AMSA Pharm-free Scorecard 2008
B SUNY Upstate Medical University
City: Syracuse State: NY
Commentary:
Weak gifts language sets a tone that spills into consulting, speaking, and off-site education domains, allowing for industry to engage in both promotional and contractual giving with medical center faculty. The samples policy is strong, as is the purchasing and formularies language.  We look forward to seeing the more comprehensive curriculum currently in development.

Gifts & Meals 1 This policy contains no serious limits on gifts; the only gifts language is embedded in pharmaceutical vendor site access policy, and allows for explicitly promotional gifts ("even if labeled with the donor's name.")
Consulting relationships 1 Annual disclosure is required only of consulting relationships maintained by researchers/investigators. There is no institutional oversight of consulting relationships generally.
Industry-funded speaking relationships 1 No policy, or policy not provided.
Disclosure 1 No general disclosure; Only research applicants must annually file COI disclosure. Otherwise, disclosure is mandated only for P&T members and publications.  
Pharmaceutical samples 3 The pharmacy director must approve cases in which samples can be used, and if pharmacy services are temporarily unavailable, no more than 48 hours worth of medication may be given.
Purchasing & Formularies 3 Annual disclosure for all P&T members will be vetted at each new drug request, and "any member of the P&T committee who receives funds from a pharmaceutical company agrees to abstain on any vote pertaining to formulary changes regarding that company's drugs." Additionally, conflicts will be announced during deliberation.
Site Access 2 Drug detailers are allowed on campus only by invitation and only in non-patient care areas.
On-campus Education 2 It was not clear whether this policy applies to educational activities outside the CME accreditation system. However, within it:

"…funds should be in the form of an educational grant made payable to [the institution's] Faculty Student Association CME" and "there will be no scripting, emphasis, or influence on content by the Grantor or its agents."
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 1 No policy, or policy not provided.
Industry Support for Scholarships & Funds for Trainees 1 No policy, or policy not provided.
Medical school curriculum 3 The Medical University included an example of a case study on COI from an ethics course, and indicated that the graduate medical education department was in the process of developing a more comprehensive curriculum "relating to drug development, marketing, and relationships with industry for use across programs in the institution."
Do the policies specify an oversight mechanism? No Only pharmaceutical vendors are subject to oversight and sanctions.
Are there explicit sanctions for noncompliance? No Only pharmaceutical vendors are subject to oversight and sanctions.
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)