AMSA Scorecard

	Yale University School of Medicine
	City: New Haven	State: CT
Links: Yale_U._COI_policy.pdf Commentary: An ambitious set of guidelines have been set by Yale University School of Medicine, covering all scored domains. However, as a set of guidelines they are not technically binding. Adherence to the guidelines is "strongly encouraged" by Yale, but it is questionable how useful the guidelines are if compliance is not required. Because they are guidelines, this policy has been downgraded from a B to a C.

Gifts & Meals		This School of Medicine completely bans all gifts and on-site meals.
Consulting relationships		The guidelines request that payments for services to pharmaceutical companies are commensurate with services provided and that the terms of the arrangement and compensation be set forth in writing.
Industry-funded speaking relationships		The School of Medicine does not limit the longevity of speaking relationships, but does request that personnel who speak present their own material and that compensation is reasonable for services provided.
Disclosure		The guidelines suggest physicians internally disclose all potential and real conflicts of interest annually.
Pharmaceutical samples		The guidelines place no restrictions on samples that would significantly limit their use as a marketing tool for pharmaceutical companies.
Purchasing & Formularies		Physicians contributing to institutional purchasing decisions at Yale must not have any financial interest in the companies manufacturing the products under consideration.
Site Access		Pharmaceutical representatives are only permitted in non-patient care areas.
On-campus Education		The guidelines suggest that all on-site educational activities comply with ACCME standards, whether or not CME credit is awarded.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus		The School of Medicine does not permit physicians to accept defraying or direct reimbursement of costs associated with attending a CME or other instructional activity.
Industry Support for Scholarships & Funds for Trainees		The School of Medicine must select the trainee to whom scholarship or other funds are to be awarded and the School of Medicine must also determine that the conference or training has educational merit.
Medical school curriculum		The provided guidelines do not contain information about conflicts of interest portions of its curriculum, nor do they indicate that there is a course that covers conflicts of interest issues.
Do the policies specify an oversight mechanism?		Policies are guidelines only.
Are there explicit sanctions for noncompliance?		Policies are guidelines only.


	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)