Healthy Skepticism Library item: 2995

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Kaplan NM.
The support of continuing medical education by pharmaceutical companies
New England Journal of Medicine 1979; 300:194-196

Abstract:

The article examines three questions: 1) why should continuing medical education be subsidized by drug companies; 2) what are the consequences of this practice; and 3) where are CME-drug company relations heading. Oral presentations are the most frequently used format for CME and also the format most difficult to regulate and therefore this article focuses on this type of CME.

Keywords:
*analysis/United States/ CME/ conference speakers/ continuing medical education/ corporate funding/ promotion costs and volume/ quality of information/ regulation of promotion/ guidelines, discussion of/PROMOTION DISGUISED: COMPANY SPONSORED SPEAKING TOURS AND CONFERENCE SPEAKERS/PROMOTION DISGUISED: SUPPORT FOR CME/VOLUME OF AND EXPENDITURE ON PROMOTION

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909