Version 4 revised May 28 2012 Purpose of conflict of interest policy Ensure patients safety Maintain the schools reputation Ensure the integrity of our educational programs Avoid litigation ID: 744420
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Conflict of Interest
This presentation has been developed by the COI Working Group to assist in the implementation of “Policy and Guidelines for Interactions between Schulich School of Medicine and Dentistry and Pharmaceutical, Biotech, Medical Device, Medical/Dental Supply, and Research Equipment Supplies Industry”
Version 4 revised May 28, 2012Slide3
Purpose of conflict of interest policy
Ensure patients’ safety
Maintain the school’s reputationEnsure the integrity of our educational programsAvoid litigationUphold professional reputationSlide4
What do you do?
An equipment rep offers to take you out for lunch after a demonstration?
A supplier wants to provide funds for an educational activity you are planning?You receive an invitation for an unaccredited dinner talk?You receive an offer for consulting?Slide5
Expectations
Faculty, students and staff must:
- Avoid conflicts of interest- Avoid improper relationships - Avoid other interactions that may suggest
the appearance of
a conflict of interest, or
an improper relationship Slide6
Conflict of interest
a
divergence between an individual’s private interests and his or her general professional obligations such that an independent observer might reasonably question whether the individual’s professional actions or decision are determined by considerations of
personal gain
, financial or otherwise.Slide7
Statement of Policy
Individuals
must consciously and actively divorce clinical care decisions from actual/perceived benefits expected from industry.Unacceptable for patient care decisions to be influenced by the possibility of personal financial gain.
Conflicts of interest must be addressed appropriately.Slide8
15 types of interactions
Gifts
Pharmaceutical samples and medical/dental supplies
Site access by pharmaceutical representatives
Site access by device manufacturers
Continuing Professional Development
Industry funding for educational programs
Participation in industry-sponsored programs
Scholarships and other educational fundsSlide9
Types of interactions … continued
Food
Professional TravelGhostwriting
Purchasing
Consulting relationships
Educational materials
Philanthropic giftsSlide10
1. Gifts
No personal gifts from industry
For purposes of this policy,
“industry” defined as manufacturers or suppliers of:
pharmaceuticals
biotechnology products
medical devices
dental supplies
research equipmentSlide11
2. Pharmaceutical samples
Don’t accept samples and supplies directly.
Samples should go directly to patients/test subjects through a voucher system where available.Slide12
3.
Site access by pharma/dental
supply repsBy appointment only
Away from patient-care areas
Students must be supervisedSlide13
4
. Site access by device manufacturers
By appointment onlyAway from patient-care areasStudents must be supervisedSlide14
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. Continuing professional development
Industry may provide CPD funding to:Schulich School of Medicine and DentistryTo an individual Department or DivisionTo the CPD or CDE officesNOT to individualsSlide15
6. Industry funding for educational programs
Individuals may not accept or solicit funds for educational activities.Slide16
7. Participation in industry-sponsored programs
Industry may sponsor journal clubs, according to guidelines
Do not accept payment for attending an event.Do not attend an un-accredited event which is marketed as an accredited event Do not participate in speakers bureausSlide17
8
. Industry-sponsored educational funds
Industry can make donations to:The Schulich School of Medicine and DentistryAn affiliated hospitalWestern UniversityNOT to an individualSlide18
9. Food
Do not accept free food
Industry can provide grants to an organizing committeeIndustry should not cater events directlySlide19
10. Professional Travel
Do not accept travel expenses for educational events
Accept only work-based travel costSlide20
11. Ghostwriting
Maintain your authority as an author
Do not put your name on ghostwritten materialSlide21
12. Purchasing
Disclose all relationships with industry
Remove yourself from the decision-making process if there is a conflict of interestSlide22
13. Consulting relationships
Discuss and disclose
Before signing a consulting agreement:
Discuss it with dean, chair or administrator
Ensure that it includes details on tasks and deliverables
Ensure remuneration is reasonableSlide23
14. Educational materials
Discuss and disclose
Begin by contacting your division chair
Consider:
If Western should be involved
How income would be divided
If students can defend their thesis
Slide24
15. Philanthropic gifts
Donations welcome through:
Schulich School of Medicine and DentistryAffiliated hospitalsWestern UniversityNOT to individualsSlide25
Researchers must:
Be free to disseminate results
Be unbiased
Be clear about how (and by whom) they are paid
Conduct research ethicallySlide26
Researchers must:
Be free to disseminate results
- don’t limit your right to reportBe unbiased- don’t influence your participants
Be clear about how (and by whom) they are paid -
responsible for tripartite agreement
Conducted ethically
Slide27
Applying the guidelines
When in affiliated institutions, abide by those guidelines
Where none exist, abide by Schulich guidelines.Where two sets exist, abide by the more stringent of the two guidelines.Slide28
Enforcement
Counseling of the individual
Written reprimand, entered into their record
Banning the individual from any further outside engagements for a period of time
Requiring that the individual return any monies received from the improper relationship with a third party in contravention of this policy
Requiring the individual to complete additional training on conflict of interest
Removing the individual from the supervision of trainees or students
Termination for causeSlide29
Reporting
To your immediate supervisor
To department chairTo the deanSlide30
Discuss and disclose
Discuss
and potential conflict of interest situations with your department chair or dean.Disclose all relationships with industry on an annual basis.Slide31
Questions?