AMSA Scorecard

	Boston University School of Medicine
	City: Boston	State: MA
Links: BMC-BUSM_Policy_on_Industry_Interactions.doc BU.COI.policy.pdf Commentary: Covering both the medical school and its affiliated hospital, Boston University School of Medicine has strong policies that seem centered in Brennan et al. These policies could move from strong to exemplary with the addition of – for example - curriculum on this subject matter, and measures to prevent individual physicians from being the first point of receipt for samples from drug reps.

Gifts & Meals		All gifts and meals "directly or indirectly funded by industry" are prohibited in the hospital and on campus.
Consulting relationships		Consulting relationships are required to be set forth in writing for legitimate, specific services, and are subject to annual disclosure.
Industry-funded speaking relationships		Clinicians with speaking engagements for industry should receive only fair market compensation, and must maintain control over lecture content.
Disclosure		Per University policy, annual disclosure of all business/financial relationships is required of all faculty and staff.
Pharmaceutical samples		All samples must be dispensed through the pharmacy, and use by clinicians, staff, and their family is prohibited.
Purchasing & Formularies		"Clinicians who are involved in institutional decision concerning the purchase of or approval of medications or equipment, or the negotiation of other contractual relationships with industry must not have a financial interest in the vendor that might benefit from the institutional decision."
Site Access		Industry representatives must have an appointment with a clinician, and are banned from all patient-care areas.
On-campus Education		The School of Medicine requires all on-site educational activities, whether ACCME accredited or not, to comply with ACCME standards for commercial support. In addition, meals may not be supported by industry.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus		Clinicians and trainees may not accept funding for travel and related expenses except to "review a vendor's products under circumstances that do not create...a conflict of interest."
Industry Support for Scholarships & Funds for Trainees		Industry may not select recipients of scholarships.
Medical school curriculum		No policy, or policy not provided.
Do the policies specify an oversight mechanism?		Department chairs are responsible for enforcing policies, and report to the Chief Medical Officer.
Are there explicit sanctions for noncompliance?		Sanctions referenced in this policy.


	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)