Responsibilities of All CPG Subcommittee Members
Regardless of position, all members of the CPG subcommittee have the following responsibilities:
Full disclosure of any potential conflicts of interest;
Participation in all meetings and conference calls;
Be committed to teamwork and clear communication;
Read all relevant materials and give constructive feedback;
Be prompt in responding to e-mails relevant to the subcommittee;
Meet deadlines in completing assignments;
Maintain confidentiality during the development process and until the guideline is published;
Submit a signed copy (and retain a personal copy) of the AAP Guideline Confidentiality Agreement; and
If representing another organization, communicate promptly and regularly with it to note any concerns about the CPG, and transmit these concerns back to the subcommittee.
Participation in writing the manuscript of the CPG is not a requirement for subcommittee membership but is decided based on member interest and ability, although all committee members are expected to review the final document. (CPG authors will be identified as distinct from subcommittee members who do not meet authorship criteria. Criteria for authorship are listed here.
Conflict of Interest (COI)
It is important to remember that unmanaged intellectual COIs can be as damaging as unmanaged financial COIs to the quality and credibility of the final guideline product. Intellectual COIs can come into play when content experts (eg, subspecialists) push a view or interpretation of data that they have either developed through clinical trials or other research endeavors and/or upon which they have built their professional reputations. Relevant COIs (eg, financial, industry relationships, intellectual) of the authoring team will be examined before authors are allowed to participate in the guideline committee. If existing conflicts are deemed acceptable, relevant conflicts will be documented in the manuscript.
See AAP policy, “Conflict of Interest and Relationships with Industry and Other Organizations."
The International Committee of Medical Journal Editors recommends that authorship be based on the following 4 criteria:
Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND
Drafting the work or revising it critically for important intellectual content; AND
Final approval of the version to be published; AND
Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guideline subcommittee members may in their role be exposed to certain confidential and/or proprietary information, materials or data related to the subcommittee’s work and final document(s). It is important to the integrity of the writing process and final work that this information be kept strictly confidential and not disclosed at any time under any circumstance.
Therefore, as a condition and in consideration of a member’s selection to serve on the guideline subcommittee, and in recognition of the importance of the subcommittee’s work and for mutual consideration, the receipt and adequacy of which are acknowledged by the parties, guideline subcommittee members agree to the following:
Members will not disclose or cause to be disclosed to anyone or any entity outside of the guideline subcommittee or appropriate AAP staff any confidential and/or proprietary information, materials or data related to the guideline subcommittee’s work, where such information, materials or data have been previously identified in writing or marked by the guideline subcommittee as “Confidential.” This restriction shall apply at any time and in any circumstance, unless otherwise directed by the guideline subcommittee Chair.
Members will keep all such confidential information in their possession or control in a safe and secure place and will take all reasonable steps to protect against inadvertent disclosure or theft of the information.
Upon request from the guideline subcommittee Chair, members will promptly destroy all confidential information received or acquired relating to the guideline subcommittee. Notwithstanding the return or destruction of any such confidential information, members will continue to be bound by their obligations under the Nondisclosure Agreement found here.
Copyright Release and Transfer
In consideration for his or her contributions to the American Academy of Pediatrics (the “Academy”), and for other good and valuable consideration, the receipt of which is hereby acknowledged, guideline subcommittee members grant and assign exclusively to the Academy all right, title, and interest that the member (i.e., author) may now or hereafter own, including copyright and all rights subsumed thereunder, in and to all contributions made by the member (i.e., author) to all publications (“works”) created in the course of his or her appointment/election as a clinical practice guideline subcommittee member/liaison/consultant of their respective guideline. All guideline subcommittee members will be required to sign a copyright release agreement to participate.
When the AAP determines that it would like to proceed with the development of a joint clinical practice guideline with an external organization, AAP staff will work in concert with the guidelines staff at the corresponding entity to draft and develop a memorandum of understanding (MOU). At a minimum, the MOU should include the following:
A description of the CPG subcommittee representation;
Associated costs regarding who will fund the external liaison;
Anticipated time commitment;
Anticipated title of the clinical practice guideline;
COI disclosure requirements;
Copyright/publication rights (the AAP shall be the only entity to publish the joint guideline in full text);
Documentation of confidentiality;
Peer review considerations; and
Endorsement and approval processes.