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Dartmouth Medical School | |
| City: Hanover | State: NH | |
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Commentary: Dartmouth Medical School has an outstanding set of policies, with model language in nearly all domains, particularly gifts, external consulting and industry support of CME, where funding is centralized at the institutional level. A ban on samples is also exemplary. Limitations on long-term speaking relationships, such as speaker's bureaus, might be a good next step.
This institution's evaluation was last updated: 10/5/2009 |
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| Gifts & Meals |  |
Any provision of food on-site or acceptance of gifts or trinkets of any value is prohibited. |
| Consulting relationships | |
Exemplary. All professional services to the medical industry in exchange for remuneration are required to have a detailed formal contract with payment at fair market value that is reviewed and approved in advance by the Department Chief or Executive Leadership. |
| Industry-funded speaking relationships |  |
A signed written agreement approved by the department chairman must be established in advance of all engagements. There are also requirements for the speaker's compensation to be at fair market value. |
| Disclosure | |
Annual internal disclosure of external relationships of the faculty member (including spousal relationships) is required. |
| Pharmaceutical samples | |
This institution prohibits the distribution of pharmaceutical samples for patient use. |
| Purchasing & Formularies | |
Members of purchasing committees must disclose via annual disclosure procedure, and all gifts, gratuities and incentives given must be reviewed by the D-H administrator overseeing the buying department or organization. A requirement for recusal from purchasing decisions when conflicting financial relationships exist would further strengthen this policy. |
| Industry Sales Representatives | |
Sales representatives may meet with physicians by appointment only. |
| On-campus Education | |
All unrestricted funds must be given directly to the office of the Hitchcock Foundation, who will retain control over the content of the educational activities sponsored. |
| Attendance at Industry-Sponsored Lectures & Meetings Off-Campus | |
Personnel who attend industry sponsored educational programs may not accept subsidies from industry towards travel, lodging or coming to the program. |
| Industry Support for Scholarships & Funds for Trainees | |
All unrestricted funds from industry must go through the office of the Hitchcock Foundation, which will then be distributed to departments as wished. The Hitchcock Foundation reserves the right to refuse any unrestricted funds and will make a yearly report of all funds received to the Board of Governors. |
| Medical school curriculum | |
A course outline provided covers local, state and federal regulations regarding prescribing, keeping up with new drugs and new information, and industry marketing practices. |
| Do the policies specify an oversight mechanism? |  |
The Compliance Office is responsible for oversight. There is also a Compliance hotline available for the reporting of compliance concerns or violations. |
| Are there explicit sanctions for noncompliance? | |
Sanctions are clearly outlined in the policy. |
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 | Model policy |
 | Good progress toward model policy |
 | No policy, or policy unlikely to have a substantial effect on behavior |
 | Did not report |
 | Policy not relevant to this institution (e.g., does not make purchasing decisions) |
