Employees (trainees included) are prohibited from accepting or soliciting gifts (including meals) from Industry. However, if the gift is based on an outside relationship (such as family or personal) it may be accepted. Meals and gifts of a value of $25 or

Meals are deemed as gifts and are also prohibited from being accepted under the same clause as Domain 1

Prohibited from engagements referred to as 'Speakers' Bureaus.' Also outlines what acceptable speaking engagements can be and that gifts cannot be given. Industry has no role in determining or approving presentation content.

Complies with ACCME standards for commercial support and that all funds are accepted via a central, undesignated pool of funds with the central office having discretion on where the funds are being spent, choice of topics, materials, presenters, attendees

Attendance is allowed, but travel/lodging may only be accepted upon approval of Dept. Chair, Director, Dean, of Hospital CEO. No 'compensation' for their time can be accepted.

Only accepted under conditions that safeguard to ensure funds are not used by company to establish a marketing relationship with the trainee. Companies have no say in evaluation and selection of recipients.

Employees are prohibited from ghost writing.

Cannot clearly grade based on reference to a Board of Trustees Policy that we were not supplied with. That policy could mention that marketing/commercial purposes are prohibited (or pro 'best practices'). However, this satisfies AT LEAST the criteria for

Made by appointment only and only for educational exchange. Samples are given to a repository (pharmacy dept.). Vendors cannot access patient information.

Medical device reps only allowed in patient care areas during procedures with consent of patient, physician, and manager in charge. They are restricted in their access and activities for outlined reasons deemed legitimate and appropriate by this grader.

Disclosure made internally to COI committee, externally to lectures and websites.

It is part of mandatory curriculum for M1s, and M2s. Both include sessions on COI. Unable to adequately determine if sessions cover the minimum criteria outlined by AMSA to warrant a '3' grade.

Applies to private clinician offices that trainees may rotate through

There is a conflict of interest committee that manages COIs of ASMs. And has outlined further actions in noncompliance.