
Safety Net
For so long, I felt like an outsider—the lone compliance voice carrying the weight of keeping everyone on track. But then the big boss pulled me aside and said, ‘You

by Rebecca Walker
Given the personal nature of many conflicts of interest (COIs or conflicts) and the reliance that most companies necessarily place on proactive disclosure of conflicts, auditing and monitoring in this area can be challenging. I recall giving a speech on conflicts of interest at an SCCE Compliance and Ethics Institute years ago, where one of the attendees accused me of “punting” when I answered his question on how to audit for compliance with a COI policy. The truth is that it’s really tough. However, it’s not impossible.
There are two primary ways to audit for compliance with COI policies: auditing for the implementation of the conflicts of interest program (which I refer to as “Process Auditing,” and which the CEI attendee referred to as “punting”) and auditing for compliance with the requirements of the COI policy (which I refer to as “Policy Auditing”). Below is a short discussion of both Process and Policy Auditing and of COI monitoring techniques.
Process Auditing
Process auditing involves testing the components of the conflicts compliance program to ensure they are deployed and implemented as intended. Various means of auditing COI compliance programs include:
Policy Auditing
A conceptually distinct (but related) category of COI auditing, Policy Auditing, consists of auditing for substantive violations of the company’s conflicts of interest rules. This may involve, for example, review for the existence of undisclosed financial or personal relationships between employees and the company’s customers or suppliers; receipt of inappropriate or excessive gifts or entertainment; or the undisclosed employment of relatives or romantic relationships in a reporting line.
This category of COI auditing can include:
This list feels unsatisfactory to me. (A punt, perhaps!) There is undoubtedly much more that can be done in the area of Policy Auditing. I would be very interested to hear from readers if you have other thoughts on how one might audit for compliance with the COI policy.
Monitoring
Monitoring for potential violations of a conflicts of interest policy can facilitate detecting violations at an early stage. Some potential means of monitoring include:
Considerations
Given the personal nature of conflicts of interest, the use of auditing and monitoring techniques can be quite intrusive and may not always be efficient. It is therefore crucial to thoughtfully weigh the advantages of these methods against their possible drawbacks.
If you have other ideas on effective COI auditing and monitoring techniques, please share!
Search the site

For so long, I felt like an outsider—the lone compliance voice carrying the weight of keeping everyone on track. But then the big boss pulled me aside and said, ‘You

Halfway through the meeting, I could see the eyes glazing over—policy alone wasn’t landing. So I closed the slide deck and told a story. Suddenly the room shifted. People leaned

One tiny lie felt harmless—no big deal, nothing anyone would ever notice. But it spread quickly, tightening around me like a trap. Rumors grew, trust eroded, and soon I was

Agentic AI systems don’t just predict—they decide. In healthcare, that autonomy can mean a robot performing a procedure, triggering treatment, or guiding a diagnosis. As AI agents gain independence, governance,
Subscribe now to keep reading and get access to the full archive.