Disclosure policies may not lead to transparency if relationships of greatest concern cannot be readily identified. First, the nature of the relationship needs to be specified. Reporting payments for “consulting” or “honoraria,” as in medical journals and under federal sunshine law, fails to distinguish providing scientific from marketing advice. Legitimate scientific collaboration, which can benefit academic institutions and future patient care, should be encouraged. To avoid misunderstandings, grants, or contracts from a company to an academic medical center to support research should be distinguished from personal payments to an individual physician or researcher. Also, payments for participation in speakers' bureaus are often reported as “consulting” or “honoraria.” Presenting slides and text prepared by companies for product-related talks violates academic integrity.5 Hence, payments for serving on a speakers' bureau should be in a separate category from other honoraria or consulting activities or should be prohibited, particularly for faculty at academic medical centers. Second, the exact amount of payment should be disclosed, as will be done on the federal sunshine law Web site. Although even small gifts may lead to undue influence,7 very large personal payments raise more serious concerns. Third, the type of compensation should be clarified. Fixed dollar payments, such as a contract or grant to carry out a clinical trial, generally are less problematic than compensation whose value may increase sharply if results of a clinical trial are favorable to a product, such as royalties on the intervention being tested or stock options in the company sponsoring a clinical trial. Fourth, the relevance of a relationship to the topic under consideration may be unclear. In the practice guidelines analyzed by Mendelson et al,4 the names of companies that had financial relationships with members of guidelines development committees were disclosed, without naming the company products that are relevant to the guidelines. Readers who do not know what products a company makes cannot judge how the product might be affected by the guideline.