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Conflict of Interest: Conflict of Interest: Yesterday, Today Yesterday, Today and Tomorrow and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

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Page 1: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Conflict of Interest:Conflict of Interest:Yesterday, Today Yesterday, Today

and Tomorrowand Tomorrow

Sherrie Settle

Assistant Director Institutional Research Compliance Program

Conflict of Interest Officer

Page 2: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

What Is It?What Is It?

Conflict of interest relates to situations in Conflict of interest relates to situations in which financial or other personal which financial or other personal considerations may compromise, may considerations may compromise, may involve the potential for compromising, involve the potential for compromising, or may have the appearance of or may have the appearance of compromising an employee’s objectivity compromising an employee’s objectivity in meeting University duties or in meeting University duties or responsibilities, including research responsibilities, including research activities.  activities. 

- UNC Policy Manual- UNC Policy Manual

Page 3: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Conflict is Inherent to Conflict is Inherent to Research EnterpriseResearch Enterprise

COI is a COI is a situationsituation, a confluence of , a confluence of potentially competing factors potentially competing factors

Careers, lives, institutions with Careers, lives, institutions with multiple facets will have these multiple facets will have these conflictsconflicts

COI is not a reflection of character or COI is not a reflection of character or integrity integrity

Page 4: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

COI in the MediaCOI in the Media

Student Loan ProgramsStudent Loan Programs Study Abroad ProgramsStudy Abroad Programs ‘‘De-Duking’ of the NIEHSDe-Duking’ of the NIEHS Congressional scrutiny of Congressional scrutiny of

pharmaceutical company influence pharmaceutical company influence on physicians and biomedical on physicians and biomedical researchersresearchers

Boston Legal episode questions Boston Legal episode questions perceived influence of “unrestricted” perceived influence of “unrestricted” giftsgifts

Page 5: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Who Cares?Who Cares?

University and UNC SystemUniversity and UNC System SponsorsSponsors Federal GovernmentFederal Government PublicPublic

Page 6: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Key ElementsKey Elements

Federal requirementsFederal requirements UNC-CH policiesUNC-CH policies Internal Processing FormsInternal Processing Forms RAMSeS/eCOIRAMSeS/eCOI

Page 7: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Code of Federal Code of Federal RegulationsRegulations

CFR Title 42CFR Title 42Each Institution must: Each Institution must:

Require that Require that by the time an application is by the time an application is submittedsubmitted to PHS to PHS each Investigator who is each Investigator who is planning to participateplanning to participate in the PHS-funded in the PHS-funded research has submitted to the designated research has submitted to the designated official(s) a listing of his/ her known official(s) a listing of his/ her known Significant Financial Interests (and those of Significant Financial Interests (and those of his/her spouse and dependent children): (i) his/her spouse and dependent children): (i) That would reasonably appear to be affected That would reasonably appear to be affected by the research for which PHS funding is by the research for which PHS funding is sought; and (ii) In entities whose financial sought; and (ii) In entities whose financial interests would reasonably appear to be interests would reasonably appear to be affected by the research. affected by the research.

Page 8: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

UNC-CH ApproachUNC-CH Approach

Yesterday: Annual disclosure of Yesterday: Annual disclosure of everythingeverything

Today: Project-specific, event-Today: Project-specific, event-basedbased

– Screening questions determine if Screening questions determine if detailed report is neededdetailed report is needed

– Screening through IPF and IRB Screening through IPF and IRB ApplicationApplication

– PI answers for research teamPI answers for research team

Page 9: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

AssumptionsAssumptions

PI knows the entire research PI knows the entire research team’s circumstancesteam’s circumstances

PI knows what’s on the IPFPI knows what’s on the IPF

Page 10: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Is it Working?Is it Working?

Good startGood start Weak correlation between electronic IPF Weak correlation between electronic IPF

and paper IRB answers for same projectand paper IRB answers for same project Missed positives in IPF screening from:Missed positives in IPF screening from:

– Inadequate information provided to Research Inadequate information provided to Research AdministratorAdministrator

– Project team information not known to PIProject team information not known to PI Positive IPF answers don’t prompt next Positive IPF answers don’t prompt next

stepstep Screening is electronic, but disclosures Screening is electronic, but disclosures

are notare not

Page 11: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Introducing eCOIIntroducing eCOI

Each investigator answers Each investigator answers screening questions for screening questions for himself/herselfhimself/herself

If positive, investigator can If positive, investigator can continue to disclosure or continue to disclosure or complete latercomplete later

Connects to RAMSeS and IRBISConnects to RAMSeS and IRBIS

Page 12: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Good News and Bad Good News and Bad NewsNews COI questions removed from IPFCOI questions removed from IPF All investigators must reply to All investigators must reply to

screening questions before screening questions before proposal can be submittedproposal can be submitted

Page 13: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

How Does it Work?How Does it Work?

Log-in with UserID and ONYENLog-in with UserID and ONYEN Select IPF or IRB recordSelect IPF or IRB record Select Yes/No for screening Select Yes/No for screening

questionsquestions

Page 14: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer
Page 15: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

If All Replies are “No”If All Replies are “No”

Page 16: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

If One or More “Yes” If One or More “Yes” Replies Replies

Page 17: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer
Page 18: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer
Page 19: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

What Will Research What Will Research Administrators See?Administrators See? Investigator certification status in Investigator certification status in

RAMSeSRAMSeS Review/approval status under Review/approval status under

“Compliance” tab“Compliance” tab

Page 20: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Fit with Federal Reg?Fit with Federal Reg?

CFR Title 42CFR Title 42Each Institution must: Each Institution must:

Require that Require that by the time an by the time an application is submittedapplication is submitted to PHS to PHS each Investigatoreach Investigator who is planning to who is planning to participate in the PHS-funded research participate in the PHS-funded research has submitted to the designated has submitted to the designated official(s) a listing of his/ her known official(s) a listing of his/ her known Significant Financial Interests (and Significant Financial Interests (and those of his/her spouse and dependent those of his/her spouse and dependent children)children)

Page 21: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Does the NIH Mean It?Does the NIH Mean It?

FY2006 Targeted Site Review FY2006 Targeted Site Review Report Report

Grant applications submitted prior Grant applications submitted prior to collecting significant financial to collecting significant financial interests from investigators interests from investigators

Grant funds expended prior to Grant funds expended prior to reporting identified financial reporting identified financial conflicts of interest to NIHconflicts of interest to NIH

Page 22: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Other Changes FYIOther Changes FYI

Disclose financial interest of Disclose financial interest of anyany valuevalue Disclosure may be sufficient to Disclosure may be sufficient to

manage many conflicts in basic manage many conflicts in basic researchresearch

Presumption that interest of any value Presumption that interest of any value precludes engagement in human precludes engagement in human studies research studies research

New modules for technology transfer, New modules for technology transfer, management rolesmanagement roles

Page 23: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Tomorrow Brought to Tomorrow Brought to You By:You By: Provost’s Task ForceProvost’s Task Force University CounselUniversity Counsel Office of Research Information Office of Research Information

SystemsSystems

Page 24: Conflict of Interest: Yesterday, Today and Tomorrow Sherrie Settle Assistant Director Institutional Research Compliance Program Conflict of Interest Officer

Questions??Questions??

[email protected]@unc.edu