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Healthy Skepticism Library item: 13149

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

Steinbrook R.
Financial Support of Continuing Medical Education
JAMA 2008 Mar 5; 299:(9):1060-1062
http://jama.ama-assn.org/cgi/content/extract/299/9/1060


Abstract:

Continuing medical education (CME) is a multibillion-dollar industry. In 2006, the CME providers accredited by the Accreditation Council for Continuing Medical Education (ACCME) had a total income of $2.38 billion.1 In 1998, the income was $889 million, and most had come from the registration fees of participants or sponsoring organizations. Since 2003, however, most of the income for CME providers has come from industry…

…Continuing medical education has become so heavily dependent on support from pharmaceutical and medical device companies that the medical profession may have lost control over its own continuing education.4 Commercial funding may inherently distort education and practice to the detriment of physicians and patients, regardless of the various safeguards to protect the integrity of the enterprise. Problems associated with commercial support of CME, current safeguards, and other approaches to funding are discussed …

 

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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