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Office of Institutional Compliance
2017 CONFLICT OF INTEREST AND COMMITMENT DISCLOSURE FORM
Employees of Texas Tech University Health Sciences Center (“TTUHSC”) are entrusted with protecting the safety and welfare of the public’s trust. It is state law that TTUHSC Employees may not have direct or indirect interests, including financial and other interests, engage in business transactions or professional activities, or incur any obligation of any nature that is in substantial conflict with the proper discharge of the Employee’s duties to TTUHSC or the public interest. Employees shall avoid acts which are improper or give the appearance of impropriety. The principles and guidelines contained in
TTUHSC OP 10.05
Conflict of Interest and Commitment Policy shall apply to all TTUHSC’s Employees, regardless of rank or position.
TTUHSC OP 73.09
Financial Conflict of Interest in Research applies to all personnel who are participating or involved in the design, conduct and reporting of research.
It is the policy of TTUHSC that all employees should disclose any potential and actual conflict of interest and commitment on an annual basis, and update within thirty (30) days of discovering or acquiring new interest and commitment.
Conflict of Interest
: A conflict of Interest refers to a situation in which an Employee’s financial, professional, or other personal considerations may directly or indirectly affect, or have the appearance of affecting, the Employee’s judgment in exercising any duty or responsibility, including the conduct or reporting of research, owed to the Institution.
Conflict of Commitment
: A conflict of commitment refers to a situation where an Employee engages in external activities, either paid or unpaid, that interfere with his/her obligation and commitment to the Institution. Employees should evaluate and arrange their external interests in order to avoid compromising their ability to carry out their obligations to the Institution. A conflict of commitment occurs whenever an Employee’s outside activities exceed the permitted limits or whenever an Employee’s professional loyalty is not to the Institution.
: for purpose of this disclosure form, family members include parent, spouse, children, and other household members.
: a broad term describing all activities that derive from one’s training and expertise and that relate to his or her description of job duties performed for TTUHSC.
: A financial interest includes, but is not limited to:
(1) Anything of monetary value, including but not limited to salary or other payments for services, fees, honoraria, “gifts,” or other “in kind” compensation whether for consulting, membership on a board of directors or advisory board, or any other purpose such as partial, interim, or milestone payments.
(2) Intellectual property rights including, but not limited to, patents, copyrights, and royalty income or the right to receive future royalties under a patent or other intellectual property rights, whether pursuant to a license or otherwise.
(3) Ownership and equity interests or entitlement to such interests in a publicly or non-publicly traded business, including, but not limited to, stock, stock options, partnership interests, and convertible debt. It does not include interests in publicly-traded diversified mutual funds where the individual investor has no control over the selection of holdings.
*The following financial interests do NOT need to be disclosed:
(1) salary, royalties, or other remuneration paid by TTUHSC to you or your family member(s) if you are currently employed or otherwise appointed by TTUHSC. This includes intellectual property rights assigned to TTUHSC and agreements to share in royalties related to such rights;
(2) income from investment vehicles, such as mutual funds and retirement accounts, as long as you or a family member does not directly control the investment decisions made in these vehicles;
(3) income from seminars, lectures, or teaching engagements sponsored by a Federal, state, or local government agency, an Institution of higher education, an academic teaching hospital, a medical center, or a research institute affiliated with an Institution of higher education; or
(4) income from service on advisory committees or review panels for a Federal, state, or local government agency, an Institution of higher education, an academic teaching hospital, a medical center, or a research institute that is affiliated with an Institution of higher education.
TTUHSC PAWS - 2017
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