Adopted a New Industrial Interactions Policy

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Stanfords New CME Policy is part of a
Comprehensive Reassessment of our Relationship
with Industry
Adopted a New Industrial Interactions Policy
(adopted 2006)
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Scope of Stanfords Industry Interactions
Policy (adopted 2006)
Gifts and compensation Site access by sales
and marketing representatives Provision of
scholarships and other educational funds to
students and trainees Support for educational
and other professional activities Disclosure of
relationships with industry
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Stanfords Industrial Relations Policy has
attracted national attention
September 12, 2006
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Genesis of Stanfords New Commercial Support
Policy (2008)
CME Industry Task Force - Faculty members,
hospital administrators, CME team - Met for
nearly a year - Reported to Dean School
Executive Committee Controversy was
inevitable, our Dean was steadfast
Implemented September 1, 2008

Dean Pizzo
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Central Premises Stanfords Commercial Support
Policy
Commercial support for CME cannot be
designated to a specific topic, speaker, or
activity. All commercial support funds must
be managed centrally Commercial exhibits are
not allowed
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Broadly Defined Bucketsfor Monetary Contributions
Need to be designated to one of these 4 topic
areas Medical, pediatric and surgical
specialties Diagnostic and imaging
technologies and disciplines Health policy
and disease prevention Other broadly defined
topic areas
7
Stanfords new policy on Commercial support for
CME has attracted national attention
August 25, 2008
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Implementing Stanfords Commercial Support Policy
These simple premises actually lead to a very
complex set of implementation details.
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Transitional Considerations
All RSS and new symposia immediately
compliant Already scheduled symposia may
continue under the old model until June 1, 2009
(ie may have support exhibits) Future
courses which had anticipated commercial
support Some courses continue under new
model Some terminated (when cancellation fee
low) Deans office mitigation
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Allocation of Funds from the Central Pool
CME Faculty Advisory Council acts as the
curriculum committee This group of faculty
set educational policy and determines priorities
for the allocation of funds
11
In Kind Support
Non-monetary contributions cannot be pooled
and redistributed Stanford policy allows in
kind support such as equipment and supplies
to be designated to an activity
12
Acknowledging Commercial Support In a Central
Pool Model
All supporters need to be acknowledged equally
for all Stanford CME activities supported by the
central fund
13
Commercial Support Agreements
No company LOAs are compliant with Stanford
rules. Therefore commercial supporters must
use Stanfords Letter of Agreement All LOAs
must be handled by the Stanford Center for CME
14
Why Ban Commercial Exhibits?
15
Marketing MaterialsThen and Now

Then
Now
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New Financial Model
????
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We Need a Stimulus Package!
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New Financial Model For Stanford CME
We expect our commercial support funding to
be substantially reduced on a permanent basis
We are applying for non-profit foundation grants
Institutional subsidy is substantial
19
New Model For Stanford CME
Courses will be held mostly on the Stanford
campus We will emphasize quality education
using innovative educational methods Course
expenses will be reduced to match income from
learner tuition
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Is this only about CME?

CME is only one aspect of medial
education Stanford plans to extend these new
commercial support ethics to all medical
education Including Medical School Residency
Fellowship Programs
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Stanford Faculty Attitudes TowardsThe New
Commercial Support Policies?

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Faculty Attitudes about the new CME Policies

The CME Police!
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Faculty Attitudes about the new CME Policies

The Stanford Center for Preventing CME
CME
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Faculty Attitudes about the new CME Policies

Actually, the faculty have, by and large, warmed
considerably to the idea of separation of medical
education from commercial support and are
actively engaged in working to establish a new
model