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Healthy Skepticism Library item: 17359

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

Are medical journals getting better—or worse?
The Lancet 2009 Sep 19; 374:(9694):950
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61644-5/fulltext


Abstract:

“Why don’t we have more research like that?” So asked Drummond Rennie from JAMA , the architect and inspiration for the sixth international congress on peer review and biomedical publication, held in Vancouver, Canada, last week. He was referring to work done long ago on deep gender biases in science. And, indeed, in Vancouver it did feel a little like déjà vu, all over again. More work on conflicts of interest, authorship and contributorship, publication ethics, plagiarism, the paths …

 

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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