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University of Michigan Medical School | |
| City: Ann Arbor | State: MI | |
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Commentary:The University of Michigan Medical School has a strong ban on gifts and samples, a comprehensive disclosure system, and evidence of a curriculum that makes pharmaceutical COI a priority from the beginning of medical training. Industry influence of on- and off-site education does not seem well-regulated. This institution has not consented to allow portions of its policy to be cited for illustrative purposes. |
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| Gifts & Meals |  |
All meals, personal, and promotional (branded) gifts banned to faculty, staff, trainees and students. However, the policy seems to permit gifts of an educational nature which, although unbranded, may still affect prescribing behavior. |
| Consulting relationships | |
Department chairs, deans, and appropriate managers are given the authority to approve/disapprove of all conflicts of interest or commitment, which must be disclosed annually and updated as they occur. |
| Industry-funded speaking relationships | |
Dept. chairs, deans, and appropriate managers are given the authority to approve/disapprove of all conflicts of interest or commitment, which must be disclosed annually and updated as they occur. |
| Disclosure | |
Annual and as-needed disclosure of all conflicts of interest and commitment required for all staff, faculty, students, and trainees of the University of Michigan Medical School. |
| Pharmaceutical samples |  |
The Medical School institutes model language on samples. The policy acknowledges that samples are primarily marketing tools for the drug industry and bans them as such, with a narrow exception for special circumstances, which may be petitioned to the Ambulatory Formulary Committee and Site Medical Director. Further, recognizing their functions of convenience and value to patients, the institution distributes pharmaceutical vouchers through Pharmacy Services for complimentary starter medications of formulary drugs at a patient's chosen pharmacy - breaking the link between sales representatives and physicians, as well as eliminating the safety risks inherent with unregulated sample distribution. |
| Purchasing & Formularies | |
The institution establishes a choice of methods for mitigating conflict of interest in committee decisions, but all require that the individual with conflict recuse him or herself from voting. |
| Site Access | |
Vendors are allowed on campus by appt, but are restricted to non-patient care areas except for device and product training, and then only with approval. |
| On-campus Education | |
The Medical School adheres to ACCME standards cited for CME-credit events on-site. |
| Attendance at Industry-Sponsored Lectures & Meetings Off-Campus | |
The gifts/meals ban covers gifts and meals for off-site events, but it is not clear from policies provided whether travel and attendance costs are covered by it, as well. |
| Industry Support for Scholarships & Funds for Trainees |  |
The Medical School indicates that a new policy on scholarship/trainee funds is in development. |
| Medical school curriculum | |
The Medical School provided materials for course curriculum, "Drug Development, Marketing and Industry Relationships" for first and second year medical students. |
| Do the policies specify an oversight mechanism? |  |
Oversight mechanisms are well established in this policy. |
| Are there explicit sanctions for noncompliance? | |
Sanctions are well established in this 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) |
