AMSA Pharm-free Scorecard 2010
A University of Pittsburgh Medical Center
City: Pittsburgh State: PA

Summary: Exemplary. University of Pittsburgh Medical Center has implemented a set of some of the most ambitious conflicts of interest policies in the country. The policies are written clearly and unambiguously, and in many cases include a short preamble that outlines the reasoning for, and spirit of, each policy. The one area for which no policy was provided is curriculum content on industry interactions; UPMC has indicated a separate working group is addressing this issue.

Demographics: On average students spend 50% of their training at UPMC Presbyterian-Shadyside, 10% at Children's Hospital of Pittsburgh of UPMC, and 10% at Magee Women's Hospital of UPMC. 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: 6/16/2009

Gifts & Meals 3 UPMC has banned all personal gifts, regardless of the nature or dollar value of the gift.  Additionally, the institution has banned on-site and off-site staff meals that are directly funded by industry.
Consulting relationships 3 UPMC has a model consulting policy: "In order to avoid gifts disguised as consulting contracts, where SOHS or UPMC personnel have been engaged by Industry to provide consulting services, the consulting contract must provide specific tasks and deliverables, with payment commensurate with the tasks assigned. All such arrangements between individuals or units and outside commercial interests must be reviewed and approved prior to initiation in accordance with appropriate University or UPMC policies."
Industry-funded speaking relationships 3 There are approval requirements and specific limits on duration and payments, as well as a demonstrated understanding of the potential for and frequency of inappropriate speaking relationships. Would almost certainly prevent long-term speaking relationships.
Disclosure 2 Internal disclosure of all industry relationships is required annually and as needed when new relationships arise.
Pharmaceutical samples 3 This institution is implementing a centralized sample medication system that removes the interaction between prescribers and vendors
Purchasing & Formularies 3 Model language: "No member of a purchasing unit should serve in any capacity in any other organization where his or her judgment regarding University affairs may be influenced by concern for the success of the outside enterprise."
Industry Sales Representatives 2 Industry representatives must be invited by a health care provider for a specific purpose in order to enter the institution.
On-campus Education 2 UPMC mandates that all funds for educational events be centralized through the Center for Continuing Education on Health Sciences. However, the policy does not prevent industry from specifying the department that will receive the funds.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 UPMC does not allow industry to pay travel expenses or reimbursement for attendance at off-site educational events or meetings
Industry Support for Scholarships & Funds for Trainees 3 Students may receive scholarship or other industry funding, but such funds must go into a centralized pool, and no earmarking is permitted. 
Medical school curriculum 1 UPMC indicated that there is a separate working group considering the curriculum. 
Do the policies specify an oversight mechanism? Yes Responsibility for oversight and compliance is clearly outlined in the policies. 
Are there explicit sanctions for noncompliance? Yes A list of possible sanctions for noncompliance are given. 
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)