3. A student requests placement in her physician father's office for an ambulatory clerkship. Her father or one of his partners would be submitting a clinical performance evaluation on the student at the end of the clerkship.
#	Response Date	Comment
1.	Wed, 3/14/07 12:08 AM	...on the objectivity/method of the evaluation. If the evaluation is majorly objective the COI is less extreme; however, if the physician's perceptions are the evaluation the conflict extends to both parties. The student may not receive an honest evaluation and the evaluator's credibility might be questioned if he falsely inflates this particular student's marks.
2.	Wed, 3/14/07 12:56 AM	How many total physicians. Her work should be done with someone besides him therefore she would be evaluated by someone else. If she works directly with him and is graded by him---huge conflict of interest, if it is done as suggested small/moderate COI
3.	Wed, 3/14/07 1:55 AM	If she is in good academic standing there likely would be no coi, however if the student is a marginal or failing student their is some possibility of coi.
4.	Wed, 3/14/07 3:56 PM	dad shouldn't write the eval or get a copy
5.	Wed, 3/14/07 4:32 PM	I would not want the evaluation to be by a family member. But I think most docotrs have the integrity to fairly evaluate a person who may be a close acqaintence.
6.	Thu, 3/15/07 12:57 AM	Her father would represent a conflict of interest. One would expect a partner to show professional discretion in providing a fair evaluation.
7.	Fri, 3/16/07 11:19 AM	Should be fine, but depends on students other behavior and reviews.
8.	Fri, 3/16/07 2:14 PM	If elective, I don't think it would matter. If it were a core rotation and one for which the student could get honors, I think it would be a serious COI.
9.	Sun, 3/18/07 11:24 PM	If the father submits, it's very serious, if a colleague submits it's less serious.
10.	Mon, 3/19/07 12:03 AM	I beieve it is University policy already relatives can not be supervisors
11.	Mon, 3/19/07 4:32 PM	This is a Very Serious COI: Student evaluation, especially if it is subjective, must be made by a disinterested party. A father, or another member of the father's practice is NOT a disinterested party. I have no problem with letting this clerkship occur, but special arrangements need to be made for evaluation of the clearkship by a disinterested 3rd party.
12.	Mon, 3/19/07 5:23 PM	The conflict is there. Whether the individuals involved would make honest appraisals is a separate question. A favorable appraisal would be suspect.
13.	Mon, 3/19/07 6:50 PM	Overall-Moderate COI However, I would hope that her father or his partner would be familiar with students rotating in for their clerkship and would give her a fair and accurate evaluation. Yet, it might be difficult to give her a negative evaluation if she did not meet the criteria. Of course it would be a bit biased. I think situations like this should be avoided.
14.	Fri, 3/23/07 5:31 PM	serious unless he is the only one in the area
15.	Mon, 3/26/07 2:04 PM	Her father would definitely have a large COI, however one of his colleagues may be perfectly able to give an unbiased evaluation.
16.	Sat, 3/31/07 3:22 AM	Much larger COI if the student's father is the one filling out the evaluation
17.	Fri, 4/27/07 11:54 AM	There would need to be a pre-existing relationship between the father/group and the medical school, with a proven track record of being committed educators, before such a rotation should be approved.
18.	Fri, 4/27/07 5:32 PM	I would think this is appropriate but that this particular evaluation should not be used in dean's letters, etc. It would make sense to include this venue as a site for training to be compared to other sites by this particular student. It would be nice for her to know how her father's practice works from the inside and how it differs from other practice sites.
19.	Mon, 4/30/07 11:09 PM	If it is for credit only, it would be ok. If honors designation is possible, then it is a conflict.
20.	Tue, 5/15/07 4:28 PM	If there are objective performance measures, the COI is much less than if the student is given preferential treatment/privileges based on the familial relationship with the attending.