Table 1.
Revision of AMSA scorecard model COI policies
| Policy Area | 2008 AAMC Recommendation | Original AMSA Scorecard Model Policy | 2014 AMSA Scorecard Model Policy |
|---|---|---|---|
| Conflict of Interest Disclosure | Domain not addressed | Disclose on public website and/or to patients | Disclose to institution and externally to medical students and trainees |
| Industry-funded speakers’ bureausa | Strongly discouraged | Prohibited | Prohibited |
| Industry-support of accredited CME | Permitted if funds coordinated and overseen by a central CME office | Permitted if funds coordinated and overseen by a central CME office | Permitted in rare circumstances such as blinded pool of funds not earmarked for specific courses |
| Attendance of unaccredited industry-sponsored educational events | Prohibited | Permitted, but travel funds must be awarded independent of industry influence | Prohibited |
| Access of pharmaceutical sales representatives to AMCsa | Permitted by appointment only, and restricted to non-patient areas. | Prohibited; non-marketing interactions permitted | Prohibited; non-marketing interactions permitted |
| Access of medical device representatives to AMCsb | Permitted by appointment, with prior disclosure and patient consent, and for technical assistance and in-service training only. | Domain not addressed | Permitted by appointment, with prior disclosure and patient consent, and for technical assistance and in-service training only. |
| COI curriculuma | Required for all phases of medical education. | Required for all phases of medical education. | Required, with a comprehensive curriculum mirroring AMSA best practices. |
| Extension of AMC COI policies to community teaching affiliates and to all facultyb | Required off-site. | Domain not addressed | Required off-site and for all faculty, including voluntary. |
| Gifts | Prohibited | Prohibited except textbooks | Prohibited |
| Meals | Prohibited, except when in connection with CME programming. | Prohibited, except when in connection with CME programming. | All meals prohibited, including in CME courses |
| Consulting | Permitted if compensation reflects the fair market value of the services provided. | Permitted with prior approval, plus either formal contract or payment commensurate to deliverable | Permitted if consulting is limited to scientific and not marketing topics. |
| Ghostwriting and Honorary Authorshipb | Prohibited | Domain not addressed | Prohibited |
| Industry-Supported Travel Scholarships for Trainees (excluding support for research training) | Permitted, but recipient selection must be independent of industry sponsor | Permitted, but recipient selection must be independent of industry sponsor | Prohibited |
| Enforcementb | Domain not addressed | Required, but not part of formal scoring | Required, and integrated into final score |
aModel policies identical in original and new versions
bPolicies not present in original version of scorecard