Conflicts of Interest and Transparency Initiatives
AAMC COI Metrics Project
AAMC is working with member medical schools and teaching hospitals to measure the effects and effectiveness of the rule using annual, aggregate data about conflict of interest review systems, disclosures made by investigators to institutions, and financial conflicts of interest identified and reported to federal funding agencies. For more information about the Metrics Project, please visit www.aamc.org/metricsproject. You may direct any questions to COIMetrics@aamc.org.
Convey is a new secure online system designed to reduce the amount of time physicians, researchers, and scientists spend making required disclosures of financial interests. The state-of-the-art system will simplify the process of disclosing required information by providing a repository for individuals to enter and maintain records of their financial interests.
Open Payments (the Sunshine Act)
On February 8, 2013, the Centers for Medicare and Medicaid Services (CMS) issued a final rule entitled "Transparency Reports and Reporting of Physician Ownership or Investment Interests," (78 FR 9458). This rule implements section 6002 of the Affordable Care Act.
PHS Rule on Individual Conflicts of Interest in Federally-funded Research
On August 23, 2011, the Department of Health and Human Services issued a final rule revising the regulations entitled "Responsibility of Applicants for Promoting Objectivity in Research for which Public Health Service Funding is Sought and Responsible Prospective Contractors."
This report, issued in March 2012 by the AAMC, provides institutions subject to the new rule with some insight into how their peer institutions were thinking about these issues in the first few months after announcement of the new rule, and to provide a range of contemplated approaches. The report captures the contributions of 48 AAMC member institutions that participated in a series of regional working meetings convened in late 2011.
Conflicts of Interest in Research
AAMC Reports on Individual and Institutional Financial Conflict of Interest Policies
Protecting Patients, Preserving Integrity, Advancing Health: Accelerating the Implementation of COI Policies in Human Subjects Research
This report, issued February 2008 by the AAMC and the Association of American Universities, called on all medical schools and major research universities to develop and implement institutional COI policies, and to refine standards for addressing individual financial COIs.
Conflicts of Interest in Medical Education
The 2008 final report of the AAMC Task Force on Industry Funding of Medical Education examines the benefits and pitfalls associated with industry funding of medical education, and offers principles, recommendations, and guidelines to assist members in refashioning industry relationships to better conform to high standards of medical professionalism.
Conflicts of Interest in Clinical Care
In the Interest of Patients: Recommendations for Physician Financial Relationships and Clinical Decision Making
This 2010 AAMC report urges U.S. teaching hospitals to establish policies that manage financial relationships between physicians and industry so that these relationships do not influence patient care.
Science Behind Conflicts of Interest
AAMC Symposium on the Scientific Basis of Influence and Reciprocity
The June 12, 2007 AAMC Symposium on the Scientific Basis of Influence and Reciprocity brought together experts who discussed emerging neurobiological and psychosocial evidence demonstrating the effects of gifts, favors, and reciprocal relationships on human choices and behaviors.
News and commentary from AAMC Chief Scientific Officer Ann Bonham