AMSA Pharm-free Scorecard 2010
B University of Kentucky College of Medicine
City: Lexington State: KY
Commentary:

Summary: University of Kentucky College of Medicine has provided strong policies in many domains, especially its processes for approval and monitoring of outside business and professional relationships. The requirement for industry sales representatives to complete an orientation program and the ban on samples at the hospital clearly indicate the institution’s goal to limit industry's marketing presence. Provided policies have not, however, addressed industry influence over content of CME on campus or shown that its curriculum has any significant education on conflicts of interest that can arise due to interactions with pharmaceutical industry.

Demographics: The major training sites for students are University of Kentucky Chandler Hospital, University of Kentucky Good Samaritan Hospital, and Lexington Veteran's Affairs Medical Center. Submitted policies apply to all sites.

Updates:  This institution did not submit any new or additional policies for the 2012-13 AMSA PharmFree Scorecard. This institution's evaluation was last updated: 12/05/2010



Gifts & Meals 1 This institution’s gifts policy is generally in line with PhRMA guidelines, with an additional $300 annual aggregate limit, which continues to allow for substantial gifting.
Consulting relationships 3 The institution goes to great lengths to ensure that all consulting arrangements of its employees are appropriate.  Consulting arrangements must be reviewed by the Corporate Compliance Office prior to acceptance.  In addition, the arrangements, including deliverables, must be described in a contract, and all remuneration must be based on fair market value for services provided.
Industry-funded speaking relationships 3 Excellent language: "Vendor relationships with physicians…where compensation is paid for marketing activities such as speaking…are suspect and payment may not be accepted as 'consulting' fees, even if the physicians is required to perform services".
Disclosure 1 No annual or periodic disclosure is required.
Pharmaceutical samples 3 The institution does not allow samples at the campus hospital, but the policy language suggests that they are permitted at affiliated and off-site practices. 
Purchasing & Formularies 3 If a committee member has an applicable relationship or conflict, he/she may not participate in decision-making processes.
Industry Sales Representatives 2 The institution requires industry representatives to have pre-scheduled appointments.  In addition, it requires representatives to pay an annual fee for a campus identification badge that is required to be worn at all times on site. 
On-campus Education 1 The restrictions that the institution has placed on industry funding of CME events do not address industry influence over speakers or educational content at such conferences, they only address the funding of speakers
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 The provided policy effectively prevents industry from funding individuals for travel to and registration at off-site educational conferences. The policy requires that industry support be directed to the conference sponsor in order to defray the costs for all
Industry Support for Scholarships & Funds for Trainees 3 Industry may make scholarships available for students and trainees, but the recipients must be selected by the institution. 
Medical school curriculum 1 No policy or policy not provided.
Do the policies specify an oversight mechanism? Yes The institution has designated responsibly for enforcement in its policies.
Are there explicit sanctions for noncompliance? Yes Sanctions are referenced.
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)