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Healthy Skepticism Library item: 15619

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: news

Goozner M.
NIH Seeks Public Input on Its Management of Conflicts of Interest
GoozNews (registration required) 2009 May 11
http://www.gooznews.com/node/2916


Full text:

The National Institutes of Health wants public input on whether it should amend its conflict of interest disclosure rules. These comments are due July 7. Read the Federal Register notice here and weep. The notice provides a pretty good rundown on the inadequacy of the current rules (by merely telling readers what they are). To learn NIH’s previous reaction (January 2008) to an Inspector General’s report castigating NIH for failing to police conflicts of interest at grantee institutions, see this GoozNews post.

Apparently, the recent Institute of Medicine report and growing support for the Physician Payments Sunshine Act (and perhaps the departure of Elias Zerhouni) led to a change of heart, or at least a willingness to entertain the notion that change is needed. “Complete and timely disclosure of financial interests and effective management of conflicts of interest are essential to ensuring objectivity in research,” the notice said. “We invite public comments on all aspects of potential regulation in this area.”

 

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963