For Faculty, Staff and Trainees

Report of Relationships with Outside Entities (Annual Form) is completed annually online through Sinai Central. Your form must be updated during the year if you enter into new arrangements or your existing arrangements change.

Who must report/disclose:

• Full-time faculty
• Part-time faculty
• Select voluntary faculty

What needs to be reported/disclosed:

• All relationships with outside entities must be disclosed
• Chairpersons must also disclose any grants/donations made to the Department

Financial Interest in Research Disclosure Form must be completed and submitted with each Research Application filed with the Grants and Contracts Office (GCO).

Who must report/disclose:

• All faculty identified as Investigators on grants submitted to the GCO

What needs to be reported/disclosed:

• The information from your Annual Report of Relationships with Outside Entities will import into this form. All relationships with outside entities that are related to the research must be disclosed

Review Procedure/Management of Financial Interests:

• Business: Financial interests that present a potential business conflict of interest will be reviewed by the Staff Conflicts of Interest Review Committee (SCCOM).
  Recommended steps to manage or eliminate a conflict are forwarded to the Chief Executive Officer whose decisions are final. For more detail, refer to the Policy on Business Conflicts of Interest.
• Research: All financial interests related to research are reviewed by the Financial Conflicts of Interest in Research Committee (FCOIRC). If the FCOIRC identifies a conflict that can be neutralized with a management plan, the research may proceed at Icahn School of Medicine at Mount Sinai. For more detail, refer to the Policy on Financial Conflicts of Interest in Research.

Voluntary Faculty must complete a Report of Relationships with Outside Entities disclosure form annually online through Sinai Central if they:

• Perform research at Icahn School of Medicine at Mount Sinai, or
• Participate on Institutional Committees, or
• Perform paid administrative functions for a Department or Icahn School of Medicine at Mount Sinai.

You must update the form during the year if you enter into new arrangements or existing arrangements change. All faculty performing research must also complete and submit a separate Financial Interest in Research Disclosure Form with each research application filed with the Grants and Contracts Office (GCO).

Quick Links 

• Faculty Handbook
• Research - Policy on Financial Conflicts of Interest in Research
• Instructions for the Financial Interest in Research Disclosure Form
• Policy on Business Conflicts of Interest

Best Practices – The following resources provide guidelines on best practices when working with a commercial or non-commercial entity:

• Consulting Policy – Policy on Financial Arrangements with Outside Entities (see Section E)
• Speaking Engagement Policy
• Vendor Policy – Policy on Interactions with Vendors and Other Commercial Entities 

Incoming Faculty must complete a manual Preliminary Disclosure Form within one month of returning a signed Offer Letter. Within 45 days of date-of-hire, you must complete a Report of Relationships with Outside Entities disclosure form online through Sinai Central. You must update your form during the year as you enter into new arrangements or existing arrangements change. All faculty performing research must also complete and submit a separate Financial Interest in Research Disclosure Form with each research application filed with the Grants and Contracts Office (GCO).

Quick Links 

• Faculty Handbook
• Financial Interest and Outside Activity Disclosure Statement
• Consulting Policy – Policy on Financial Arrangements with Outside Entities (see Section E)
• Approval Form - Attestation of Compliance with Institutional Policies
• Approval Grid
• Speaking Engagement Policy
• Research – Policy on Financial Conflicts of Interest in Research
• Instructions for the Financial Interest in Research Disclosure Form
• Vendor Policy- Policy on Interactions with Vendors and Other Commercial Entities
• Policy on Business Conflicts Interest
• Instructions for the Report of Relationships with Outside Entities

Staff must complete a Report of Relationships with Outside Entities disclosure form annually online through Sinai Central if they:

• Participate on Insitutional Committees, or are in selected departments
• Perform research at Icahn School of Medicine at Mount Sinai, or
• Are a Department or Division Administrator, or
• Have a potential conflict of interest that requires institutional reporting.

You must update your form during the year if you enter into new arrangements or existing arrangements change. If you are performing Human Subjects research, you must also complete and submit a separate Financial Interest in Research Disclosure Form with each research application filed with the Grants and Contracts Office.

If you are unsure if you need to complete the disclosure forms, please contact us directly or you may contact the Program for the Protection of Human Subjects if you are involved in Human Subjects research.

Quick Links 

• Policy on Business Conflicts of Interest
• Instructions for the Report of Relationships with Outside Entities
• Research – Policy on Financial Conflicts of Interest in Research
• Instructions for the Financial Interest in Research Disclosure Form
• Vendor Policy- Policy on Interactions with Vendors and Other Commercial Entities
• Consulting / Relationships with Outside Entities Policy 
• Speaking Engagement Policy

Icahn School of Medicine at Mount Sinai takes pride in the excellence and expertise of our faculty. Often, as leaders in their respective fields, our faculty is highly qualified to collaborate with commercial companies in the development of new and innovative approaches to research and clinical treatment. Companies also often support the educational and research missions of Icahn School of Medicine at Mount Sinai by making donations to these programs.

It is important to Icahn School of Medicine at Mount Sinai that you are aware of relationships with industry and that you can ask questions about such relationships. Please refer to our Faculty Disclosure page for more details.

Icahn School of Medicine at Mount Sinai also strives to maintain an educational environment free from commercial bias. Vendors who do business with Icahn School of Medicine at Mount Sinai are restricted from most interactions with trainees. We encourage you to review our Vendor Policy and Guidelines for Interactions with Medical Sales Representatives in order to familiarize yourself with these restrictions. Additional FAQs regarding research at Icahn School of Medicine at Mount Sinai can be found in the Faculty Handbook.Faculty Handbook.

Quick Links

• House Staff see Section 3
• Policy on Business Conflicts of Interest
• Instructions for the Annual Report of Relationships with Outside Entities
• Research – Policy on Financial Conflicts of Interest in Research
• Instructions for the Financial Interest in Research Disclosure Form
• Vendor Policy- Policy on Interactions with Vendors and Other Commercial Entities

Who has access to the information I report to Icahn School of Medicine at Mount Sinai on my disclosure forms?
Access to the details that you provide on your disclosure forms is rigorously protected to ensure confidentiality. However, relationships with industry along with company names are posted publicly on Icahn School of Medicine at Mount Sinai’s website but do not include dollar amounts. 

What am I supposed to report on my disclosure forms?
Please call our COI Helpline at 212-241-0845 for guidance on what you need to report. 

Why do I have to report my relationships with outside companies?
Transparency of relationships outside Icahn School of Medicine at Mount Sinai; safeguards patient care, research and education. Reporting your outside relationships gives Icahn School of Medicine at Mount Sinai the ability to review, evaluate and address any potential conflicts. 

I don’t have a conflict of interest so why do I have to report my outside activities?
A conflict of interest can be actual or perceived. Although you may feel that your financial interests don’t create a conflict, it may appear to others that they do. An independent evaluation of your financial interests by the institution addresses any perception or appearance of a conflict of interest. 

Who do I go to for approval of my outside activities?
You can refer to the following Approval Grid for requirements. Faculty should obtain approval from their Department Chair for all outside activities. Department Chairs are required to obtain approval from the Dean. If you are staff, you should seek approval from your Department Chair and/or Vice President, as applicable.

What should I do if I’m being filmed or interviewed?
Immediately contact the Marketing and Communications Office at 212-659-9084 for further guidance. 

You can find additional FAQs regarding research at Icahn School of Medicine at Mount Sinai in our Faculty Handbook.