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Healthy Skepticism Library item: 14230

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

Relman AS.
Industry Support of Medical Education
JAMA 2008 Sep 3; 300:(9):1071-1073
http://jama.ama-assn.org/cgi/content/extract/300/9/1071


Abstract:

Should professional medical institutions (medical schools and teaching hospitals) and their staff accept support from industry for their educational programs? This long-standing debate has become more urgent in recent years, particularly with respect to accredited continuing medical education (CME). With a budget now approaching $3 billion, CME is more than half supported by industry.1 Currently, most industry support is distributed through medical education and communication companies (MECCs) that act as agents for the pharmaceutical manufacturers. Many more billions of drug industry largesse is expended on personal gifts, favors, and payments to the physicians on the staff of teaching institutions.2

The Accreditation Council on Continuing Medical Education (ACCME) accredits medical institutions and MECCs to provide CME and has promulgated voluntary guidelines aimed at promoting the quality and independence of the educational programs they deliver.3 Nevertheless, given the major financial contribution from industry, there has been much discussion . . .

 

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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