AMSA Pharm-free Scorecard 2010
A Wake Forest University School of Medicine
City: Winston-Salem State: NC

Summary: Wake Forest University School of Medicine's policy places appropriate restrictions on speaking and consulting relationships requiring the former to be the speaker's content and the latter to be according to a formal contract having obtained prior approval. Industry reps can access the premises but by appointment only. Samples may not be accepted by faculty, staff or students and must be approved by a specific body. A good descriptive curriculum was provided.  Upon reviewing the policies for gifts, the score for gifts improved from last year: personal gifts are not permitted and only in rare cases are they accepted as educational material for patients. This insitution showed improvements in their policy regarding disclosures, pharmaceutical samples, and industry support for scholarships. 

Demographics: On average students spend 90% of their training at North Carolina Baptist Hospital with the remainder at Wake Forest University Community Health Plaza and Forsyth Medical Center. Submitted policies apply to all clinics and hospitals for medical students, faculty and staff.

Updates: This institution submitted new policies for review for the 2012-3 AMSA PharmFree Scorecard.  Their score improved from a B to an A.


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


Gifts & Meals 3 Upon reviewing the policy on personal gifts, such items are not permitted except in rare cases as educational material to patients.  Free meals are not permitted
Consulting relationships 3 Consulting relationships require prior approval with advanced notification containing contract details.
Industry-funded speaking relationships 3 Participation in Speakers bureaus is prohibited. Content must be controlled by speaker. The COI policy places a 26 day limit to outisde activities per calendar year.
Disclosure 3 The policy requires that individuals disclose significant financial interests. Such disclosures are to be made annually. Policy also mandates physicians disclosure of any financial ties to patients.
Pharmaceutical samples 3 Samples are not to be accepted by faculty, staff or students. Ambulatory Medication Management Subcommittee of the Pharmacy and Therapeutics Committee must approve samples.
Purchasing & Formularies 3 Committee members with conflicts of interest are required to recuse themselves from decision making. Annual disclosure is required.
Industry Sales Representatives 2 Industry representatives are only granted access to the premises by appointment. All industry representatives must be propoerly registered and are not granted access to patient care areas.
On-campus Education 2 Upon reviewing the on-site education policy, all CME events must comply with ACCME guidelines.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 Faculty and employees are not permitted to accept any payments or reimbursements for attending an offsite event.
Industry Support for Scholarships & Funds for Trainees 3 Industry is not allowed to earmark funds for trainees. and there may be no expressed or implied quid pro quo for the funds.
Medical school curriculum 3 The curriculum discusses not only the ethical issues surrounding interactions with industry but also the effects on the healthcare system.
Do the policies specify an oversight mechanism? Yes All violations can be reported to a Compliance Hotline and will be investigated and referred to head administration for sanctioning.
Are there explicit sanctions for noncompliance? Yes Sanction policies are available.
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)