AAHIVM Statement on Policy on Managing Conflicts of Interest

On behalf of the HIV community, the American Academy of HIV Medicine advances policies and advocates on positions developed by members of the Public Policy Committee, a subcommittee comprised of AAHIVM members who are medical providers working in HIV. Consensus statements developed by the Public Policy Committee are adopted by the board and represent the breadth of the HIV care community. Selection to the board of directors comes through AAHIVM’s dues paying membership network of 15 chapters and other committees representing physicians, physician assistants, nurse practitioners, and pharmacists in the United States working across the HIV prevention and treatment spectrum. AAHIVM also represents the credentialed medical providers who pass an independent examination certifying them as an HIV Specialist™, HIV Expert™ or HIV Pharmacist™. Combined, AAHIVM’s dues paying members and credentialed medical providers represent nearly three-quarters of prescribing medical providers who treat HIV in the United States. Membership dues and credentialing fees represent approximately one-quarter of the Academy’s annual budget. AAHIVM’s Board of Directors disclose conflicts of interest upon joining the board and then update them annually and as needed.

AAHIVM accepts funding from the pharmaceutical and biotechnology industries that support specific continuing medical education programming that is not contingent upon AAHIVM championing or supporting any specific products, policies or positions. In accordance with the Sunshine Act, AAHIVM’s educational activities do not include transfers of value to attending medical providers and all faculty and contributors to educational programming activities are required to sign annual conflict of interest forms disclosing individual relationships with industry partners. Faculty and contributors to educational programming activities are required to complete annual W-9s and report income on their annual tax returns.

AAHIVM also accepts industry funding to support the Corporate and Scientific Advisory Board. The CSAB was formed in 2008 and comprises senior scientific and medical officers from pharmaceutical, biotech, and diagnostic companies to ensure that AAHIVM members have the most up-to-date scientific and pharmaceutical information on current and developing HIV treatment options. Industry funding for the CSAB is not contingent upon advocacy activities for specific polices or positions.

AAHIVM’s Credentialing program is an independent initiative fully funded by registration fees. Expert medical providers working in the field help develop the program and respective examinations and may also be asked to disclose conflicts of interest. Industry employees may receive CME credits via AAHIVM’s Fundamentals of HIV Medicine textbook, given they pay the full market price. Similarly, industry employees may sit for the respective credentialing examination of their profession and publicly use the awarded credential provided they independently meet all program requirements.

The Academy also pursues other sources of funding including programmatic grants from the U.S. government, foundations, and other non-profits and strives to execute these grants in a neutral, independent manner. In the event that a conflict of interest may arise, AAHIVM will disclose revenue considerations and determinations about program activities in an effort to maintain AAHIVM’s ability to implement program activities independently and with integrity.

AAHIVM requires staff to disclose any outside income and encourages staff to donate income honoraria from industry to the organization to avoid further conflicts of interest or potential perceptions of conflicts. Members of the board of directors execute fiduciary oversight of AAHIVM’s work and are responsible for making decisions to ensure AAHIVM remains free from embarrassment or criticism that could arise from potential conflict, and must complete the Conflict of Interest form annually. Any medical providers substantially employed by pharmaceutical or industry manufacturers may not serve on the Board of Directors, Fundamentals textbook editorial teams, or committees of jurisdiction, such as the Public Policy Committee, Education Committee or Executive Committee.

Disclosure of Conflicts of Interest

Faculty:

Laura Armas-Kolostroubis – Consulting Fees: Gilead Sciences

Jonathan Appelbaum – Consulting Fees: Merck, Viiv Healthcare

Carolyn Chu – Nothing to disclose

Michelle Collins-Ogle – Nothing to disclose

Majorie Golden – Nothing to disclose

Claudia Goulston – Nothing to disclose

David Hardy – Consulting Fees: Gilead Sciences, Merck, Viiv Healthcare

Angela Kapalko – Fees for Non-CME/ED Services Received Directly from a Commercial interest or their Agents: Gilead Sciences

Joseph P. McGowan – Nothing to disclose

Christian B. Ramers – Consulting Fees: Gilead Sciences, AbbVie, Viiv Healthcare; Fees for Non-CME/ED Services Received Directly from a Commercial interest or their Agents: Gilead Sciences, AbbVie, Viiv Healthcare, Merck; Contracted Research: Gilead Sciences

Michelle Sariev – Nothing to disclose

William Short – Consulting Fees: Viiv Healthcare; Fees for Non-CME/ED Services Received Directly from a Commercial interest or their Agents: Viiv Healthcare, Janssen

Gary Spinner – Consulting Fees: Gilead Sciences; Fees for Non-CME/ED Services Received Directly from a Commercial interest or their Agents: Gilead Sciences; Ownership interest less than 5%: Gilead Sciences (and spouse)

Donna E. Sweet – Consulting Fees: Viiv Healthcare, Gilead Sciences, Merck; Fees for Non-CME/ED Services Received Directly from a Commercial interest or their Agents: Viiv Healthcare, Gilead Sciences, Janssen, Merck; Contracted Research: Merck

Wesley Thompson – Consulting Fees: Gilead Sciences, Viiv Healthcare, Janssen; Fees for Non-CME/ED Services Received Directly from a Commercial interest or their Agents: Gilead Sciences, Viiv Healthcare, Janssen, Napo, Theratechnology; Contracted Research: NIH, AFAR, Duke, MCHD; Ownership interest less than 5%: Gilead Sciences