Conflict of Interest. Definition “A conflict of interest is a situation in which financial or...
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Transcript of Conflict of Interest. Definition “A conflict of interest is a situation in which financial or...
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Conflict of Interest
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Definition
“A conflict of interest is a situation in which financial or other personal considerations have the potential to compromise or bias professional judgment and objectivity.”
From Columbia University’s Conflict of Interest Policy
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A Simpler Definition
“Trying to Serve Two Masters”
Lauris C. Kaldjian, MD, PhD
Director, Program in Biomedical Ethics
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A Bit of Background
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A little38%
A lot1%
None61%
A lot33%
A Little51%
None16%
Perceived Influence of Sales Repson Prescribing Practices
“You” “Other Physicians”
Of Principles and Pens: Attitudes and practices of medicine house stafftoward pharmaceutical promotions Am J Med 2001;110:551
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Statements on Conflicts of Interest from: IOM / AAMC /
ABIM
Commonly held belief that small gifts don’t influence behavior is disproved by social science research
C.O.I. is a rampant problem
Disclosure of financial interests is also a myth that incompletely protects patients
Academic Medical Centers must lead the way to abolish gifting practices
JAMA 2006; 295:429-433
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S.2029A bill from Senator
Grassley
“...amend Social Security Act to provide transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies…”
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And increasingly …
We must also address patient/public perceptions that our activities may convey a potential for conflict of interest
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Education Domains
UME
GME
CME
Dealing with drug sampling, free meals, etc.
Biopharma support for CME
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Clinical Practice
Drug sampling in Clinics
Purchase decision making for medical devices
Device consulting – for development & usage
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Research Basic
Clinical
Translational
Entrepreneurial
Completeness of disclosure; is disclosure adequate?
Intellectual property control & patents
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Conflict of Interest Task Force
Membership
(N=34)
Broad representation across the College and University
Planned Approach
Inventory & Review Existing Policies (local & national)
Make recommendations with a comprehensive policy (across all 3 core missions)
Timeline
roughly over 1 year
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Comments?
Suggestions?
Questions?