AMSA Pharm-free Scorecard 2010
A Washington University School of Medicine
City: St. Louis State: MO


Summary: Washington University School of Medicine provides a strong concise policy. Consulting relationships are based on a written agreement. Speaking relationships cannot exceed 5 years and speakers must have control over presentation content. Acceptance of funds at the department, or program level may not necessarily centralize funding but funds must be unrestricted. Oversight and sanctions are outlined. The medical school also developed a curriculum on COI for orientation . The gifts policy was also strengthened by prohibiting any gifts including meals from all healthcare corporations. Additionally, the samples policy improved by specifying the narrow circumstances that benefit patients by which samples can be provided.

Demographics: Students spend the vast majority of their training at Barnes-Jewish Hospital and St. Louis Children's Hospital. Submitted policies apply to physicians and students, regardless of where they are practicing.

Updates: This institution submitted updated policies to the 2012-13 AMSA PharmFree Scorecard. As the domain scores for gifts and meals, samples, and curriculum improved, the institution's grade has changed to an A.


This institution has not granted permission for the posting of their policies on this website for illustrative purposes.

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



Gifts & Meals 3 Gifts including meals are prohibited from healthcare corporations.
Consulting relationships 3 The policy clearly requires that consulting relationships be pursuant to a written contract and payments must be commensurate to task.
Industry-funded speaking relationships 3 Individual relationships can only be for 5 years. Speakers cannot participate in speakers bureaus unless they have full control of presentation content.
Disclosure 3 Physicians or health professionals are required to disclose financial relationships to patients. Payments exceeding $10,000 are disclosed on a website.
Pharmaceutical samples 3 Pharmaceutical samples are prohibited except under certain narrow circumstances approved by the Faculty Practice Plan Clinical Practice committee. These narrow circumstances including effectiveness testing or providing samples for patients who cannot afford medicines.
Purchasing & Formularies 3 Members of procurement committees are not permitted to have conflicts of interest. They may provide expert advice but cannot partake in decision making.
Industry Sales Representatives 2 Industry representatives are only permitted on the premises by appointment.
On-campus Education 2 Unrestricted funds for eductional events are collected through a central fund, however the documents seem to reference the existence of several "central funds" thus making the control of funds appear to actually be uncentralized.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 Travel is considered a gift and as such is prohibited.
Industry Support for Scholarships & Funds for Trainees 3 University departments, divisions and programs are permitted to accept unrestricted educational grants which may be used for educational missions of the university.
Medical school curriculum 3 SOM has an orientation course on COI during their third year of medical school that covers potential for conflict between physicians and industry.
Do the policies specify an oversight mechanism? Yes Associate Vice Chancellor for Clinical Affairs in consultation with Dean, Office of Executive Vice Chancellor, and General Counsel will determine the threshold for management of potential conflicts of interest.
Are there explicit sanctions for noncompliance? Yes Remedial actions for unresolved conflict of interest is outlined and is executable after thirty days.
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)