ORIGINAL REPORTS
Development of an Industry Relations Policy
by the Association of Program Directors in
Surgery: A Report from the
Finance Committee
Paula M. Termuhlen, MD, FACS,* Richard B. Damewood, MD,
†
Daniel Dent, MD,
‡
George Fuhrman, MD,
§
Carl Haisch, MD,
M. Timothy Nelson, MD,
¶
Karen Borman, MD,
#
and
Mark Friedell, MD**
*Department of Surgery, Wright State University, Boonshoft School of Medicine, Dayton, Ohio;
†
Department
of Surgery, York Hospital, York, Pennsylvania;
‡
Department of Surgery, University of Texas, Health Science
Center at San Antonio, San Antonio, Texas;
§
Department of Surgery, Atlanta Medical Center, Atlanta,
Georgia;
Department of Surgery, East Carolina University, Greenville, North Carolina;
¶
Department of
Surgery, University of New Mexico, Albuquerque, New Mexico;
#
Department of Surgery, Abington
Memorial, Attleboro, Pennsylvania; and **Department of Surgery, Orlando Regional Medical Center,
Orlando, Florida
KEY WORDS: industry relations, conflict of interest,
professionalism
COMPETENCY: Professionalism, Systems Based Practice, In-
terpersonal and Communication Skills
INTRODUCTION
One primary role of a residency program director is to serve as
a role model for behavior and professionalism. Within the past
5 years, awareness has been raised of the problem of the poten-
tial influence of industry on research, practice, and teaching in
academic health centers, medical schools, and institutions
where residency programs reside. Additionally, the Association
of Program Directors in Surgery has matured as an organization
and received much visibility as the seed organization represent-
ing residency program directors in general surgery. As program
directors, we all function within our individual systems and are
subject to the policies that have been developed recently to
minimize the potential influence of industry on our efforts.
The Executive Committee of the Association of Program
Directors in Surgery felt it necessary to codify and promote
positive working relationships with industry and to clarify for
its members what is appropriate collaboration. The Finance
Committee of the Association of Program Directors in Surgery
was tasked with developing an industry relations policy. The
membership of this committee who are the authors of this man-
uscript reviewed several different organizational policies and
relevant peer reviewed literature to propose a policy to serve our
constituency.
1-5
This was approved recently by the Executive
Committee in April 2010 during Surgical Education Week in
San Antonio, Texas. What follows is our Association of Pro-
gram Directors in Surgery industry relations policy.
As a component of the policy development, several principles
were agreed on:
1. Transparency of relationships between the organization
and industry is critical.
2. A disclosure by our leadership (including President-elect,
President, and Immediate Past President) of any industry
relationships would be necessary.
3. We would use the organizational web site to display these
disclosures.
4. The Finance Committee will have a standing agenda item
to review grants and requests from industry with subse-
quent report to the Executive Committee for inclusion in
the minutes of meetings.
5. The Association of Program Directors in Surgery would not
have any exclusive relationships with industry.
6. An expanded bullet point format for the policy to keep it
clear and concise would be favored.
Overall, any collaboration between the Association of Program
Directors in Surgery and the medical industry would be predi-
Correspondence: Inquiries to Paula M. Termuhlen, MD, FACS, Department of Surgery,
Medical College of Wisconsin, 9200 W. Wisconsin Avenue FWC, Room 3691 Milwau-
kee, WI 53226; fax: (937) 208-2105; e-mail: ptermuhlen@mcw.edu
Journal of Surgical Education • © 2011 Association of Program Directors in Surgery 1931-7204/$30.00
Published by Elsevier Inc. All rights reserved. doi:10.1016/j.jsurg.2011.03.005
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