# Conflict of Interest (COI) Policy and Reporting Form

The COI policy ensures that a provider of any health services to a medical student has no current or future involvement in the academic assessment of, or in decisions about the promotion of that student. This applies to all faculty, residents, other clinical staff, and current or prior clinical or familial/intimate relationship with that faculty.&#x20;

Students and educators may submit the names of any individual with whom they have a conflict of interest to the Clerkship Director. The Clerkship Director will reassign any student. The reason given for the reassignment is duality of interest; the nature of the specific duality of interest situation need not be identified.&#x20;

While the primary responsibility for reporting COI sits with each educator, students can also report potential conflicts of interest. **Students should report a possible COI to the Clerkship’s Director and Coordinator**.  Reports should be made ***at least*****&#x20;4 weeks in advance** of the first day of the clerkship.

<a href="https://form.jotform.com/250356010357044" class="button primary">To report a COI</a>

<a href="https://app.gitbook.com/s/NJwl1go6NbFQqs0MvlGh/policies-and-procedures/md-program-specific-policies-and-procedures/assessment-and-grading" class="button primary">For the Full Policy</a>
