2014 Top 20 Research Medical Schools COI Policies

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1 3 2 2 Industry-funded promotional speaking relationships (not ACCME-accredited) The policy prohibits payment for participation in speakers bureaus or any other event where Industry determines content. [Domain Location: Policy 2, p; Policy, p5] The policy requires vendor meetings to The policy states that medical device take place in non-patient care areas by representatives are permitted in patient appointment or invitation only. care areas for providing necessary [Domain Location: Policy 9, p2-3] technical assistance and/or training on devices or other equipment already purchased, but other activities such as marketing are not addressed. 2 Stanford University Policy effectively prevents faculty from being paid by industry to do promotional speaking, or to be on industry-funded speakers bureaus. [Domain Location: Policy 2, p 4] Links: This institution has not consented to allow the public posting of their policies. evaluated on May 20, 204 web searches. [Domain Location: Policy 2, p 3] 3 Johns Hopkins University Faculty are allowed to be involved in industry funded speaking engagements, but the policy has strong safeguards in place effectively preventing promotional speaking. [Domain Location: Policy, p 5] Links: This institution has not consented to allow the public posting of their policies. evaluated on May 2, 204 web searches. [Domain Location: Policy, p 4] UCSF faculty, staff, students and trainees may not participate in any company speakers' bureaus in which the sponsor determines the content of presentations or in any way controls or limits what may be presented by the speaker "Industry representatives may participate in other programs that foster educational or research collaborations, such as discussions about collaborative research 4 University of California - San Francisco [Domain Location: Policy 2, p 4] initiatives. Such programs must not 9 Links: This institution has not consented to allow include sales or marketing the public posting of their policies evaluated on May 2, 204 web searches presentations or other commercially oriented lectures or discussions. They may only take place on the invitation of a designated University official" [Domain Location: Policy 2, p 4]

2 3 2 Policy effectively prevents faculty from being No policy provided. paid by industry to do promotional speaking, or 4 University Harvard of Pennsylvannia University(Perelman) to be on industry-funded speakers' bureaus. [Domain Location: Policy ] [Domain Location: Policy 3, p 2; Policy 4, p 2] Washington University in St. Louis The policy notes that it allows FDA-approved content as part of the speakers' materials. This brings the score to a "2" since these talks are promotional. [Domain Location: Policy, page 4] are allowed to meet with faculty as long as meetings take place in nonpatient care areas and by appointment. [Domain Location: Policy 2, pages -2] Medical device representatives are permitted in patient care areas in which "the presence of a medical device representative is essential because of the complexity of the medical device being utilized." They must be invited and have an appointment. Yale University scientific in content. [Domain Location: Policy, p ] allowed to meet with faculty and trainees but the meetings must take place only in non-patient care areas and the meetings must take place by appointment only. [Domain Location: Policy, p 4] Columbia University The policy effectively prevents industry-funded promotional speaking by prohibiting arrangements in which a company controls content, and in which the faculty is "expected to act as an agent or spokesperson for a commercial entity (or its agent) for the purpose of marketing." [Domain Location: Policy 5, page ] are allowed access to physicians and staff by appointment and in nonpatient care areas. [Domain Location: Policy, page ] Medical device representatives are allowed access to physicians and staff by appointment and in patient-care areas only when they are needed for device training. Measures are in place for these encounters. 9 Duke University 2 2 All members of the Duke faculty and Duke Medicine are strongly discouraged, but not prohibited, from participating in promotional speaker bureaus or similar speaking arrangements. [Domain Location: 32, p2] Vendors must have an appointment and register with a registrations system and must wear name tags. They are prohibited from initiating discussions with trainees unless faculty or supervisors are present. [Domain Location: 32, p ] No policy provided 5 0 University of Washington SoM faculty may not present at programs designed solely or predominantly for company allowed to meet with faculty and promotional, sales or marketing purposes even students but the meetings must take in those circumstances where the faculty retain place only in non-patient care areas control of the content of the presentation and/or and the meetings must take place by any slides that may accompany the presentation. appointment only. [Domain Location: [Domain Location:, p5], p] "Vendors will not be allowed in any clinical, research or teaching areas unless their presence is invited or required by the provider for the care of a patient and the presence is completely independent of any decision to purchase or utilize a product." 2

3 University of Chicago (Pritzker) Policy discourages faculty from being paid by industry to do promotional speaking, or to be on industry-funded speakers bureaus by clarifying that activity must meet ACCME guidelines. The policy ensures that the talk is not promotional in nature ("individual must provide a fair and balanced assessment of therapeutic options to promote objective scientific and educational activities and discourse") and that industry has no role in determining or approving presentation content. [Domain Location: Policy 3, pgs -9] [Domain Location: Policy 3, p 5; Policy 5, pgs -3] permitted by appointment and invitation by attending physician/clinic director/vice president/department chair/division chief only. Interactions with faculty must be limited to inservice training on clinical equipment or devices already purchased or evaluation of new purchases of equipment, devices, or related items. 2 2 University of California - Los Angeles (Geffen) University of Michigan - Ann Arbor Policy effectively prevents faculty from being paid by industry to do promotional speaking, or to be on industry-funded speakers bureaus. [Domain Location: policy, pg 3-4] The policy prohibits all industry-sponsored promotional speaking [Domain Location: Policy 9, p2] Strongly worded policy that allows This policy effectively prohibits medical industry reps by invite only; it is not device representatives from promoting entirely clear if the invitation is products in patient care areas though allowed to be extended to only they may be there for legititimate industry scientists (non-sales educational purposes unrelated to employees) which would be the small marketing. difference which would make this a top policy. It is a very strong "2" regardless. [Domain Location: Policy, pg 2-3; Policy 2, pg 5-] The policy allows vendor access by appointment only and only in nonpatient-care areas.[domain Location: Policy 3, p 2-4] The policy allows medical device representatives in patient care areas only for providing necessary technical assistance and/or training on devices or other equipment already purchased. 4 University of California - San Diego "Speakers Bureaus where the health care vendor controls or influences the speaker s presentation or includes promotion of off-label use is prohibited." [Domain Location: Policy 2, p 2] [Domain Location: Policy, p 5, 9] 5 Cornell University (Weill) Industry support can be accepted with the only stipulation being that they must follow ACCME criteria. [Domain Location: Policy 2] 2 3 [Domain Location: Policy 4, pgs 3-4] This policy discourages medical device representatives from being in patient care areas; however, when needed for in-service training on new equipment or devices an appointment is required. 3

4 5 Vanderbilt University not promotional in content. [Domain Location: Policy, p ] Vendors require invitations from faculty. They are encouraged to conduct business only in non-patient care areas of the Medical Center. Detailing in the School of Medicine is forbidden unless requested and supervised by a sponsoring physician. [Domain Location: Policy, p 4] Device reps require appointments and registration but beyond this the policy does not specify their allowed activities. University of Pittsburgh scientific in content. [Domain Location: Policy 3, p ] Pharmaceutical representatives may meet with faculty only by invitation and only for non-marketing purposes. This is enforced by requiring that companies register with the university's "Supply Chain Management" process. The policy explicitly states that "the SOHS and UPMC should not allow use of their facilities or other resources for marketing activities by Industry." [Domain Location: Policy 3, p 5] Appointments are required for all vendors. Medical device reps must be registered with Supply Chain Management, take required training, and wear registration badges. They are allowed access to clinical care areas technical assistance only. 9 Northwestern University (Feinberg) Faculty are strongly discouraged, but not prohibited, from participating in industrysponsored "Unless required for training or treatment purposes, access by While not specifically discussing the role medical device representatives, the speaker bureaus. [Domain Location: Industry representatives shall be policy implies that they are allowed in p] restricted to non-patient care areas and should take place only by patient care areas for "training and treatment purposes." However, there appointment or invitation of the faculty are no explicit restrictions on marketing member." [Domain Location:, p] new products. 9 Icahn School of Medicine at Mount Sinai While promotional speaking is strongly discouraged, the policy is not restrictive enough to qualify as a model policy on speaker's bureaus. Paid speaking engagements are subject to approval. The policy lays out a list of questions that speakers should consider when accepting the engagement (i.e. disclosure, educational in nature, fair and balanced, etc.). [Domain Location: Policy 4, pages -] are allowed access to health care staff as long as they have an appointment and meet in non-patient care areas. [Domain Location: Policy 4, page 5; Policy 2] Access by medical device permitted by appointment to train physicians, researchers and others in device use or new technologies. These visits specify talking about and demonstrating new products, and states that promotional activities are allowed as long as confined to staff (and not trainees). 9 New York University scientific in content. [Domain Location: 3, p] Pharmaceutical representatives may Medical device reps must have not interact with students or residents. appointments and their contact with However, they are allowed access to health care providers is explicitly faculty by appointment, in non-patient limited to technical assistance required care areas. for patient care. [Domain Location: 5, p2, IMAP, p5 of ] 4

5 University of South Florida 2 2 / 0 3 The policy allows faculty and staff to engage in industry-funded speaking, with some regulation, but not enough to prevent promotional speaking. For example, industry may require that faculty use pre-prepared slides. [Domain Location: Policy 3, p 4-5] must take place by appointment only.[domain Location: Policy 3, p - 9] Unenforced per Posada Report 205 (Score = 0) This policy effectively prohibits medical device representatives from promoting products in patient care areas: "device representative s access to patient information, examinations, and therapeutic discussion shall be limited to only that which is necessary for appropriate education of the medical staff during planned or active use of the represented device." / 5 5

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