AMSA Pharm-free Scorecard 2009
A Stanford University School of Medicine
City: Stanford State: CA
Commentary:

Stanford University School of Medicine’s conflict of interest policy is exemplary in many areas. Of important note is Stanford's gold-standard policy on industry support of CME, and public disclosures by faculty. In addition, there is a total ban on gifts and on-site meals, thorough restrictions on speaking relationships, and an unusually strong disclosure policy, requiring posting of all financial relationships on a website accessible to the public.  

This institution requested a reassessment of their 2009 submission, and identified policy provisions that the AMSA Scorecard had not captured.  Their grade was updated from a B to an A.

 

This institution's evaluation was last updated: 12/15/2009



Gifts & Meals 3 Gifts may not be accepted by any faculty or staff member on campus.  On-site industry sponsored meals are also prohibited.
Consulting relationships 2 Institutional review of all consulting relationships is required by Stanford University School of Medicine. The policies provided did not include a requirement that consulting contracts be fair or compensation commensurate to the task.
Industry-funded speaking relationships 3 Participation in "speaker's bureaus" is not permitted.  Additionally, the faculty member must choose and prepare the lecture content without influence of the industry.
Disclosure 3 "All faculty must disclose all personal financial relationships on an annual basis for posting in the School's publicly accessible Community Academic Profiles (CAP) system."
Pharmaceutical samples 3 This institution has a strong samples policy, which prevents samples from going directly to doctors (they are controlled and dispensed by the pharmacy) and allows them only where specially approved by Stanford Hospitals and Clinics. Where approved they are limited to only 10 different
Purchasing & Formularies 2 Equipment and drug procurement committee members with financial interests must disclose them, but whether the staff member must recuse him/herself from the purchasing decision is at the discretion of the purchasing unit.
Industry Sales Representatives 2 Sales and marketing representatives are not permitted in patient-care areas except by appointment to provide in-service training. Sales and marketing representatives are permitted in non-patient care areas by appointment only, normally only for evaluation of new purchases of equipment and devices, or in-service training. Pharmaceutical sales representatives are not explicitly prohibited from the site, although the effect of this policy may be to significantly limit their presence.
On-campus Education 3 This institution has banned direct funding of CME by industry, and allows funding designation only by general areas of interest. By removing the potential for funding bias in therapeutic areas related to frequently promoted products, this institution’s policy is exemplary.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 This strong policy language broadly bans the receipt of "compensation, including the defraying of costs, for simply attending a CME or other activity or conference (that is, if the individual is not speaking or otherwise actively participating or presenting at the event)."
Industry Support for Scholarships & Funds for Trainees 3 The recipients of scholarships and trainee funds are to be selected by the institution.
Medical school curriculum 3 This institution has a curricular component focused on  financial conflicts of interest and their management. This policy could be strengthened by demonstrating greater focus on colficts of interest issues outside of the research framework.
Do the policies specify an oversight mechanism? Yes Oversight established
Are there explicit sanctions for noncompliance? Yes Sanctions referenced
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)