Healthy Skepticism Library item: 10773

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

Camilleri M, Cortese DA.
Managing conflict of interest in clinical practice.
Mayo Clin Proc 2007 May; 82:(5):607-14
http://www.mayoclinicproceedings.com/inside.asp?AID=4370

Abstract:

Conflict of interest, even the appearance of potential conflict, has long been a concern for physicians and scientists. Conflict of interest arises when an activity is accompanied by a divergence between personal or institutional benefit when compared to the responsibilities to patients and to society; it arises in the context of research, purchasing, leadership, and investments. Conflict of interest is of concern because it compromises the trust of the patient and of society in the individual physician or the medical center.

Keywords:
MeSH Terms: Academic Medical Centers/ethics Academic Medical Centers/organization & administration* Conflict of Interest* Consensus Drug Industry Health Care Sector Humans Institutional Practice/ethics Institutional Practice/organization & administration* Minnesota Models, Organizational Organizational Policy Practice Guidelines Referral and Consultation/economics Referral and Consultation/ethics Research Support/ethics Social Responsibility Training Support/ethics

Notes:

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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