AMSA Pharm-free Scorecard 2010
C University of Nebraska College of Medicine
City: Omaha State: NE

Summary: University of Nebraska College of Medicine supplied additional policies in 2012-3 relating specifically to the domains of: Off-Site Attendance to Industry-Funded Events andCurriculum.  As a result of a strong policy prohibiting acceptance of funds attend off-site industry events, the domain score increased. They are now both strong policies, with prior approval required of all speaking relationships.  In general, this institution has policies which limit influence by industry, in a more limited way.  The biggest area for improvement is the gift policy, which allows gifts under $25.  Samples are the other area of improvement, as they are not regulated in any meaningful way.

Demographics: The primary affiliates are Nebraska Medical Center and the Omaha Veterans Administration Hospital. Submitted policies apply only to Nebraska Medical Center.

Updates: This institution submitted updated policies to the 2012-13 AMSA PharmFree Scorecard, their score remains a C. 

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

Gifts & Meals 1 The additions of the two affiliate policies did not effect the score of this domain due the medical school policy only discouraging gifts over $25. One affiliate hospital restricted gifts according to the AMA guidelines, and the other affiliate was silent on the matter.
Consulting relationships 3 The policies require prior approval of all outside employment and require that all compensation commensurate with the task.
Industry-funded speaking relationships 2

The institution has an Outside Activity Authorization Form which establishes institutional review of speaking relationships.

Disclosure 2 This score has increased from a 1 to a 2 due to the University policy which requires at minimum annual disclosure by faculty and staff.
Pharmaceutical samples 1 The medical school and affiliate hospital policies make no meaningful attempt to limit sample use.  A higher score could be achieved by prohibiting direct distribution of sample to clinicians or by requiring samples to be distributed to patients from a pharmacy.
Purchasing & Formularies 2 All policies require members on the Purchasing and Formulary Committees to disclose financial conflicts.
Industry Sales Representatives 2 The medical school and affiliate hospital policies all require that industry representatives have a prior appointment.
On-campus Education 2 Unrestricted educational grants from vendors are acceptable but must be given directly to the department involved and not directly to an individual.  Faculty presenting at an on-site educational event must disclose potential conflicts of interest at the time of the presentation.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 Faculty and staff are prohibited from accepting industry funds for off-site "passive" attendance to off-site conferences but are allowed to accept "reasonable" funds solely for research.
Industry Support for Scholarships & Funds for Trainees 3 Unrestricted educational grants from pharmaceutical companies are acceptable, but they must be given directly to the department, and not the individual.
Medical school curriculum 3

The curriculum materials promote an understanding of the pharmaceutical industry's interaction with physicians and the influence on health care.

All faculty, staff, and trainees are required to receive training on COI with resources identified by the COM.
Do the policies specify an oversight mechanism? Yes This policy establishes oversight.
Are there explicit sanctions for noncompliance? Yes This policy establishes sanctions.
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)