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Healthy Skepticism Library item: 17275

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

Gale J
Drugmaker-Funded Food Accepted by Half of U.S. Doctor Programs
Business Week 2010 Feb 23
http://www.businessweek.com/news/2010-02-23/drugmaker-funded-food-accepted-by-half-of-u-s-doctor-programs.html


Full text:

Food and teaching materials from drugmakers were accepted by about half of U.S. physician- training programs, even though most of the programs’ directors said industry aid wasn’t desirable, a survey found.
Of 236 program directors who responded in a survey in 2006 and 2007, 56 percent reported accepting support from pharmaceutical companies, according to a study published online yesterday in the Archives of Internal Medicine. Seventy-two percent expressed that such support is undesirable.
The findings highlight industry interactions with residency programs that may lead to changes in prescribing practices not necessarily based on scientific evidence, the authors said. Offers of free food, gifts, travel and ghost-writing services by drug and medical device companies should be spurned by doctors, staff and students to avoid conflicts of interest, the Association of American Medical Colleges said in a 2008 report.
“Residents often do not believe that their own actions are influenced by industry contact or gifts, but they believe that their colleagues’ prescribing practices could be altered,” Laura L. Loertscher, a researcher at the Mayo Clinic in Rochester, Minnesota, and colleagues wrote.
In 1990, 89 percent of internal medicine program directors surveyed reported industry support of some kind, the researchers said. The acceptance of such aid may be waning because of new guidelines and publicity on the topic, they said.
Programs may find industry support a readily available funding source for specific activities, the authors wrote. The most commonly cited use of industry funding was for provision of food at conferences or educational activities, a strategy that has been shown to boost conference attendance, they said.
“Despite the attention around conflict of interest with pharmaceutical support, we were surprised to find that only 29.2 percent of the responding program directors reported a specific curriculum to instruct residents about interactions with the pharmaceutical industry,” the researchers said.

 

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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