Policy 97 - Office of the University Counsel

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Transcript Policy 97 - Office of the University Counsel

T H E U N I V E R S I T Y O F B R I T I S H C O L U M B I A

Policy #97

Conflict of Interest and Conflict of Commitment & Filing Online in RISe

September 2006

http://www.universitycounsel.ubc.ca/coi

http://www.universitycounsel.ubc.ca/coi 1

September 2006 • • •

Conflicts: The Good, The Bad and The Ugly

Good -

Conflict of interest and conflict of commitment can naturally arise from being active in research, industry, and community. These may be good, even desired, activities and the mere existence of a conflict is not necessarily improper.

Bad -

to – Impropriety arises from inattention to risk & failure Recognize – –

Ugly -

Failure to comply may harm both UBC’s & Faculty member’s – Integrity / Reputation – Disclose [to UBC and other side] Address [Management Plan: recuse, neutralize or divest] Funding http://www.universitycounsel.ubc.ca/coi 2

September 2006

Need for Policy & 2005 Review

• • •

Increased scrutiny and public expectations of ethical conduct and conflict of interest issues over the last ten years.

(e.g. Enron, Gelsinger {U Penn 1999} gene “therapy” death) Increased research activity means increased potential for conflict of interest claims.

New requirements and obligations imposed by Canadian and American government research agencies.

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September 2006 • • • • •

Approval & Implementation

Policy approved 1992, updated over time, and then revised in March 2005 Fully compliant with latest recommendations and requirements of: – Tri-Council granting agencies – U.S. Department of Health & Human Services.

Much greater attention given to conflicts arising in the research context. New Policy is easier to read and only 2/3 the length of the previous version.

Unified on-line disclosure system launched Faculty by Faculty: Sept 2005 - Sept 2006.

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September 2006 • • • • •

Policy 97 - 2005 Amendments

Revised Policy incorporates “best practices” General principles: – Recognition – – Disclosure Removal or management/neutralization of conflicts (other than inconsequential conflicts) – Assessment and Approval Detailed examples in guidance documents instead of Policy Flexible enough to accommodate needs of different Faculties Conflict of Interest Committee established 5 http://www.universitycounsel.ubc.ca/coi

September 2006 • • •

Structure of Policy Document

Initial Reviewer assesses a Member’s form & may require a Management Plan for any: – Conflict of Commitment (COC) – Conflict of Interest (COI) A Reviewer may refer a form to the Dean or an optional Faculty-Based Review if required by disclosure volume and/or a specialized academic/professional discipline [Medicine has a COI Review Committee] A form may be referred for final decision to the COI Committee http://www.universitycounsel.ubc.ca/coi 6

September 2006

Role of Initial Reviewer on COCs • •

Authorized to grant approval of COCs: Based on consideration of whether activity interferes with duties owed to UBC Even if activity interferes, provided the contribution to UBC warrants the interference (offsetting benefit) http://www.universitycounsel.ubc.ca/coi 7

September 2006

• • Role of Initial Reviewer on COIs

May determine that activity is: – – Permissible as-is Permissible only with Management Plan (Policy 97 uses the term“management protocol”) – Prohibited May refer matter for further consideration to next level: – – Faculty-Based Review where this process is developed by the dean and the University Counsel; or COI Committee.

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September 2006

Role of COI Committee • • • • •

Only deals with COIs, not COCs Will assess disclosures where Initial Reviewer (and, where applicable, Faculty Based Process) was not satisfied Will hear appeals from decisions of Initial Reviewer or Faculty-Based Process Will conduct random audits Will undertake education program http://www.universitycounsel.ubc.ca/coi 9

September 2006

Role of University Counsel • •

Will provide advice to: – – Administrative Heads of Unit [Deans, Heads/Reviewers] COI Committee Responsible for overall management of COC/COI process

University Counsel as a website with general advice and FAQs: http://www.universitycounsel.ubc.ca/coi/

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September 2006

Why Comply?

• • •

Policy protects both UBC and its faculty members Government Agencies require: – – Audits by UBC Breaches to be reported by UBC (penalty for failure to report breaches) Government Agencies may: – – – Conduct audits at UBC Require return of any/all grant funds even if already spent Halt certain grants or all grants http://www.universitycounsel.ubc.ca/coi 11

September 2006

Scope/People -

Who Needs to File a COI/COC Declaration?

• Policy applies to all full-time and part-time members of UBC faculty and staff and any person who is teaching, conducting research, or otherwise working under UBC’s auspices (including students and visiting professors) .

• All these people must complete a Conflict of Interest / Conflict of Commitment declaration: – Some must file yearly – – Some only when conflicts arise All must file when there is a change in circumstances creating or altering a conflict http://www.universitycounsel.ubc.ca/coi 12

Table: Who needs to file and when?

File When:

Refer to Policy #97 for the authoritative text

Annual Filing Obligation

Annually : At least annually counting from the last disclosure report filing [s5.2 COC, s6.4 COI]

File IF/WHEN COI/COC Arises or Changes

Change : Whenever there is a material change from those disclosed in last disclosure report [s5.1 & 5.2 COC, s6.3 & 6.4 COI]

FTF* X X PTF* X CF* X PI/R* X X STAFF* X

Before starting a research project [s6.2 COI] If COI/COC Arises : Before acting in conflict (outside of an approved Management Plan) if the activity may give rise to: >a Conflict of Commitment [s5.1 COC] >a potential, actual or apparent Conflict of Interest (or file ASAP if impossible beforehand) [s.6.3 COI]

X X X X *Full time Faculty *Part time Faculty X X X X X *Clinical Faculty (if not FTF or PI/R) *PI's & Recipients of Tri-Council funding or from other agencies requiring annual/regular disclosure *staff - Full-time and Part-time Note: This table may not identify all people or requirements.

13 September 2006 http://www.universitycounsel.ubc.ca/coi

September 2006

Recognizing Conflicts of Commitment • •

“Conflict of Commitment” occurs :

Where Non-University Activities

Member’s UBC duties.

are so

distracting (e.g. time or attentiveness) that they adversely affect the discharge of a Where UBC resources are used (other than inconsequential) for Non-University Activities.

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Conflict of Commitment- One Description

Conflict of Commitment usually involves time allocation to fulfill academic obligations.

A faculty appointment confers the privilege & obligation to pursue teaching, research, scholarship, service and, in some faculties, clinical care, requiring a significant presence on campus in order to:

Fulfill these primary obligations to UBC

Be accessible to students, staff, administrators, and affiliates.

15 September 2006 http://www.universitycounsel.ubc.ca/coi

September 2006

Disclosing • • Conflicts of Commitment, & Outside Professional Activities / Resource Use

As COCs Arise (“If/When arising”)

Members must: -All – – disclose the COC obtain written approval (prior/ASAP)

Annually

- Some Members must disclose in the online form all COCs arising from:

Outside Professional Activities

Use of UBC resources for Non University Activities .

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September 2006

Recognizing Conflicts of Interest

• • s4.1 Members must conduct themselves at all times with the highest ethical standards in a manner that will bear the closest scrutiny.

… “Conflict of Interest” occurs where Member (or Related Party) can potentially, actually or apparently influence decisions to advance his/her own interests to detriment of UBC’s interests, integrity, or mission.

Also occurs in research context when personal considerations may appear to compromise Member’s judgment in conducting or reporting research.

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Conflict of Interest Examples

s4. 1 As each situation depends upon its specific facts, the University has not attempted to develop an exhaustive list of Conflicts of Interest. … Conflicts of Interest will arise in the following situations. …

• Policy contains 9 common examples where COIs arise.

– Students

uncompromised, unimpeded by COI

– –

Research

Financial Interest in the outcome (>$10,000 or >5% ownership )

Business Relationship

“business” includes non-profits but excludes a medical practice

Hiring Decisions

Solicitation

Personal Benefit , Financial Interest, personal relationship (> colleague) use of position to solicit for Non-University Activities

Confidential Information

Board Positions

use of UBC owned or protected information without authority/rights duty owned to business with UBC dealings or research connection

Gifts

$250 aggregated from COI common source. Honouraria is usually a “Financial Interest” not a gift.

18 September 2006 http://www.universitycounsel.ubc.ca/coi

September 2006

Conflicts by Type – One Conceptual View

Conflict of Commitment ( @UBC re time/attentiveness/use of resources) Conflict of Interest – (Self or Related Party) Conflict of Duty – – – – [5 classes- descriptive only, not in policy] Conflict of – Educational Mission The mission includes: Protection of the academic interests of students (and postdoctoral fellows) – Academic freedom – – – – Advancing the range & depth of knowledge of the natural world & the human condition Open and timely dissemination of knowledge Protecting the appearance and actual integrity and objectivity of research, instruction, and public service (may be Research Integrity) Safety of patients and research participants Conflict of Financial Interest ( >$10,000 annually or >5% ownership) Conflict of Personal Benefit • • Non-financial or indirect benefit Competing interest (may be Financial Interest) • Direct status benefit Conflict of Research Integrity (also: Policy 85 Scholarly Integrity Policy 87 – Research ) 19 http://www.universitycounsel.ubc.ca/coi

Disclosing Conflicts is KEY!!!

Scope/Standard of Filing -

The form only asks for disclose of facts/circumstances that would cause a skeptical and not fully informed observer to reasonably question whether a potential, actual, or apparent conflict exists.

In Advance

Scope/Frequency -

Members must disclose, to Initial Reviewer and any affected parties: – – COIs relating to specific research projects Activities that may create a COI or COC ASAP Annually if full-time faculty or grant recipient – – – Financial Interests in their UBC work (by Member or Related Party) COCs arising from Outside Professional Activities* Use of UBC resources for Non-University Activities (always a potential COC) *At annual performance review all Outside Professional Activities must be disclosed in order to comply with s5.2. – This may be moved to this online system.

20 September 2006 http://www.universitycounsel.ubc.ca/coi

Conflicts Timeframe (Window) of Filing

Declarations are to cover activities within a window looking backward 12 months and forward 12 months i.e. activities: – – Engaged in since last filing Anticipated to be engaged in before next filing FYI – – – JAMA requires looking back 5 years for Financial Interest & at all time for any other conflict of interest.

American Society of Clinical Oncology looks at all time and requires disclosure of any conflict over $100.

Many mandate that a PI may not be involved in any research where there is any conflict of interest.

21 September 2006 http://www.universitycounsel.ubc.ca/coi

September 2006

Assessing Disclosures

Policy #97 Procedures 2.2 Without limiting the discretion of a person assessing a disclosure to consider all relevant factors, the following factors must be considered in assessing a disclosure: 2.2.1. the impact on the Member’s ability to satisfy his or her obligations to the University; 2.2.2. the degree to which the proposed action will be detrimental to the interests of the University, or in the research context, the degree to which it may compromise an investigator’s professional judgment in conducting or reporting research; and 2.2.3. the extent to which the proposed action or activity may be managed through an appropriate protocol.

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1.

2.

3.

4.

Identifying and Neutralizing Conflicts

Identify the parties and relationships.

For each relationship identify the conflict type and each party affected by the conflict (which may extend beyond those ID’d above) as viewed by the skeptic.

For each combination of party, relationship, and conflict heading assess the magnitude of each specific conflict by actual risk and the opportunity for skeptical query Develop/assess neutralization of each conflict corresponding to the actual risk and skeptic’s view 23 September 2006 http://www.universitycounsel.ubc.ca/coi

September 2006

Management Plans

(management protocols) The reviewer of a COI/COC Declaration may require a Management Plan to neutralize a COI or manage a COC by various combinations of the following: 1.

2.

3.

SEVER - Resignation, Divestiture or other means of severance from the conflict on one side or the UBC side– threshold) or limiting consulting etc. e.g. from the a position of influence/decision-making regarding certain business, students, contracts, or research; or reduction of Financial Interest by disposal of shares (total or to below 1.

2.

3.

MINIMIZE – Appointment of an independent collection, testing, analysis, publication.

to control, monitor, and/or periodically report on area of concern – e.g. Have co-PI, or independent with oversight &/or veto control over various combinations of research area(s) - design, data Commitment to normal recusal from participation in discussions and decision-making where in conflict Nothing extra– recognition and declaration document in Management Plan section) sufficient (Please still – – DISCLOSE – Disclosure to: to all affected parties (mandatory to the other side of the conflict) in publications & presentations [See CME/CPD policy] 24 http://www.universitycounsel.ubc.ca/coi

Filing Online –Research Information Services

RISe

• •

Online filing (vs paper filing) thru RISe is required of Researchers and everyone entitled to do research (i.e. almost all faculty - see list or have staff get paper forms at: www.universitycounsel.ubc.ca/coi/file.html

) RISe is “Researcher Information Services” an online system that enables researchers to easily and securely submit and manage: – – – COI/COC declarations Animal care ethics applications Applications for research with human subjects 25 September 2006 http://www.universitycounsel.ubc.ca/coi

September 2006

Filing Online –RISe Management and Access • • •

With RISe, users can track their COI declarations and ethics applications through the approval process, as well as manage amendments, renewals, & user information/ profile

.

Almost everyone with a CWL may access RISe directly at http://rise.ubc.ca

If you don’t have CWL (or are insufficiently identified) go to http://www.it.ubc.ca/cwl/homelink.shtml

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Online Processes – Major (1/3) •

Faculty member files COI/COC on-line September 2006

Management Plans and other documents may be easily attached to the declaration http://www.universitycounsel.ubc.ca/coi 27

September 2006

Online Processes – Major (2/3)

- Medicine

• • Review is prompted by email notice to Reviewer (Notice sent to access RISe – The form is not sent) Review Steps (minimum): – – 1 st Review = Initial Reviewer, usually a Dep. or Div. Head* Referral/Appeal Review = Medicine COI Review Committee* (if referred or appealed) – Final Review/Appeal = UBC COI Committee (if referred, appealed, or audited) *Set by Dean & Office of University Counsel and includes oversight by Dept and/or Dean 28 http://www.universitycounsel.ubc.ca/coi

September 2006

Online Processes – Major (3/3)

• • E-mail notification to targeted people when activity is required from them (Notices only files are not emailed) – Notice to Reviewer – – Notice to Member of COI/COC declaration approval or escalation for appeal/additional review E-mail notification and prompts on yearly COI/COC expiration Information disclosed in on-line Research Ethics Board conflict of interest disclosures will also be available to Initial Reviewers.

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September 2006

Approved COI Declaration • • • Faculty member will update to renew the declaration when required (yearly) Amendments can be made when the faculty member’s situation changes and a potential COI or COC could exist Approved amendments reset the yearly expiration

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September 2006

Printing & Reporting • • • • COI declarations can be printed Reports are accessible to department reviewers (usually heads & deans are set up as reviewers).

Reports show compliance per department and faculty, depending on the state “Approved”, “Dean review” etc. Drill-down will provide specific person data

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Questions & Answers

September 2006

http://www.universitycounsel.ubc.ca/coi

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September 2006

Students

4.1.1 Where a Member’s responsibility to instruct and evaluate students in a fair, unbiased and effective manner is or appears to be impeded or compromised. The inherent power imbalance that exists between a Member and a student must not be used for personal benefit. A Conflict of Interest exists where a Member receives a personal benefit when dealing with students.

4.1.6 Where a Member uses his or her position with the University to solicit students, fellow Members, government agencies, private companies, or members of the public for Non-University Activities http://www.universitycounsel.ubc.ca/coi 33

September 2006

Research

4.1.2 Where a Member (or a Related Party of the Member) has a Financial Interest in the outcome of his or her research. In the area of research, vigilance is required. The University’s commitment to liaise with industry and to transfer technology, the growth of industry sponsored research, and the substantial increase in the University’s interactions with outside organizations generally all lead to a corresponding increase in the potential for Conflicts of Interest. In addition, various governmental and other agencies that fund research are imposing increasingly stringent Conflicts of Interest requirements on investigators and institutions applying for research funding. A Member must comply with this Policy and any applicable Conflicts of Interest policies imposed by other organizations, agencies or institutions. 2.6 Where the Committee determines that a Conflict of Interest exists, the Committee will: … 2.6.2 disclose the existence of the Conflict of Interest to a funding agency where relevant to an application for research funding to that agency 34 http://www.universitycounsel.ubc.ca/coi

September 2006

Business Relationships

4.1.3 Where a Member has influence over a decision about a proposed relationship between the University and a Business in which the Member or his or her Related Party has a Financial Interest or holds an Executive Position.

4.1.4 Where a Member or his or her Related Party obtains a Financial Interest or an Executive Position in a Business with which the University has an existing relationship and the Business is related to the Member’s work at the University.

[Also Board Positions] 4.1.8 Where a Member’s obligations to a board of directors, advisory boards, or the like of an outside organization interfere with or compromise the Member’s obligations to the University.

12.2 “

Business

” means a corporation, partnership, sole proprietorship, firm, franchise, association, organization, holding company, joint stock company, receivership, business or real estate trust, or other legal entity organized for profit or charitable purposes, but excluding the University, an affiliated Hospital, a private medical practice, or other entity controlled by, controlling, or under common control with the University or an affiliated Hospital.

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Hiring Decisions

4.1.5 Where a Member is in a position to influence human resource decisions (such as recruitment, offer of employment, evaluation of performance, promotion, granting of tenure, or termination of employment) or admission decisions with respect to a person with whom the Member has a personal relationship that might reasonably be construed as a Conflict of Interest. September 2006 http://www.universitycounsel.ubc.ca/coi 36

September 2006

Solicitation

4.1.6 Where a Member uses his or her position with the University to solicit students, fellow Members, government agencies, private companies, or members of the public for Non-University Activities.

Overriding Rule:

4.1 As each situation [Recognizing COI] depends upon its specific facts, the University has not attempted to develop an exhaustive list of Conflicts of Interest. Rather, Members must conduct themselves at all times with the highest ethical standards in a manner that will bear the closest scrutiny. Conflicts of Interest will arise in the following situations.

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September 2006

Confidential Information

4.1.7 Where a Member uses information that is acquired as a result of his or her relationship with the University and not in the public domain for Non-University Activities unless the Member has proprietary rights (usually enforceable through copyright) to that information. Members should also be aware that insider trading restrictions may also apply to them.

[Also Business Relationships] 4.1.4 Where a Member or his or her Related Party obtains a Financial Interest or an Executive Position in a Business with which the University has an existing relationship and the Business is related to the Member’s work at the University. 38 http://www.universitycounsel.ubc.ca/coi

Board Positions

4.1.8 Where a Member’s obligations to a board of directors, advisory boards, or the like of an outside organization interfere with or compromise the Member’s obligations to the University.

Gifts

4.1.9 Where a Member accepts tokens of appreciation with a value of $250 or more in connection with his or her position at the University. 39 September 2006 http://www.universitycounsel.ubc.ca/coi

September 2006

Non-University Activity

12.10 “Non-University Activity” means any activity outside a Member’s scope of work with the University and includes Outside Professional Activities.

Outside Professional Activity

12.11 “Outside Professional Activity” means any activity outside a Member’s scope of work with the University that involves the same specialized skill and knowledge that the member utilizes in his or her work with the University and includes the operation of a Business, consulting or advisory services and speaking engagements. 40 http://www.universitycounsel.ubc.ca/coi