CHM Faculty and Student Survey on Conflicts of Interest

2. Please mark one of the following:
		Response Percent	Response Count
Student		0.0%	0
Resident		19.0%	39
Faculty		81.0%	166
	answered question		205
	skipped question		131

3. For faculty, please indicate primary terminal degree:
		Response Percent	Response Count
MD		71.9%	143
DO		8.5%	17
PhD		15.1%	30
Other (please specify)		4.5%	9
	answered question		199
	skipped question		137

4. IF FACULTY OR RESIDENT, please indicate primary department or specialty:
		Response Percent	Response Count
Center for Ethics		1.0%	2
Dean’s Office		3.0%	6
Emergency Medicine		2.0%	4
Epidemiology		1.0%	2
Family Medicine		13.3%	27
Institute for Health Studies		0.0%	0
Medicine		14.8%	30
Neurology/Ophthalmology		2.0%	4
Obstetrics/Gynecology		1.0%	2
OMERAD		2.0%	4
Pediatrics		25.1%	51
Psychiatry		6.9%	14
Radiology		9.9%	20
Surgery		6.4%	13
Other (please specify)		11.8%	24
	answered question		203
	skipped question		133

5. ALL RESPONDENTS, please identity your current community location:
		Response Percent	Response Count
Flint		2.5%	5
Grand Rapids		26.2%	53
Kalamazoo		4.0%	8
Lansing		48.0%	97
Marquette		0.5%	1
MSU Campus		17.8%	36
Saginaw		1.0%	2
	answered question		202
	skipped question		134

6. 1. A faculty member is the editor of a textbook in her specialty, and receives a royalty based on the number of books sold. She requires all students in her course to purchase that textbook.
		Response Percent	Response Count
No COI		1.1%	2
A small COI		10.5%	20
A moderate COI		28.8%	55
A very serious COI		42.4%	81
It depends (please explain)		17.3%	33
	answered question		191
	skipped question		145

7. 2. What if the faculty member receives no royalties from textbook purchases, but instead receives only a free copy of the textbook?
		Response Percent	Response Count
No COI		48.4%	92
A small COI		31.1%	59
A moderate COI		7.9%	15
A very serious COI		5.3%	10
It depends (please explain)		7.4%	14
	answered question		190
	skipped question		146

8. 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 Percent	Response Count
No COI		4.8%	9
A small COI		11.1%	21
A moderate COI		32.8%	62
A very serious COI		44.4%	84
It depends (please explain)		6.9%	13
	answered question		189
	skipped question		147

9. 4. A faculty member hires a student to work as a research assistant on a project that is completely funded by a pharmaceutical company.
		Response Percent	Response Count
No COI		61.9%	117
A small COI		14.3%	27
A moderate COI		6.4%	12
A very serious COI		2.1%	4
It depends (please explain)		15.3%	29
	answered question		189
	skipped question		147

10. 5. A faculty member hires a student to perform services at an imaging center that the faculty member owns.
		Response Percent	Response Count
No COI		47.6%	90
A small COI		15.3%	29
A moderate COI		15.3%	29
A very serious COI		7.9%	15
It depends (please explain)		13.8%	26
	answered question		189
	skipped question		147

11. 6. A faculty member requires students rotating with her on a clerkship to assist in pregnancy terminations, regardless of the religious or philosophical beliefs of the student.
		Response Percent	Response Count
No COI		10.1%	19
A small COI		2.1%	4
A moderate COI		13.3%	25
A very serious COI		58.5%	110
It depends (please explain)		16.0%	30
	answered question		188
	skipped question		148

12. 7. A community desires to start a dermatology residency that will be completely funded by a pharmaceutical company.
		Response Percent	Response Count
No COI		6.4%	12
A small COI		8.0%	15
A moderate COI		19.2%	36
A very serious COI		49.5%	93
It depends (please explain)		17.0%	32
	answered question		188
	skipped question		148

13. 8. The medical school where Dr. Jones teaches is raising its expectations for clinical faculty to generate practice income. The medical school has multiple missions: educating future physician; researching advancements in medicine; treating patients and funding the first two missions with revenue from patients. Does the medical school have a conflict of interest if one mission, patient revenue, diminishes faculty’s ability to meet other missions?
		Response Percent	Response Count
No COI		13.9%	26
A small COI		13.9%	26
A moderate COI		38.5%	72
A very serious COI		18.7%	35
It depends (please explain)		15.0%	28
	answered question		187
	skipped question		149

14. 9. A residency program requires attendance by its residents at presentations by drug company representatives, who provide lunch.
		Response Percent	Response Count
No COI		10.6%	20
A small COI		19.1%	36
A moderate COI		30.2%	57
A very serious COI		29.6%	56
It depends (please explain)		10.6%	20
	answered question		189
	skipped question		147

15. 10. Dr. Jones’ large multi-specialty clinic provides a year-end bonus if his percentage of external specialist referrals is below the clinic average.
		Response Percent	Response Count
No COI		6.0%	11
A small COI		16.3%	30
A moderate COI		31.5%	58
A very serious COI		36.4%	67
It depends (please explain)		9.8%	18
	answered question		184
	skipped question		152

16. 11. Dr. Jones decides to buy stock in the pharmaceutical companies whose products he prefers and most frequently prescribes.
		Response Percent	Response Count
No COI		9.8%	18
A small COI		18.5%	34
A moderate COI		28.8%	53
A very serious COI		34.8%	64
It depends (please explain)		8.2%	15
	answered question		184
	skipped question		152

17. 12. Dr. Jones buys an X-ray machine and hires a technician so that X-rays can be performed at his office, capturing the fees that these generate.
		Response Percent	Response Count
No COI		30.6%	56
A small COI		17.5%	32
A moderate COI		25.1%	46
A very serious COI		10.4%	19
It depends (please explain)		16.4%	30
	answered question		183
	skipped question		153

18. 13. Dr. Jones’ long-time friend and golfing buddy is a neurologist, Dr. Smith. Dr. Jones always refers his patients to Dr. Smith for any neurological evaluation or treatment.
		Response Percent	Response Count
No COI		23.9%	44
A small COI		28.3%	52
A moderate COI		17.4%	32
A very serious COI		3.8%	7
It depends (please explain)		26.6%	49
	answered question		184
	skipped question		152

19. 14. Dr. Jones talks with a detail person from a pharmaceutical company and accepts a free pen and coffee mug.
		Response Percent	Response Count
No COI		39.3%	72
A small COI		47.5%	87
A moderate COI		7.7%	14
A very serious COI		1.1%	2
It depends (please explain)		4.4%	8
	answered question		183
	skipped question		153

20. 15. Dr. Jones talks with a detail person from a pharmaceutical company and accepts a dinner with wine at an expensive local restaurant, worth about $100.
		Response Percent	Response Count
No COI		13.3%	24
A small COI		27.6%	50
A moderate COI		42.5%	77
A very serious COI		11.1%	20
It depends (please explain)		5.5%	10
	answered question		181
	skipped question		155

21. 16. Dr. Jones talks with a detail person from a pharmaceutical company and accepts a free medical textbook, worth $100.
		Response Percent	Response Count
No COI		18.2%	33
A small COI		39.2%	71
A moderate COI		33.2%	60
A very serious COI		4.4%	8
It depends (please explain)		5.0%	9
	answered question		181
	skipped question		155

22. 17. Dr. Jones accepts from a pharmaceutical company travel costs and a registration fee to attend a 2-day conference in Cancun, at which the class of drugs made by the company will be discussed.
		Response Percent	Response Count
No COI		7.1%	13
A small COI		10.4%	19
A moderate COI		32.4%	59
A very serious COI		44.0%	80
It depends (please explain)		6.0%	11
	answered question		182
	skipped question		154

23. 18. Dr. Jones accepts from a pharmaceutical company travel costs and a registration fee to attend a 2-day conference in Cancun, at which the class of drugs made by the company will be discussed. In addition Dr. Jones accepts a $500/day consulting fee, to pay for her time spent away from practice, and in exchange for which she will fill out a 1-page evaluation form on the quality of the conference.
		Response Percent	Response Count
No COI		6.6%	12
A small COI		4.4%	8
A moderate COI		24.2%	44
A very serious COI		61.0%	111
It depends (please explain)		3.9%	7
	answered question		182
	skipped question		154

24. 19. Dr. Jones has investigated a nutritional supplement known as “LifeJuice,” and believes it has benefits for her patients. She sells the product at a 25% profit through her office.
		Response Percent	Response Count
No COI		9.3%	17
A small COI		17.0%	31
A moderate COI		28.0%	51
A very serious COI		39.0%	71
It depends (please explain)		6.6%	12
	answered question		182
	skipped question		154

25. 20. Dr. Jones believes that two treatments are of equal value to his patients. He chooses the one for which he will receive the higher reimbursement.
		Response Percent	Response Count
No COI		13.9%	25
A small COI		17.8%	32
A moderate COI		27.8%	50
A very serious COI		33.9%	61
It depends (please explain)		6.7%	12
	answered question		180
	skipped question		156

26. 21. Dr. Jones must decide between two treatment regimens for a patient. As he investigates the evidence supporting each, he also checks out how much reimbursement each would provide for him.
		Response Percent	Response Count
No COI		20.4%	37
A small COI		19.9%	36
A moderate COI		30.4%	55
A very serious COI		20.4%	37
It depends (please explain)		8.8%	16
	answered question		181
	skipped question		155

27. 22. Dr. Jones’ daughter has conjunctivitis. He prescribes antibiotics for her.
		Response Percent	Response Count
No COI		58.3%	105
A small COI		27.2%	49
A moderate COI		7.8%	14
A very serious COI		2.2%	4
It depends (please explain)		4.4%	8
	answered question		180
	skipped question		156

28. 23. Dr. Jones will not operate on patients with a DNR order. Deaths during surgery are tabulated and reported, and he is judged professionally (in part) by his mortality rate.
		Response Percent	Response Count
No COI		17.8%	32
A small COI		11.1%	20
A moderate COI		29.4%	53
A very serious COI		27.2%	49
It depends (please explain)		14.4%	26
	answered question		180
	skipped question		156

29. 24. A clinical trial is being conducted. Under the agreement between the sponsoring pharmaceutical company and the department, the research results must be provided to the sponsor before any publication.
		Response Percent	Response Count
No COI		16.3%	28
A small COI		9.9%	17
A moderate COI		23.8%	41
A very serious COI		27.3%	47
It depends (please explain)		22.7%	39
	answered question		172
	skipped question		164

30. 25. A clinical trial is being conducted. Under the agreement between the sponsoring pharmaceutical company and the department, the research results may not be published or released without the sponsor’s permission.
		Response Percent	Response Count
No COI		3.5%	6
A small COI		7.7%	13
A moderate COI		15.9%	27
A very serious COI		70.6%	120
It depends (please explain)		2.4%	4
	answered question		170
	skipped question		166

31. 26. Dr. Jones is collaborating with a clinical trial for a potential cure for a deadly disease. The trials initially look promising. Later some patients in the trial develop troubling side effects. Dr. Jones does not report the side effects. Does Dr. Jones have a conflict of interest if he has an ownership interest in the pharmaceutical company sponsoring the research?
		Response Percent	Response Count
No COI		0.0%	0
A small COI		1.2%	2
A moderate COI		3.5%	6
A very serious COI		91.2%	156
It depends (please explain)		4.1%	7
	answered question		171
	skipped question		165

32. 27. Dr. Jones is collaborating with a clinical trial, and receives $300 for every patient he enrolls. This is intended to cover the additional administrative costs he incurs.
		Response Percent	Response Count
No COI		36.5%	62
A small COI		20.6%	35
A moderate COI		15.9%	27
A very serious COI		12.4%	21
It depends (please explain)		14.7%	25
	answered question		170
	skipped question		166

33. 28. Dr. Jones is collaborating with a clinical trial, and receives $500 over his costs for every patient he enrolls.
		Response Percent	Response Count
No COI		10.7%	18
A small COI		13.6%	23
A moderate COI		26.0%	44
A very serious COI		39.1%	66
It depends (please explain)		10.7%	18
	answered question		169
	skipped question		167

34. 29. Dr. Jones has received 2 grants from a pharmaceutical company to conduct research. The company now offers him a speaker’s bureau arrangement whereby he will receive $3000-$5000 for each lecture arranged for him by the company. Publicity for the lectures will stress that he is an “expert from Michigan State University College of Human Medicine.” He will prepare his own lecture and other materials.
		Response Percent	Response Count
No COI		19.3%	33
A small COI		19.9%	34
A moderate COI		29.8%	51
A very serious COI		15.2%	26
It depends (please explain)		15.8%	27
	answered question		171
	skipped question		165

35. 30. Dr. Jones has received 2 grants from a pharmaceutical company to conduct research. The company now offers him a speaker’s bureau arrangement whereby he will receive $3000-$5000 for each lecture arranged for him by the company. Publicity for the lectures will stress that he is an “expert from Michigan State University College of Human Medicine.” The company will supply him with a PowerPoint presentation.
		Response Percent	Response Count
No COI		3.5%	6
A small COI		9.9%	17
A moderate COI		25.2%	43
A very serious COI		53.2%	91
It depends (please explain)		8.2%	14
	answered question		171
	skipped question		165

36. 31. Dr. Jones has received 2 grants from a pharmaceutical company to conduct research. The company now offers him a consulting arrangement by which he will receive an additional $9000/year. At this time his precise duties are open-ended.
		Response Percent	Response Count
No COI		9.4%	16
A small COI		9.9%	17
A moderate COI		20.5%	35
A very serious COI		48.5%	83
It depends (please explain)		11.7%	20
	answered question		171
	skipped question		165

37. 32. Dr. Jones has participated in a research trial sponsored by a medical device company. The company sends him a manuscript presenting the trial results and conclusions, written by a trained science writer the company has hired. Dr. Jones is asked to look over the text and to sign his name to the paper, which will then be submitted to a medical journal as his work. The company notes how busy Dr. Jones is and how hard it is to find time to write up research results. Dr. Jones will be paid $1000 for his help in putting his name on the manuscript.
		Response Percent	Response Count
No COI		2.9%	5
A small COI		5.3%	9
A moderate COI		17.1%	29
A very serious COI		64.1%	109
It depends (please explain)		10.6%	18
	answered question		170
	skipped question		166

38. 33. Dr. Jones is considering participating in a research trial sponsored by a medical device company. The contract she is asked to sign gives the company the right to delay publication of the results for 90 days while they investigate the possibility of patenting any resulting discoveries. After 90 days Dr. Jones will be free to publish in any way or form she sees fit.
		Response Percent	Response Count
No COI		46.4%	78
A small COI		25.0%	42
A moderate COI		14.9%	25
A very serious COI		8.3%	14
It depends (please explain)		5.4%	9
	answered question		168
	skipped question		168

39. 34. One department in the College of Human Medicine signs a contract with a pharmaceutical company. The company will provide $3M/year for 3 years in research support to the department. In exchange, the company will name 2 representatives to a 5-member advisory board that will decide upon research priorities in the department. The company will also have a right to patent any discoveries that arise from any research done in the department during the 3-year contract.
		Response Percent	Response Count
No COI		12.4%	21
A small COI		11.2%	19
A moderate COI		27.2%	46
A very serious COI		45.6%	77
It depends (please explain)		3.6%	6
	answered question		169
	skipped question		167

40. Are there any other situations not captured in this survey that raise serious concerns about conflicts of interest? Please describe these in the space provided.
		Response Count
		28
	answered question	28
	skipped question	308