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Table 1 Revision of AMSA scorecard model COI policies

From: The updated AMSA scorecard of conflict-of-interest policies: a survey of U.S. medical schools

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
  1. aModel policies identical in original and new versions
  2. bPolicies not present in original version of scorecard