AMSA Pharm-free Scorecard 2008
D University of Oklahoma College of Medicine
City: Oklahoma City State: OK
Commentary:

An exceptional policy on speaking relationships establishes multiple restrictions to ensure that personnel acting as speakers are not presenting biased or industry-controlled information. Other well-intentioned generally are sufficient to effectively combat potential conflict of interest within industry/personnel interactions.



Gifts & Meals 2 This policy prohibits meals outside of educational events, but allows many kinds of small gifts. "Educational materials such as books and CDs and items related to clinical practice, such a stethoscopes, reference manuals, etc., may be accepted from vendors…"
Consulting relationships 2

This policy does not mandate institutional oversight of consulting relationships, but states that payment should be appropriate.

"Consultant fees may be accepted by residency faculty and staff for the provision of scientific, professional or educational expertise rendered to industry, but should be commensurate with the level of service provided."  

 

Industry-funded speaking relationships 3

In several places, this institution's policy restricts employees from speaking in non-educational capacities and in circumstances that may compromise their standing as unbiased, professionals and state employees.  "…employees [should] not agree to provide any professional services that compromise, appear to compromise, or have the potential to compromise or appear to compromise their professional judgment, research results, or the like." 

Disclosure 1

This policy does not contain any general disclosure requirement, but refers to the Office of Research Administration (ORA), which must negotiate and authorize all educational speaking contracts.  This is implies a form of disclosure, but an effective policy must have some form of general disclosure applicable to all personnel, not only those in speaking relationships. 

Pharmaceutical samples 1

There are no significant restrictions on samples that would help prevent their influence on prescriber behavior. Restricting faculty and family personal use is not enough. 

Purchasing & Formularies 1

No policy, or policy not included. 

Site Access 1

No policy, or policy not included. 

On-campus Education 2

This policy does not mandate that all educational grants go to a central fund, but it does call for the grants to be unrestricted, requires adherence to ACCME standards when granting CME 1 credit and states that all events should present objective and balanced information. Dangerously, however, this policy permits the use of vendor-provided speaking materials which may greatly compromise educational objectivity. 

Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 2

Faculty, staff, and trainees are prohibited from accepting payment for attending events under the Gifts policy. However, scholarships for travel to trainings are permitted, and there is no provision preventing industry from selecting the recipients of those travel scholarships. 

Industry Support for Scholarships & Funds for Trainees 2 Scholarships seem to be implicitly limited to trainings on devices; however, there is no restriction on industry earmarking of funds.
Medical school curriculum 1

This policy is "In development" 

Do the policies specify an oversight mechanism? Yes
Are there explicit sanctions for noncompliance? No

The only sanctions referenced in this policy apply to those who violate state conflict of interest rules around speaking relationships. 

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)