Application for membership

Country:

1. Country where bulletin is prepared:

Applicant:

2. Name of bulletin (if the name is not in English, please provide a translation):
3. Contact person:
4. Position of the contact person in the editorial board:

Reference Organization:

5. Name of the organization responsible for publication (legal and administrative responsibility):
6. Institutional status of this organization: (e.g. not-for-profit company, for-profit company, foundation, individual etc):

   not-for-profit organization
   foundation
   governmental organization - public authority
   other (please specify)
   

7. Origin of reference organization�s financial resources:
   
   • public fund (state budget): % ;
   • private fund (single donor): %;
   • fund-raising (various donors): %;
   • other (please specify) : %;
8. Describe links between Reference organization and Bulletin organization.
   

Bulletin funds

9. Annual budget of the bulletin?
10. Origin of the financial resources
    • reference organization:
    • subscriptions:
    • fund-raising: please specify
    • other donors: please specify
11. Approximate budget allocation between staff, printing and distribution costs
    • staff %
    • print %
    • distribution %
    • general expenses %

Conflict of interest

12. Does the Bulletin organization have a written policy on conflicts of interest? If yes, attach a copy or give details.
13. Are there financial links with industry?
    • Chief yes no
    • Managers yes no
    • Staff members yes no
    • Collaborators / authors yes no

    If yes, please specify with which company(ies) and type of link (e.g. adviser, research funds, company shares) for the last five years.

14. Do the persons outside the bulletin declare any potential conflict of interest when invited to write or review an article?
15. Do you publish an annual financial report?

Publication

16. Are claims and recommendations adequately supported by the referenced literature?
17. Are the listed references clearly identified within the text?
18. Do you print a content for each issues?
19. Do you produce an annual cumulative index?
20. ISDB policy being �to promote international exchange of good-quality information concerning drugs and therapeutics� we would like to know if there is a group/organization that produces independent drug information in your area.
21. Do you produce other publications? Please specify.
22. Have you established guidelines for the editorial process of your bulletin? Please give a copy if you have a written document.
23. Please provide a summary of the staff responsible for the bulletin, including number of staff members, a brief outline of duties, professional qualifications, and languages skills (attach a separate sheet if necessary).
24. Please provide a brief description of how the information in your publication is prepared, describing how you choose the topics, literature searching, who writes your articles, what external review and checking processes you use, who is responsible for the final version of the article Examples of such descriptions can be seen at http://www.tg.com.au
25. Who is the target audience for the publication (e.g. doctors, pharmacists, nurses, consumers, midwives)?
26. Give a brief description of usual content (e.g. appraisal of new drugs, adverse drug reactions, drug therapy for disease management, drug interactions, regulatory news, drug policy).
27. Do you publish letters to the editor from readers in your bulletin?
28. Are the articles accompanied by an abstract?
29. What is/are the language(s) used in the publication?
30. Is the publication, or any part of it, translated into (an)other language(s)? If so please specify.
31. Is there any advertising in the publication?
32. In what format is the publication?

    print
    electronic
    both

33. What was the date of the initial publication?
34. How many issues have been published (over the last 5 years)?
35. How many pages has an issues of the bulletin?
36. What is the frequency of publication?
37. What is the circulation?
    Printed copies
    Distributed copies
38. In which countries is it distributed?

Contact details

39. Street address:
40. Post address (if different):
41. Telephone number:
42. Facsimile number:
43. E-mail address:
44. Mobile phone:
    • Number:
    • Name:

If accepted as a member of the International Society of Drug Bulletins, I agree to abide by all the Society�s rules.

Article 10: An application for admission must comprise: