RT Journal Article SR Electronic T1 Ten years later: a review of the US 2009 institute of medicine report on conflicts of interest and solutions for further reform JF BMJ Evidence-Based Medicine JO BMJ EBM FD BMJ Publishing Group Ltd SP bmjebm-2020-111503 DO 10.1136/bmjebm-2020-111503 A1 Trevor Torgerson A1 Cole Wayant A1 Lisa Cosgrove A1 Elie A Akl A1 Jake Checketts A1 Rafael Dal Re A1 Jennifer Gill A1 Samir C Grover A1 Nasim Khan A1 Rishad Khan A1 Ana Marušić A1 Matthew S McCoy A1 Aaron Mitchell A1 Vinay Prasad A1 Matt Vassar YR 2020 UL http://ebm.bmj.com/content/early/2020/11/11/bmjebm-2020-111503.abstract AB Conflicts of interest (COIs) in healthcare are increasingly discussed in the literature, yet these relationships continue to influence healthcare. Research has consistently shown that financial COIs shape prescribing practices, medical education and guideline recommendations. In 2009, the Institute of Medicine (IOM, now the National Academy of Medicine) published Conflicts of Interest in Medical Research, Practice, and Education—one of the most comprehensive reviews of empirical research on COIs in medicine. Ten years after publication of theIOM’s report, we review the current state of COIs within medicine. We also provide specific recommendations for enhancing scientific integrity in medical research, practice, education and editorial practices.