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University of Michigan Medical School | |
| City: Ann Arbor | State: MI | |
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Links:
Commentary:UMHS_Governing_Principles.pdf 01-04-003updated.pdf UMMS_Operational_Guidelines.pdf UMHS_Outside_Interest_Disclosure_Database_-_MInform_2009.pdf The University of Michigan Medical School has good policies. Highlights include 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's evaluation was last updated: 6/16/2009 |
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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 |  |
"Outside Interest disclosures occur annually and must be updated during the year should circumstances change or new Outside Interests arise… [Disclosures will be] assessed for… level of compensation to ensure it is commensurate with the effort." |
| Industry-funded speaking relationships | |
There is nothing specifically on speaking relationships, but they would fall under this school’s broad disclosure and review policy, which requires departmental review or review by a Conflict of Interest board. |
| Disclosure | |
Faculty (including Residents) are required to annually disclose outside interests and must update their disclosures during the year should circumstances change or new outside interests arise. However, Staff and Adjunct/Visiting Faculty are only required to disclose conflicts as they arise. |
| 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. |
| Industry Sales Representatives | |
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? |  |
This policy makes it clear that departments are responsible for oversight, with more broad oversight by the Conflict of Interest Board. |
| Are there explicit sanctions for noncompliance? | |
There are clear sanctions for noncompliance. |
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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) |
