutional Responsibilities.
- PHS-funded Research. Individuals must submit an RCOI Disclosure Form no later than the time of application for PHS funds.
You must re-submit an RCOI Disclosure Form with updated information as changes occur.
Please direct questions regarding this form to the Ethics, Compliance & Privacy Department at ResearchCompliance@Saint-Lukes.org.