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39.1 |
ACGME Principles and Requirements |
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A. |
Policies relating to sources of educational support appear to affect what physicians believe and how they behave. The ACGME's six general competencies provide a framework to guide the conduct of the relationships maintained by residency programs and their sponsoring institutions with industry. |
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B. |
Professionalism Requirements: |
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1. |
Ethics curricula must include instruction in and discussion of published guidelines regarding gift-giving to physicians. |
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2. |
Full and appropriate disclosure of sponsorship and financial interests is required at all program and institution-sponsored events, above and beyond those already governed by the Standards for Commercial Support promulgated by the ACCME. Likewise, full disclosure of research interests must be published in keeping with the local policies of institutional review boards and following the recommendation of the AAMC Task Force on Financial Conflicts of Interest in Research. |
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3. |
Programs and sponsoring institutions must determine through policy, which contacts, if any, between residents and industry representatives may be suitable, and exclude occasions in which involvement by industry representatives or promotion of industry products is inappropriate. |
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C. |
Practice-Based Learning and Improvement and Medical Knowledge Requirements: |
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1. |
Clinical skills and judgment must be learned in an objective and evidence-based learning environment. |
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2. |
Residents must learn how promotional activities can influence judgment in prescribing decisions and research activities through specific instructional activities. |
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3. |
Residents must understand the purpose, development, and application of drug formularies and clinical guidelines. Discussion should include such issues as branding, generic drugs, off-label use, and use of free samples. |
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D. |
Systems-Based Practice Requirements: |
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Sponsoring institutions and programs must develop policies to assure that clinical skills and judgment are learned in objective and evidence-based clinical and teaching environments free from inappropriate influence. These policies must clarify the differences between education and promotion. |
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Teaching institutions must ensure that programs have sufficient funds from appropriate sources to conduct their educational activities. |
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Resident curricula should include how to apply appropriate considerations of cost-benefit analysis as a component of prescribing practice. |
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4. |
Advocacy for patient rights within health care systems should include attention to pharmaceutical costs. |
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E. |
Interpersonal and Communication Skills Requirements: |
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1. |
Resident curricula should include discussion and reflection on managing encounters with industry representatives. |
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2. |
Illustrative cases of how to handle patient requests for medication, particularly with regard to direct-to-consumer advertising of drugs, should be included in communication skills curricula. |
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39.2 |
UIC Policy Statement |
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A. |
Graduate Medical Education residency and fellowship programs, as well as undergraduate and continuing medical educational programs, will not participate in any UIC-sponsored events in which commercial and pharmaceutical companies provide meals, other types of food, pens, imprinted paper, or any gifts or other materials. |
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B. |
Other than in GME-authorized, planned activities, students, residents, and fellows will not have contact with commercial or pharmaceutical sales representatives (PSRs) during their normal work weeks. |
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C. |
Commercial and pharmaceutical companies may provide educational materials for resident use, so long as the company name does not appear on the item. |
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D. |
Companies may provide unrestricted educational grants to departments. |
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E. |
Speakers for any UIC-sponsored event must disclose any links to commercial and pharmaceutical companies. |
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F. |
Graduate Medical Education will provide an educational program for all residents and fellows regarding appropriate interactions with commercial and pharmaceutical companies and the ethics of dealing with possible conflicts of interest, and the rationale behind these. This educational program will include a web-based educational module and approved alternative courses. A similar program will be provided for medical students. |
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G. |
Companies may not use official University communication means to advertise or circulate information about events. |
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H. |
There will be a progressive system of corrective action for programs that fail to comply with the policy. |
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| Approved by GMEC: 5-2-2008 |
| COM @ Chicago UGME Curriculum Committee |