3. A student requests placement in her physician father's office for an ambulatory clerkship. Her father or one of his partners would be submitting a clinical performance evaluation on the student at the end of the clerkship.
#	Response Date	Comment
1.	Wed, 3/14/07 1:55 AM	If she is in good academic standing there likely would be no coi, however if the student is a marginal or failing student their is some possibility of coi.
2.	Wed, 3/14/07 3:56 PM	dad shouldn't write the eval or get a copy
3.	Thu, 3/15/07 12:57 AM	Her father would represent a conflict of interest. One would expect a partner to show professional discretion in providing a fair evaluation.
4.	Fri, 3/16/07 11:19 AM	Should be fine, but depends on students other behavior and reviews.
5.	Mon, 3/19/07 12:03 AM	I beieve it is University policy already relatives can not be supervisors
6.	Mon, 3/19/07 4:32 PM	This is a Very Serious COI: Student evaluation, especially if it is subjective, must be made by a disinterested party. A father, or another member of the father's practice is NOT a disinterested party. I have no problem with letting this clerkship occur, but special arrangements need to be made for evaluation of the clearkship by a disinterested 3rd party.
7.	Mon, 3/19/07 5:23 PM	The conflict is there. Whether the individuals involved would make honest appraisals is a separate question. A favorable appraisal would be suspect.
8.	Fri, 3/23/07 5:31 PM	serious unless he is the only one in the area
9.	Sat, 3/31/07 3:22 AM	Much larger COI if the student's father is the one filling out the evaluation
10.	Fri, 4/27/07 11:54 AM	There would need to be a pre-existing relationship between the father/group and the medical school, with a proven track record of being committed educators, before such a rotation should be approved.
11.	Fri, 4/27/07 5:32 PM	I would think this is appropriate but that this particular evaluation should not be used in dean's letters, etc. It would make sense to include this venue as a site for training to be compared to other sites by this particular student. It would be nice for her to know how her father's practice works from the inside and how it differs from other practice sites.
12.	Mon, 4/30/07 11:09 PM	If it is for credit only, it would be ok. If honors designation is possible, then it is a conflict.
13.	Tue, 5/15/07 4:28 PM	If there are objective performance measures, the COI is much less than if the student is given preferential treatment/privileges based on the familial relationship with the attending.