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Healthy Skepticism Library item: 16774

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

Iskowitz M
Bid to restrict industry-backed CME rebuffed, again
Medical Marketing & Media 2009 Nov 10
http://www.mmm-online.com/Bid-to-restrict-industry-backed-CME-rebuffed-again/article/157524/?DCMP=EMC-MMM_Newsbrief


Full text:

A third attempt by an AMA ethics council asking physicians and medical institutions to curb industry funding for professional educational activities was rebuffed yesterday.

The proposals, contained in a report from AMA’s Council on Ethical and Judicial Affairs (CEJA), would have required CME providers to only accept funds from “sources that have no direct financial interest in a physician’s clinical recommendations,” except in certain cases. At the AMA’s semi-annual policymaking meeting, its House of Delegates voted to send the entire report back to CEJA for further study.

“The rejection by the House of Delegates shows a commitment to CME funding and academic freedom,” wrote Rockpointe Medical Education president Thomas Sullivan in the blog Policy and Medicine. “The AMA members are not willing to give up their rights to collaborate with industry and give up commercial support of CME especially in these tough economic times.”

At a committee meeting prior to the vote, 25 speakers representing 24 organizations spoke against adoption of the CEJA recommendations, according to Sullivan, while in favor were 10 speakers representing CEJA, the AMA’s Council on Medical Education and other organizations.

The last time delegates sent a CEJA proposal back to committee was in June. That proposal sought to delineate “ethically preferable” or “ethically permissible” CME funding practices. A 2008 proposal-also shelved-had called for an all-out ban on commercial support.

In a statement, AMA board chair Dr. Rebecca Patchin said CEJA “will re-examine the issue and present a revised report at a later meeting,” adding that AMA “already has existing ethical policy to govern physician relationships with the pharmaceutical, biotechnology and medical device industry.”

 

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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