AMSA Pharm-free Scorecard 2010
A Des Moines University College of Osteopathic Medicine
City: Des Moines State: IA
Commentary:

Summary: Des Moines University College of Osteopathic Medicine has a model policy which prohibits gifting in all forms. The policy also give the medical center control over external funds/content of presentations for educational and research purposes, without industry participation. However, disclosure is limited to at least $10,000/5% equity for faculty, deans and chairs of committees. Also, faculty members are not discouraged from becoming members of Speaking/Consulting bureaus. As described in the section below, it is unclear how often these policies apply to students who spend the majority of their training outside the College of Medicine.

Demographics: Students spend time at many diverse sites, with about 8% of time spent at the following institutions respectively: Mercy Hospital Medical Center, Iowa Health Systems, Broadlawns Medical Center. Submitted policies apply only to students when they are completing rotations at clinics under the University governance.

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: 12/10/2010



Gifts & Meals 3 "Faculty, staff and students may not accept gifts even if the gift is of nominal monetary value."  Meals are also not permitted even during CME activities.
Consulting relationships 3 All contracting relationships be "accompanied by a formal written contract outlining deliverables, tasks and responsibilities."  Also payment should be commensurate with tasks.
Industry-funded speaking relationships 2 The speaking policy requires full disclosure by faculty and staff.  The policy gives autonomy to faculty and staff over the content of their presentations and requires that payment be fair market value.  This policy would generally ensure that knowledge shared during speaking engagements are of valid scientific proof devoid of industrial influence but it does not place any duration limits on such engagements.
Disclosure 1 Annual disclosure is only required for faculty, deans and chairs.  All other employees are required to disclose conflicts of interest but no indication for a periodic basis.  The disclosure form only has provision for disclosure of >$10,000/5% equity.
Pharmaceutical samples 3 Faculty, staff and students are prohibited from accepting free drug/medical device samples for personal use.  Industry representatives are required to present research evidence to the Pharm Review Committee (PRC) and samples will only be available to patients with the Clinic's Financial Assistance if the PRC cannot find a generic alternative.
Purchasing & Formularies N/A This institution does not operate a pharmacy.
Industry Sales Representatives 2 Industry representatives are permitted to meet with students in the medical center so long as request has been made in writing.  Meetings are to be made in non-patient care areas.
On-campus Education 2 On-site education requires that industry-supported CME activities adhere to strict ACCME regulations which requires independent control of funds.  The Office of the Provost is in charge of coordination and oversight of all industry support.
Attendance at Industry-Sponsored Lectures & Meetings Off-Campus 3 "Faculty, staff and students may not directly accept travel funds or reimbursement from industry other than for legitimate contractual services."
Industry Support for Scholarships & Funds for Trainees 3 Disbursement of funds are made without industry participation.  Quid pro quo is not allowed.
Medical school curriculum 3 Provides an Interdisciplinary Education Program that contains readings which should substantially inform students and staff on conflict of interest.
Do the policies specify an oversight mechanism? Yes Clinic Administrator, Program Director/Dean of respective college, and Vice President of Student Services provide oversight.
Are there explicit sanctions for noncompliance? Yes Has provision for disciplinary measures to be taken, and has outlined officers responsible for carrying out sanctions.
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)