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7-3.3). The median quality score for presentations was 7 (IQR 6-1. This study demonstrates utility in considering aspects of CoI declarations at conferences to improve transparency. This study demonstrates utility in considering aspects of CoI declarations at conferences to improve transparency.The chief registrar (CR) scheme allows registrars to gain clinical leadership and quality improvement skills. Some regions have low uptake and non-physician CRs are uncommon. This study aims to establish the reasons behind this in one such regi