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Our Guiding Principles

The foundation of educational and research activities at Baystate Medical Center includes the core principles that guide all of our efforts in all circumstances. These principles guide what we do, why we do it, and how we do it. These principles are embodied in institutional and Academic Affairs policies and procedures.


Many sources inform our guiding principles, including those sources listed below, which reflect our beliefs about the role of education and research at Baystate Medical Center and the manner in which our educational and research strategies are implemented. We strive to embed these principles clearly and viably into all of our practices. We are committed to a process of continual review and renewal through self-assessment and we remain open to building upon these principles as we grow and learn as an institution.


Categories of Our Guiding Principles

 Academic Freedom and Responsibilities

Source: Tufts University School of Medicine Faculty Handbook, section on Academic Freedom and Responsibilities

Excerpt from the TUSM Faculty Handbook: “Academic freedom is essential to the free search for truth and its free exposition and applies to both teaching and research. Freedom in research is fundamental to the advancement of truth. Academic freedom in its teaching aspect is fundamental, not only to the advancement of truth but for the protection of the rights of the teacher in teaching and of the student to freedom in learning as well. It carries with it duties correlative with rights.”

Source: American Association of University Professors: 1940 Statement of Principles on Academic Freedom and Tenure.

The purpose of this statement is to promote public understanding and support of academic freedom and tenure and agreement upon procedures to ensure them in colleges and universities.

 

Source: International Committee of Medical Journal Editors (ICMJE)

Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications. (April 2010)

The Uniform Requirements state the ethical principles in the conduct and reporting of research and provide recommendations relating to specific elements of editing and writing.

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 Education

Source: Academy of Human Resource Development Standards of Ethics and Integrity


Undergraduate Medical Education

Source: Liaison Committee on Medical Education (LCME) Standards for Accreditation

Graduate Medical Education

Source: Accreditation Council for Graduate Medical Education (ACGME)

ACGME Policies and Procedures


Source: Compact Between Resident Physicians and Their Teachers

The Compact Between Resident Physicians and Their Teachers is a declaration of the fundamental principles of graduate medical education and the major commitments of both residents and faculty to the educational process, to each other and to the patients they serve. The Compact's purpose is to provide institutional GME sponsors, program directors and residents with a model statement that will foster more open communication, clarify expectations and re-energize the commitment to the primary educational mission of training tomorrow's doctors.


This Compact was formally adopted by the Graduate Medical Education Committee of Baystate Medical Center in 2006.


Source: Compact Between Postdoctoral Appointees and Their Mentors

The Compact Between Postdoctoral Appointees and Their Mentors outlines the postdoctoral appointee-mentor relationship and the commitments necessary for a high quality postdoctoral training experience. The Compact was drafted by the AAMC Group on Graduate Research, Education, and Training (GREAT) and its Postdoctorate Committee, and it is modeled on the AAMC Compact Between Resident Physicians and Their Teachers.

Continuing Medical Education

Source: Accreditation Council for Continuing Medical Education (ACCME)

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 Research

Source: Committee on Science, Engineering, and Public Policy, National Academy of Sciences, National Academy of Engineering, and Institute of Medicine On Being a Scientist. Third Edition, 2009. (Available from The National Academies Press


Source: Steneck, NH: Introduction to the Responsible Conduct of Research. Office of Research Integrity, Revised Edition, August 2007.

The ORI Introduction to the Responsible Conduct for Research provides a comprehensive overview of basic rules for responsible research for all PHS-funded researchers, and defines 9 core instructional areas:

  1. Data acquisition, management, sharing, and ownership
  2. Mentor/trainee relationships
  3. Publication practices and responsible authorship
  4. Peer review
  5. Collaborative science
  6. Human subjects
  7. Research involving animals
  8. Research misconduct
  9. Conflict of interest and commitment

Human Subjects

Source: Nuremberg Code of 1947


Source: World Medical Association (WMA)

Declaration of Helsinki: Ethical principles for medical research involving human subjects (1964, most recently amended in 2008) (Download pdf)

The Declaration of Helsinki sets out ethical principles for medical research involving human subjects, including research onidentifiable human material and data, and wasadopted by the World Medical Association in 1964. In the most recent revision, in 2008, the World Medical Association reaffirmed its controversial stand against practices that open the door to exploitation of research subjects, particularly in developing countries. On the practice of comparing new experimental treatments to placebos rather than existing treatments, the revised Declaration specifies that this may be done only in very limited circumstances where patients who are given placebos will not suffer any serious or irreversible harm. The revised Declaration also reaffirms the right of research subjects to share in any benefits that might result from the research, for example, access to interventions identified as beneficial in the study. New paragraphs of the revised Declaration deal with consent for research on human material, such as blood, tissues, and DNA, and human data and require clinical trials to be registered in a publicly accessible database.

Source: The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research Ethical Principles and Guidelines for the Protection of Human Subjects of Research (Belmont Report), April 18, 1979

Source: Code of Federal Regulations, Title 45, Part 46, Protection of Human Subjects

Privacy of Personal Health Information (HIPAA Regulations and Standards)

Source: Health Insurance Portability and Accountability Act of 1996 (HIPAA)


Source: HIPAA Privacy Rule

The Privacy Rule took effect on April 14, 2003 and regulates the use and disclosure of certain information held by "covered entities." It establishes regulations for the use and disclosure of Protected Health Information (PHI). PHI is any information held by a covered entity which concerns health status, provision of health care, or payment for health care that can be linked to an individual. This is interpreted rather broadly and includes any part of an individual's health record or payment history. The Privacy Rule requires covered entities to notify individuals of uses of their PHI and to appoint a Privacy Official and a contact person responsible for receiving complaints and train all members of their workforce in procedures regarding PHI.  Chris Gingras, the Chief Compliance Officer for Baystate Health, also serves as the institutional Privacy Official.

Source: HIPAA Security Standard


Source: HIPAA Transactions and Code Sets Standards


Source: HIPAA Employer Identifier Standard


Source: National Provider Identifier (NPI) Standard

Stem Cells

Source: NIH Guidelines on Human Stem Cell Research, 2009.  

The policy and procedures under which the NIH funds human embryonic stem cell research, which helps ensure that NIH-funded research in this area is ethically responsible, scientifically worthy, and conducted in accordance with applicable law.

Recombinant DNA

Source: NIH Guidelines for Research Involving Recombinant DNA Molecules (NIH Guidelines), 2009.  

The Office of Biotechnology Activities of the National Institutes of Health promotes scientific advancement and safety in the conduct of basic and clinical recombinant DNA research

 

Animal Subjects

 

Source: Guide for the Care and Use of Laboratory Animals, Eighth Edition. Institute for Laboratory Animal Research (ILAR), Division on Earth and Life Sciences, The National Academies. National Academy Press, Washington, DC, 2010.

The Guide is intended to assist IACUCs, researchers, and veterinarians in fulfilling their obligation to plan, conduct, and oversee animal experiments in accordance with the highest scientific, humane, and ethical principles. The Guide makes recommendations for humane animal care and use based on published data, scientific principles, expert opinion, and experience with methods and practices proven consistent with high-quality, humane animal care and use.

 

Source: PHS Policy on Humane Care and Use of Animals. Office of Laboratory Animal Welfare.

This 2002 reprint of the PHS Policy on Humane Care and Use of Laboratory Animals reflects the August 7, 2002 PHS Policy amendment permitting institutions with PHS Animal Welfare Assurances to submit verification of Institutional Animal Care and Use Committee (IACUC) approval for competing applications or proposals subsequent to peer review but prior to award.


Source: American Association for Laboratory Animal Science (AALAS)

The American Association for Laboratory Animal Science (AALAS) is the premier forum for the exchange of information and expertise in the care and use of laboratory animals. Since 1950, AALAS has been dedicated to the humane care and treatment of laboratory animals and the quality research that leads to scientific gains that benefit people and animals.  Baystate Medical Center is a member of AALAS.

Source: Association for Assessment and Accreditation of Laboratory Animal Care International (AAALAC International)

The Association for Assessment and Accreditation of Laboratory Animal Care International (AAALAC International) is a voluntary accrediting organization that enhances the quality of research, teaching, and testing by promoting humane, responsible animal care and use.  It provides advice and independent assessments to participating institutions and accredits those that meet or exceed applicable standards.

Source: Animal Care Policy Manual, Animal and Plant Health Inspection Service, United States Department of Agriculture

The Animal and Plant Health Inspection Service (APHIS) of the United States Department of Agriculture (USDA) provides leadership for determining standards of humane care and treatment of animals. APHIS implements those standards and achieves compliance through inspection, education, and cooperative efforts.

Education Research

Source: Standards for Educational and Psychological Testing (American Psychological Association, 1999)

The essential standards as described by the APA:

  1. a general knowledge of measurement theory
  2. explicit and well-formulated goals for tests use;
  3. a consideration of alternative and supplemental measurement procedures, especially for examinees coming from very different backgrounds;
  4. a careful review of the development of the tests being considered for use;
  5. the competence to administer each test used for decision-making purposes;
  6. established conditions for test administration that enable all examinees to do their best;
  7. a rationale for decisions based on test scores;
  8. a consideration of alternative interpretations of scores;
  9. a correct use of norms and the avoidance of scores that have technical problems
  10. periodic reviews of the effectiveness of tests and decision-making procedures for institutional tests.

Source: American Association for Higher Education (AAHE)
Principles of Good Practice for Assessing Student Learning (1998)

The principles as described by the AAHE:

  1. The assessment of student learning begins with educational values.
  2. Assessment works best when the programs it seeks to improve have clear, explicitly stated purposes.
  3. Assessment requires attention to outcomes, but also and equally to the experiences that lead to these outcomes.
  4. Assessment works best when it is ongoing, not episodic.
  5. Assessment fosters wider improvement when representatives from across the educational community are involved.
  6. Assessment makes a difference when it begins with issues of use and illuminates questions that people really care about.
  7. Assessment is most likely to lead to improvement when it is part of a larger set of conditions that promote change.
  8. Through assessment, educators meet responsibilities to students and to the public.

Source: Association for Institutional Research
Code of Ethics


Source: Dewey J: My pedagogic creed. The School Journal, 1897; 54:77-80. Available at http://www.infed.org/archives/e-texts/e-dew-pc.htm


Source: Campbell DT, Stanley JC: Experimental and quasi-experimental designs for research. 1966. Rand McNally, Chicago, IL.

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 Conflicts of Interest

Source: Association of American Medical Colleges (AAMC) 

Industry Funding of Medical Education. Report of an AAMC Task Force (June 2008) (Download pdf

The final report of the AAMC Task Force on Industry Funding of Medical Education examines the benefits and pitfalls associated with industry funding of medical education, and offers principles, recommendations, and guidelines to assist members in refashioning industry relationships to better conform to high standards of medical professionalism.

 

Source: Association of American Medical Colleges (AAMC) and the Association of American Universities (AAU)

Protecting Patients, Preserving Integrity, Advancing Health: Accelerating the Implementation of COI Policies in Human Subjects Research (February 2008) (Download pdf)

This report calls on all medical schools and major research universities to develop and implement institutionalconflict of interestpolicies by February 2010, and to refine standards for addressing individual financial conflicts of interest. Baystate Medical Center had already implemented comprehensive conflict of interest policies for all faculty and staff and additional conflict of interest policies for those engaged in research.

Source: Pharmaceutical Research and Manufacturers of America (PhRMA)

Code on Interactions with Healthcare Professionals (Download pdf)

and

Source: Pharmaceutical Research and Manufacturers of America (PhRMA)

Principles on Conduct on Clinical Trials. Communication of Clinical Trial Results (Download pdf)

and

Source: Advanced Medical Technology Association (AdvaMed)

Code of Ethics on Interactions with Health Care Professionals (July 1, 2009) (For download pdf)

The revised PhRMA Code (effective January 2009) and AdvaMed Code (effective July 1, 2009) define appropriate and inappropriate interactions between healthcare professionals and representatives of the Pharmaceutical Research and Manufacturers of America (PhRMA) in the marketing of pharmaceutical products, representatives of the Advanced Medical Technology Association (AdvaMed) in the marketing of medical devices.


Baystate Medical center had already implemented a comprehensive policy that governs Interactions with Pharmaceutical and Medical Device Companies


Source: Association of American Medical Colleges (AAMC)
Principles for Protecting Integrity in the Conduct and Reporting of Clinical Trials

Source: Association of American Medical Colleges (AAMC)
Protecting Subjects, Preserving Trust, Promoting Progress: Policy and Guidelines for the Oversight of Individual Financial Interests in Human Subjects Research


Source: American Medical Association (AMA), Council on Ethical and Judicial Affairs.

Gifts to physicians from industry. (E-8.061). (Issued June 1992 based on the report "Gifts to Physicians from Industry," adopted December 1990 (JAMA. 1991; 265: 501). Updated June 1996 and June 1998.)   

 

Source: Accreditation Council for Graduate Medical Education Principles to guide the relationship between graduate medical education and industry (September 10, 2002)

 

Source: Association of American Medical Colleges (AAMC)
Protecting Subjects, Preserving Trust, Promoting Progress II: Principles and Recommendations for Oversight of an Institution's Financial Interests in Human Subjects Research

This second report of the AAMC Task Force offers a conceptual framework for assessing institutional conflicts of interest and a set of specific recommendations for the oversight of certain financial interest in human subjects research. The guidelines highlight areas that, in the view of the AAMC's Task Force, are especially problematic and must therefore receive close scrutiny. ACCME Standards for Commercial Support. Standards to Ensure the Independence of CME Activities

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 Health Sciences Library

Source: American Library Association (ALA)
Code of Ethics

Source: Medical Library Association (MLA)
Code of Ethics for Health Sciences Librarianship

Source: Association of Independent Information Professionals (AIIP)
Code of Ethical Business Practice

Source: American Society for Information Science and Technology (ASIS&T)
Professional Guidelines of the American Society for Information Science and Technology (ASIS&T)

Source: Society of Competitive Intelligence Professionals (SCIP)
SCIP Code of Ethics for CI Professionals

Source: Association of Research Libraries (ARL) and the Online Computer Library Center (OLCL) Keystone Principles

Source: Center for Social Media 
Code of Best Practices in Fair Use for Scholarly Research in Communication

This guide identifies situations that represent the current consensus within the community of communication scholars about acceptable practices for the fair use of copyrighted materials.