AMSA Pharm-free Scorecard 2010
A Stanford University School of Medicine
City: Stanford State: CA

Summary: Stanford University School of Medicine provides an exemplary policy which scores highly in most domains. Outside relationships (such as consulting) require a formal contract. Participation in speakers' bureaus is prohibited and faculty members are required to have full control of presentation content. All CME events must comply with ACCME guidelines. Simple changes such as not allowing staff with conflicts of interest to serve on the Purchasing and Formulary Committees and requiring institutional review for all consulting arrangements would make this the strongest policy of all medical schools in the US. Their policy could be furthered strengthened by requiring either a ban or recusal of faculty members with COI from making purchasing decisions and also banning the presence of industry sales representatives from campus.

Demographics:  On average students spend 65% of their training at Stanford Hospital and Clinics and Lucile Packard Children's Hospital, 15% at Santa Clara Valley Medical Center, and 15% at Veterans Administration Palo Alto Health Care System. The submitted policy applies only to Stanford Hospital and Clinics and Lucile Packard Children's Hospital at Stanford.

Updates: Stanford provided new policies for review in the 2012-13 PharmFree Scorecard, their grade remains an A.


This institution's evaluation was last updated: 4/9/2013.

Gifts & Meals 3 Acceptance of gifts from industry is not allowed. Meals cannot be provided directly.
Consulting relationships 2 Institutional review of all consulting relationships is required by Stanford University School of Medicine. "Agreements related to consulting activities must not use [institution] letterhead" and the policy implies that a contract document is required.
Industry-funded speaking relationships 3 Participation in speakers bureaus is prohibited. Industry is not permitted to make suggestions on presentation content.
Disclosure 3 Faculty are required to disclose finacial interests online annually on the publicly accessible system. Adjunct clinical faculty are required to sign an attestation annually to show that they comply with the requirements of the policy.
Pharmaceutical samples 3 Free drug samples are considered gifts and are not permitted at any of the clinical facilities of the institution.
Purchasing & Formularies 2 Committee members are required to disclose their financial interests before engaging in discussions regarding products.
Industry Sales Representatives 2 Site access is by appointment only and is restricted to non-patient care areas.
On-campus Education 3 CME activities must comply with ACCME guidelines. All contributions must be made to the CME centrral pool. Contributions are considered as undesignated for general categories .
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 Acceptance of gifts for attending an event is not permitted. Lecturer must have full control over presentation content.
Industry Support for Scholarships & Funds for Trainees 3 The school of medicine department, program, division or institute selects the students.
Medical school curriculum 3 This institution has previously provided curricular material focused on financial conflicts of interest and their management. This policy could be strengthened by demonstrating greater focus on colficts of interest issues outside of the research framework. In addition, medical students are required to complete a list of modules which includes Conflicts of Interest. The module outline is unavailable.
Do the policies specify an oversight mechanism? Yes Oversight established
Are there explicit sanctions for noncompliance? Yes Violation of this code will result in disciplinary action.
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)