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Healthy Skepticism Library item: 16916

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

Arnold M
Fewer than 1% of docs sees bias in online CME, survey finds
Medical Marketing & Media 2009 Sep 15
http://www.mmm-online.com/fewer-than-1-of-docs-sees-bias-in-online-cme-survey-finds/article/148995/


Full text:

A Medscape-sponsored survey of a million physicians participating in online CME found that fewer than 1% perceived bias, regardless of whether or not it was commercially supported.

Overall, 93.48% of the 1,064,642 respondents said didn’t perceive bias in the CME they participated in, with another 5.89% expressing no opinion and only .63% saying they did sense bias. Of those participating in commercially-supported CME, .84% perceived bias, while .48% of those participating in non-commercially–supported CME sensed bias.

The survey asked participants to indicate whether they agreed or disagreed, strongly or not, with the statement “The activity was presented objectively and free of commercial bias.” The number of those strongly disagreeing was just .14% overall-.17% of those participating in commercially-supported CME and 11% of those taking part in non-commercially supported CME.

“If commercial support caused bias, our subgroup analysis of those who strongly disagreed would be expected to show a larger difference, not the smaller difference we observed,” wrote the study’s authors.

The study appears in the September issue of The American Journal of Medicine. Its sponsor, WebMD’s Medscape, is a leading provider of online CME, and data came from physicians taking part in online CME through the site. Of 1,621,647 physician participants, around 66% completed the survey

 

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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