AMSA Scorecard

	University of Missouri-Columbia School of Medicine
	City: Columbia	State: MO
Links: Commentary: This institution’s policies are broadly applicable to the medical school "workforce" (all faculty, students, residents, etc.). This institution has focused on thorough disclosure processes and restricting industry representative conduct. This institution has not put forth any policy restricting use of samples or provided information on conflicts of interest and drug industry marketing's place in its curriculum, but is ahead of the curve in that it requires institutional approval to in order for workforce members to receive funding for attendance at off-site educational conferences.

Gifts & Meals		The institution puts $5 per item and $75 annual limit on gifts per vendor per workforce member. It also cites AMA recommendations on gifts.
Consulting relationships		Prior approval from Dean for consulting relationships is required
Industry-funded speaking relationships		Compensation for speaking services provided on personal time must be reasonable, and lecture content should be determined by the speaker, not industry sponsor.
Disclosure		The completion of an Outside Interest Report is required of those who have real or the appearance of a financial conflict of interest for the University although it is not clear if the document to be filled out is required annually or as needed. The SOM has a separate annual disclosure required for all workforce members.
Pharmaceutical samples		No policy or policy not provided
Purchasing & Formularies		Disclosure of potential conflicts to the committee is required.
Site Access		The institution requires industry representatives to complete an orientation/code of conduct in-service before meeting with staff and categorizing them as "Non-Clinical" or "Clinical" representatives. All representatives are required to have scheduled appointments with staff and there are significant restrictions placed on their activities on campus.
On-campus Education		Industry funds must pass through an institutional gift account. Educational content is then limited by institutional policy, and financial support for CME events must be fully disclosed.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus		Individuals may not be compensated for event attendance. Approval is required for travel support.
Industry Support for Scholarships & Funds for Trainees		Institutional policy prevents industry from selecting the recipient of funding and scholarships.
Medical school curriculum		No policy or policy not provided
Do the policies specify an oversight mechanism?		The Compliance Review Committee is cited as the responsible party for review disclosed conflicts of interest and making determinations on necessary corrective actions.
Are there explicit sanctions for noncompliance?		Sanctions not referenced.


	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)