Annual Disclosure Survey

Annual Disclosure of External Professional Relationships Survey


Should you have trouble finding an appropriate section or if you have any questions about this content, please contact Bridget Chamberlain, Director of Compliance, Feinberg, via e-mail or by phone at (312) 503-2855.

The fundamental mission of the Northwestern University Feinberg School of Medicine (Feinberg), Northwestern Memorial HealthCare (NMHC), Northwestern Medical Group (NMG), Children’s Hospital of Chicago Medical Center (Lurie Children's), and the Rehabilitation Institute of Chicago (RIC) is to advance the health of the public. This mission is critically dependent upon the public's trust in the integrity of the research, education, and patient care performed at our institutions. To that end, our academic medical community's relationships with industry or other external entities, which often result in breakthroughs in medical research and promising new therapies, should be encouraged, but also keenly monitored. These relationships must not be or appear to be influenced by factors other than the pursuit of knowledge and the best interests of the patient. With this in mind, Feinberg, NMHC, NMG, Lurie Children's, and RIC have adopted policies that require their physicians, faculty, management, and certain staff to disclose industry and certain other external relationships through an annual survey. Each person's responses are reviewed, and, if necessary, individual conflict management plans are developed and implemented. Additionally, most of the information gathered from faculty through the survey is posted for our patients and the public on the Feinberg website, to which NMHC's and NMG's websites link.

This year's disclosure survey period has come to a close. An email notification containing a link to the 2014 survey and login instructions will be sent out on February 17, 2014. The deadline for completing the survey will be March 14, 2014. For your reference, the following types of individuals are expected to complete a survey:

Northwestern University Feinberg School of Medicine (Feinberg)

  • Full- and Part-Time Faculty (Regular and Research)
  • Contributed Services, Health System Clinician, and Regular-Lecturer Faculty
  • Other Faculty (Adjunct, Emeritus, or Co-Terminus, if also a NMG Physician Consultant or NMH Medical Staff)

Northwestern Memorial HealthCare (NMHC)

  • Board and Committee Members
  • Corporate Officers, Senior Leadership, and Management
  • Medical and Doctoral Level Staff
  • Medical Device and P&T Committee Members and Invitees
  • Mid-Level Providers
  • Other Decision Makers (e.g., Purchasing/Materials Management Staff, Pharmacy Staff, Social Worker/Case Management Staff)

Northwestern Medical Group (NMG)

  • Board Members
  • Senior Leadership and Management
  • Physician Members and Consultants
  • Full-Time and Part-Time Physicians/Employees
  • Mid-Level Providers

Children’s Hospital of Chicago Medical Center (Lurie Children's)

  • Board and Committee Members
  • Corporate Officers, Senior Leadership, Senior Management (Administrators/Directors), and Other Management
  • Medical and Doctoral Level Staff
  • Mid-Level Providers
  • Product Valuation and P&T Committee Members and Invitees

The Rehabilitation Institute of Chicago (RlC)

  • Physical Medicine & Rehabilitation Department

If you have one or multiple roles identified above, please find and select the statement below that best applies to you. You will be redirected to a page with specific information about the survey process and what will be expected of you beginning on February 17, 2014.

i. I have not previously completed the annual disclosure survey. (New Users)
ii. I completed the annual disclosure survey online in 2013. (Returning Users)
iii. I will be responsible for overseeing other survey users. (Facilitators)

*NOTE: You may be both a "Facilitator" and a "User."

This page last updated Jan 31, 2014

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