CHP 17 NAPSR QUESTIONS WITH 100%
ACCURATE ANSWERS
What is the AMA (American Medical Association) guidelines on "gifts to physicians from Industry"? pg
259 - Accurate answers 1) Any gifts accepted by physicians individuals should primarily entail a
benefit to patients and should not be of substantial value. Accordingly, textbooks, modest meals, and
other gifts are appropriate if they serve a genuine educational function. Cash payments should not be
accepted. The use of drug samples for personal and family use is permissible as long as these practices
do not interfere with patient access to drug samples. It would not be acceptable for non-retired
physicians to request free pharmaceuticals for personal use of for use by family members.
2) Individuals gifts of minimal value (100$ or less) are permissible as long as the gifts are related to the
physicians work (ex: pens and note pads)
3)The council of ethical and judicial affairs defines a legitimate "conference/meeting" as any activity,
held at an appropriate location, where (a) the gathering is primarily dedicated, in both time and effort,
to promoting objective scientific and educational activities and discourse (one or more educational
presentations should be the highlight of the gathering), and (b) the main incentive for bringing
attendees together is to further their knowledge on the topic9(s) being presented. An appropriate
disclosure of financial support or conflict of interest should be made.
4) Subsidies to underwrite the costs of continuing medical education conferences or professional
meeting can contribute to the improvement of patient care and therefore are permissible. Since the
giving of a subsidy directly to a physician by a company's representative may great a relationship that
could influence the use of the company's products, any subsidy should be accepted by the conference's
sponsor who in turn can use the money to reduce the conference's registration fee. Payments from the
company to defray the costs of a conference sho
PhRMA code on relationships with U.S. healthcare professionals is critical in what aspects? pg 261 - 268 -
Accurate answers Section 1) Basis of interaction - (a) be accurate and not misleading (b) make claims
about a product only when properly substantiated; (c) reflect the balance between risks and benefits;
(d) be consistent with all other Food and Drug Administration (FDA) requirments governing such
communications
Section 2) Informal presentations by pharmaceutical company representatives and accompanying meals
- (a) are modest as judged by local standards; (b) are not of an entertainment or recreational event; (c)
are provided in a manner conducive to informational communication
Section 3) Prohibitions of entertainment and recreation - should not be offered regardless of (a) the
value of items; (b) whether the company engages the healthcare professional as a speaker or
consultant; (c) whether the entertainment or recreation is secondary to an educational purpose
Section 4) Pharmaceutical company support for continuing medical education (CME) - top page 263
Section 5) Pharmaceutical company support for third-party educational and professional meetings -
financial support from the company is appropriate for a conference or meeting, held at an appropriate
location, where (a) the gathering is primarly dedicated, in both time and effort, to promoting objective
scientific and educational activities and discours (one or more educational presentations should be the
, highlight of the gathering), and (b) the main incentive for bringing attendees together is to further their
knowledge on the topics being presented. bottom pg 263 top 264
Section 6) Consultants - the following factors of a bona fide consulting arrangement 1) a written contract
specifies the nature of the consulting services to be provided and the basis for payment of those services
2) a legitimate need for consulting services has been clearly identified in advance of requesting the s
Under the 2009 PhRMA Code, may items such as stethoscopes be offered to healthcare professionals? -
Accurate answers Yes, under the code only items designed primarily for the education of patients,
not of substantial value, and have no value outside
Under 2009 PhRMA code, could a company provide healthcare professionals with pens, or clipboards
designed to be used by the healthcare professional or patients in the office along with brochures that
provide educational information about company's products? pg 268 - Accurate answers No, The
code states that providing professionals with items that do not advance disease or treatment education
is not appropriate, even if the items are practice related.
However, yes to brochures without pens or clipboards
Under 2009 PhRMA code, what are examples or permissible items that may be provided to educate
healthcare professionals? pg 268 - Accurate answers items are no of substantial value (100$ or
less)
Examples: medical text book, subscription to relevant scientific journal, copies of relevant clinical
treatment guidelines
Under 2009 PhRMA code, what types of patient education items may companies provide to healthcare
professionals to help them in educating their patients? pg 269 - Accurate answers Ex: anatomical
models, informational sheets, brochures, patient self-assessment/tracking tools, written materials that
inform patients about adherence to medicine regimens, patient assistance programs, patient starter
kits. Should be less than 100$
Under 2009 PhRMA code, may golf balls and sports bags be provided if they bear a company or product
name? pg 269 - Accurate answers No
Under 2009 PhRMA code, may healthcare professionals be provided with gasoline for their cars if they
are provided with product information at the same time? pg 269 - Accurate answers No
Under 2009 PhRMA code, the code states that company representatives or their immediate managers
working in company field sales organization may conduct informational presentations and discussions
accompanied by occasional, modest meals in the healthcare professionals office or hospital setting.
What types of presentations and meal would this include? pg 269 - Accurate answers Such modest
meal may only be offered provided that the manner of presentation is conducive to a scientific or
educational interchange and is not part of an entertainment or recreational event. Ex: provide
sandwiches or pizza during lunchtime during scientific or educational presentation
Under 2009 PhRMA code, can a field sales representative of Company B conduct an information
presentation accompanied by a meal for a healthcare professional in a restaurant down the street from
a hospital? pg 270 - Accurate answers No. must be held in the healthcare professionals office or
hospital, if they dont have their own office in hospital it must be held in hospital cafeteria or meeting
space within the hospital
ACCURATE ANSWERS
What is the AMA (American Medical Association) guidelines on "gifts to physicians from Industry"? pg
259 - Accurate answers 1) Any gifts accepted by physicians individuals should primarily entail a
benefit to patients and should not be of substantial value. Accordingly, textbooks, modest meals, and
other gifts are appropriate if they serve a genuine educational function. Cash payments should not be
accepted. The use of drug samples for personal and family use is permissible as long as these practices
do not interfere with patient access to drug samples. It would not be acceptable for non-retired
physicians to request free pharmaceuticals for personal use of for use by family members.
2) Individuals gifts of minimal value (100$ or less) are permissible as long as the gifts are related to the
physicians work (ex: pens and note pads)
3)The council of ethical and judicial affairs defines a legitimate "conference/meeting" as any activity,
held at an appropriate location, where (a) the gathering is primarily dedicated, in both time and effort,
to promoting objective scientific and educational activities and discourse (one or more educational
presentations should be the highlight of the gathering), and (b) the main incentive for bringing
attendees together is to further their knowledge on the topic9(s) being presented. An appropriate
disclosure of financial support or conflict of interest should be made.
4) Subsidies to underwrite the costs of continuing medical education conferences or professional
meeting can contribute to the improvement of patient care and therefore are permissible. Since the
giving of a subsidy directly to a physician by a company's representative may great a relationship that
could influence the use of the company's products, any subsidy should be accepted by the conference's
sponsor who in turn can use the money to reduce the conference's registration fee. Payments from the
company to defray the costs of a conference sho
PhRMA code on relationships with U.S. healthcare professionals is critical in what aspects? pg 261 - 268 -
Accurate answers Section 1) Basis of interaction - (a) be accurate and not misleading (b) make claims
about a product only when properly substantiated; (c) reflect the balance between risks and benefits;
(d) be consistent with all other Food and Drug Administration (FDA) requirments governing such
communications
Section 2) Informal presentations by pharmaceutical company representatives and accompanying meals
- (a) are modest as judged by local standards; (b) are not of an entertainment or recreational event; (c)
are provided in a manner conducive to informational communication
Section 3) Prohibitions of entertainment and recreation - should not be offered regardless of (a) the
value of items; (b) whether the company engages the healthcare professional as a speaker or
consultant; (c) whether the entertainment or recreation is secondary to an educational purpose
Section 4) Pharmaceutical company support for continuing medical education (CME) - top page 263
Section 5) Pharmaceutical company support for third-party educational and professional meetings -
financial support from the company is appropriate for a conference or meeting, held at an appropriate
location, where (a) the gathering is primarly dedicated, in both time and effort, to promoting objective
scientific and educational activities and discours (one or more educational presentations should be the
, highlight of the gathering), and (b) the main incentive for bringing attendees together is to further their
knowledge on the topics being presented. bottom pg 263 top 264
Section 6) Consultants - the following factors of a bona fide consulting arrangement 1) a written contract
specifies the nature of the consulting services to be provided and the basis for payment of those services
2) a legitimate need for consulting services has been clearly identified in advance of requesting the s
Under the 2009 PhRMA Code, may items such as stethoscopes be offered to healthcare professionals? -
Accurate answers Yes, under the code only items designed primarily for the education of patients,
not of substantial value, and have no value outside
Under 2009 PhRMA code, could a company provide healthcare professionals with pens, or clipboards
designed to be used by the healthcare professional or patients in the office along with brochures that
provide educational information about company's products? pg 268 - Accurate answers No, The
code states that providing professionals with items that do not advance disease or treatment education
is not appropriate, even if the items are practice related.
However, yes to brochures without pens or clipboards
Under 2009 PhRMA code, what are examples or permissible items that may be provided to educate
healthcare professionals? pg 268 - Accurate answers items are no of substantial value (100$ or
less)
Examples: medical text book, subscription to relevant scientific journal, copies of relevant clinical
treatment guidelines
Under 2009 PhRMA code, what types of patient education items may companies provide to healthcare
professionals to help them in educating their patients? pg 269 - Accurate answers Ex: anatomical
models, informational sheets, brochures, patient self-assessment/tracking tools, written materials that
inform patients about adherence to medicine regimens, patient assistance programs, patient starter
kits. Should be less than 100$
Under 2009 PhRMA code, may golf balls and sports bags be provided if they bear a company or product
name? pg 269 - Accurate answers No
Under 2009 PhRMA code, may healthcare professionals be provided with gasoline for their cars if they
are provided with product information at the same time? pg 269 - Accurate answers No
Under 2009 PhRMA code, the code states that company representatives or their immediate managers
working in company field sales organization may conduct informational presentations and discussions
accompanied by occasional, modest meals in the healthcare professionals office or hospital setting.
What types of presentations and meal would this include? pg 269 - Accurate answers Such modest
meal may only be offered provided that the manner of presentation is conducive to a scientific or
educational interchange and is not part of an entertainment or recreational event. Ex: provide
sandwiches or pizza during lunchtime during scientific or educational presentation
Under 2009 PhRMA code, can a field sales representative of Company B conduct an information
presentation accompanied by a meal for a healthcare professional in a restaurant down the street from
a hospital? pg 270 - Accurate answers No. must be held in the healthcare professionals office or
hospital, if they dont have their own office in hospital it must be held in hospital cafeteria or meeting
space within the hospital
