AMSA Pharm-free Scorecard 2008
A Mount Sinai School of Medicine
City: New York State: NY
Links:
Commentary:

A complete ban on gifts and strong policies on purchasing decisions and pharmaceutical samples set the policies on industry interactions at Mount Sinai School of Medicine apart.   The institution's rigorous oversight of external speaking and consulting relationships is noteworthy, as each must be reviewed and approved prior to commencement. If preventive language on long-term speaking relationships were added (to clarify what may already be procedurally true through the oversight process) this policy would be even stronger. Additionally, public disclosure of financial relationships with industry would go even further to promote transparency.

This institution has not consented to allow portions of its policy to be cited for illustrative purposes.



Gifts & Meals 3

This is an exemplary policy that defines gifts, bans their receipt by faculty, staff and trainees, and removes ambiguity by providing specific examples of many types of gifts.
 

Consulting relationships 3

Mount Sinai SOM has a separate policy governing financial arrangements with extramural entities that clearly outlines the circumstances under which such relationships are permitted. Importantly, the AMC must also approve all such relationships.  

Industry-funded speaking relationships 2

Although this policy does not prevent long-term speaking relationships, in all other areas it is exemplary. Speaking relationships must be approved by the institution, and presentation content must reflect the faculty member's own work. This policy also explicitly acknowledges the potential for speaking relationships to act as a vehicle for industry promotion.
 

Disclosure 2

This policy does not provide for public or patient disclosure of faculty financial relationships, but it does require annual filing of conflict of interest statements by those serving on committees making purchasing decisions and those with financial relationships with extramural entities. 

Pharmaceutical samples 3

Samples are only allowed for specific exceptions that exist for patient benefit:

1. For a health emergency and

2. For a necessary product evaluation.
 

Purchasing & Formularies 3

Exemplary policy. Individuals may not take part in decisions or discussions wherein they have a financial conflict with the company in question or a competitor of that company.

 

Site Access 2

This policy refers to a "Medical Sales Representatives policy" that was not provided. The score is based on the Education and Training on Vendor's Own Products section of the policy, which states that Industry representatives are allowed on site with appointment.

On-campus Education 2

While contributions for most educational events must be made to a centralized, independent general fund, Mount Sinai SOM does allow non-centralized sponsorship of individual CME-credit-granting educational programs when they apply to offer such programs with Mount Sinai SOM and adhere to Standards for Commercial Support of the Accreditation Council for Continuing Medical Education (ACCME).
 

Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3

This policy explicitly warns of the potential bias in educational events, including speakers’ bureaus, but allows vendor support for off-site educational events as long as donations are unrestricted and made to a departmental education fund and industry may not select the recipients.
 

Industry Support for Scholarships & Funds for Trainees 3

Industry may not choose the recipient of support for educational events.  

Medical school curriculum 1 Policy or curriculum description not provided.
Do the policies specify an oversight mechanism? No There is no general oversight mechanism.
Are there explicit sanctions for noncompliance? No There is no reference to sanctions.
What the results mean...
3Model policy
2Good progress toward model policy
1No policy, or policy unlikely to have a substantial effect on behavior
0Did not report
N/APolicy not relevant to this institution (e.g., does not make purchasing decisions)