AMSA Pharm-free Scorecard 2010
D The Brody School of Medicine
City: Greenville State: NC
Commentary:

Summary: The current policy submitted to us by the Brody School of Medicine’s is from 2009 and is lacking in both scope and restrictions. For the 2011-12 Scorecard, they have supplied us with a draft policy, which is a significant improvement. Unfortunately, at the time of the release, this policy was not yet approved and no timetable was given for that approval. We were supplied with curricular materials, however, and we have updated this domain. With regard to the currently active policy, it is generally weak in a significant number of domains including: gifts, consulting, speaking and disclosure.  There is no ban on meals, which has become more of a common practice across the country. There is also no policy on disclosure. There are some positive aspects to the policy in that there are restrictions on industry sales reps. The newly submitted curriculum does provide good materials and clear objectives on teaching about COI and gifts in particular

Demographics: On average students spend 70% of their training at Pitt County Memorial Hospital and 25% at ECU Physicians. Submitted policies are from ECU Physicians but the institution states they apply to students while training at the other locations. It is unclear how they apply to faculty and staff at Pitt County Memorial Hospital.

UpdatesThis institution did not submit any new or additional policies for the 2012-13 AMSA PharmFree Scorecard. This institution's evaluation was last updated: 2/24/2012



Gifts & Meals 1 Current policy only bans gifts where they would affect curriculum, and is silent on meals. The institution has a proposed policy which would ban all gifts and all meals, which if implemented would raise their grade to a 3 in this domain.
Consulting relationships 1 Currently no policy on consulting. Institutional recommendations would create a system in which all consulting relationships would undergo a review and approval process and payment would need to be at fair market value. These changes would raise their grade to a 2 in this domain.
Industry-funded speaking relationships 1 No current policy. Recommendations would require that faculty who take part in speakers bureaus be paid at a fair market value and have complete control of their presentation. These changes would raise their grade to a 2 in this domain.
Disclosure 1 No current policy. Recommendations from within the institution would create a policy of annual disclosures of all financial interests by all staff which would raise their grade to a 2 in this domain.
Pharmaceutical samples 1 Current policy bans the use of samples within the hospital but allows for their continued use in clinic and modules. This use, while regulated does not require that the samples be dispensed from the pharmacy, or prohibit pharmaceutical representatives from distributing samples directly to physicians.
Purchasing & Formularies 1 No policy, or policy not provided.
Industry Sales Representatives 2 Sales representatives must have an appointment to visit the School of Medicine. 
On-campus Education 2 Lecture and conference organizers are responsible for all materials, content and methods. Recommendations include banning all industry assistance for travel, and discouraging staff from accepting payment for attendance to educational events.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 2 "Subsidies or reimbursement by a pharmaceutical company or equipment vendor for travel expenses, lodging, or the individual's time to attend a conference is not permitted." Recommendations include banning all industry assistance for travel, and discouraging staff from accepting payment for attendance to educational events.
Industry Support for Scholarships & Funds for Trainees 3 Sponsors of scholarships are permitted as long as the School of Medicine selects the recipient.
Medical school curriculum 3 The policy has well regarded required reading and promotes an understanding of conflicts of interest and the pharmaceutical industry.
Do the policies specify an oversight mechanism? No No particular party is charged with overseeing student and faculty compliance with the policies.
Are there explicit sanctions for noncompliance? Yes Sanctions are referenced in this policy.
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)