AMSA Pharm-free Scorecard 2010
A University of Colorado Denver School of Medicine
City: Denver State: CO
Commentary:

Summary: University of Colorado Denver School of Medicine has an exemplary gift ban and meaningful curbs on industry speaking engagements, pharmaceutical samples, and continuing medical education. It submitted new policies and the only change was in terms of disclosure now stating the importance of public disclosure. Sanctions are referenced for non-compliance, which is a significant improvement. One affiliate hospital restricts site access for vendors to appointments in non-patient care areas; another affiliate hospital requires members of purchasing committees to disclose conflicts of interest but does not require automatic recusal from relevant decisions or the committee.

Demographics: The major training sites for students are University of Colorado Hospital, Children’s Hospital Colorado, and Denver Health. Submitted policies apply to “some/all students, residents, fellows, faculty and employees of the University of Colorado Denver” and each affiliate hospital has their own additional policies.

 Updates: This institution submitted new policies to the 2012-13 AMSA PharmFree Scorecard for review.  Their grade improves to an A.

 

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



Gifts & Meals 3 This institution uses model language in its complete gift and meal ban. Personal gifts are forbidden (no dollar limit) and a comprehensive list of examples is provided.
Consulting relationships 2 This policy prohibits no strings attached grants, and in doing so, excepts fairly compensated services rendered.  Despite this exemplary language, prior institutional approval of consulting relationships is not required per this policy.
Industry-funded speaking relationships 3 This policy, which embeds speakers’ bureaus in a problem statement about undue industry influence, bans faculty, staff, students, and residents from participating in a speakers bureau if any of the content is created or approved by industry, if compensation is above fair-market value, if the overall purpose of the course is marketing, or if attendees are compensated for attending.  Furthermore, all speaking relationships and their contracts must be reviewed and approved by the University. 
Disclosure 3 This policy refers to required annual disclosure of all potential conflicts of interest for students, residents, faculty and staff. "In all cases, in the interest of transparency, public disclosure of significant financial interests is fundamental."
Pharmaceutical samples 3 Individual students, residents and faculty members may not accept free or discounted drug samples, medical devices or other supplies from industry or industry representatives. Samples are only allowed in hospital units with specified policies.
Purchasing & Formularies 2 One of the main teaching hospitals for this institution requires members of purchasing committees to disclose all relevant conflicts to the committee chair, but does not provide for automatic recusal from interested decisions or the committee.
Industry Sales Representatives 2 One of the main teaching hospitals for this institution prohibits vendor representatives from entering patient care areas or being on premises without an appointment.
On-campus Education 2 Industry may contribute unrestricted funds for continuing education, which includes "recurring structured conferences"; such funds are managed through a "central, conflict-free account" managed at the level of the academic unit, which retains sole discretion over speakers, topics, and materials. Industry may specify the activity for accredited CME, and may specify the department or division for non-accredited events.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 Students, residents, and faculty members may not accept gifts, monetary stipends, paid travel, or honoraria solely for attendance at industry-sponsored dinners, lectures or sales presentations.  Some industry support may be accepted if recipients are selected by the institution. Other exceptions include training on medical devices, or grant development.
Industry Support for Scholarships & Funds for Trainees 3 Excepted from ban referenced in 5B, an academic unit may create a central fund to support travel to and participation in educational events. This fund must be conflict free.
Medical school curriculum 3 This policy demonstrates a deep understanding that curricular content on industry marketing and conflicts of interest is integral to a meaningful and workable policy. Provisions require curriculum that promotes comprehension of potential conflicts as well as evidence-based medicine research strategies
Do the policies specify an oversight mechanism? Yes

This policy references an implementation team.

Are there explicit sanctions for noncompliance? Yes

Sanctions are outlined.

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)