AMSA Pharm-free Scorecard 2010
B Eastern Virginia Medical School
City: Norfolk State: VA
Commentary:

The institution provides a good policy that requires a written agreement for consulting relationships. Their policy has improved  since their last submission. Their gift policy has improved from a minimal policy to a model policy. Educational funds are managed by the Office of CME. Their samples policy makes some attempts to improve, but is still too vague to earn a higher grade. Travel support for off-site education is not permitted. Oversight and Sanctions are outlined. Additionally, their disclosure policy has been strengthened as now disclosures must be made publicly available while in the prior submission public disclosure was only optimal. Overall, they should be commended for taking great steps forward with this policy.

This institution submitted updated policies to the 2012-3 AMSA PharmFree Scorecard. Although there was improvement in individual policy domains, their grade remains a B.

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



Gifts & Meals 3 Neither gifts (regardless of value) nor food items are permitted.
Consulting relationships 3

The policy requires consulting relationships to be governed by a written agreement which specifies services to be provided and the costs for the services.  In addition, the policy requires consulting relationships to be approved by the department chair.

Industry-funded speaking relationships 3 Speaker has control over presentation content. The policy only requires that outside commitment activities are disclosed annually.
Disclosure 3 Employees are required to disclose all interests annually and are required to made available to the public including names, roles, entities, and values of financial COIs.
Pharmaceutical samples 1 Samples can be dispensed by physicians during patient visits. In the absence of samples, generics may be prescribed.  Although this policy requires physicians to provide information about generic medications and their cost benefits to patients, it allows physicians to accept samples and distribute them as starters to a vague group of any patient who has financial difficulty, is non-compliant, or who has poor outcomes.
Purchasing & Formularies N/A N/A
Industry Sales Representatives 2 Iindustry representatives are only allowed access to the AMC site upon invitation and such visits are restricted to non-patient care areas.
On-campus Education 2 The policy prohibits control by industry of content, attendees, and venue, but it allows funds to be controlled at the departmental level rather than a central fund, which earns a 2 in this domain.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 Travel support form industry is considered a gift and is prohibited, except when given as part of an approved consulting activity, and a few other named exceptions.
Industry Support for Scholarships & Funds for Trainees 3 Selection of gift recipients is managed by the institution without industry influence. Expressed or implied quid pro quo is not permitted.
Medical school curriculum 3 Model curriculum provided in 2010.
Do the policies specify an oversight mechanism? Yes Overseen by the Conflict of Interest Committee.
Are there explicit sanctions for noncompliance? Yes Sactions 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)