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Healthy Skepticism Library item: 18391

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
Industry support of CME down 17%
Medical Marketing & Media 2010 July 8
http://www.mmm-online.com/industry-support-of-cme-down-17/article/174173/


Full text:

Total commercial support of accredited CME fell 17% to $856 million in 2009, according to ACCME’s annual report-marking its second straight year of double-digit declines on a percentage basis.
For 2007, ACCME data showed commercial support increasing 1%. Sandwiched between 2008, when industry grants slid 14% to $1 billion, and a decade of sizable gains before it, 2007 proved to be the peak. The 2009 total also marks the first time since 2003 that industry funding dipped below $1 billion.

The number of physicians and non-physicians participating in CME stayed fairly flat in 2009, rising just 1% and 3%, respectively. The steady attendance figures-10.7 million doctors and 6.8 million non-physicians-proved to be a lone bright spot.

Total income reported by accredited providers fell 7.6% to $2.2 billion, while total expenses also decreased 11.9% to $1.7 billion. Providers actually faced higher fees and administrative work last year as they incorporated new transparency and measurement policies. The lower expenses could partly reflect attrition among ACCME-accredited providers: there are now 707 vs. 725 in 2008.

Both the number of certified CME activities and the number of hours of CME logged were also down in 2009, with activities declining 5.8% to 95,062 and hours plunging 10.4% to 689,768.

Industry grants, now accounting for 39% of total CME income vs. 56% in 2008, have taken a hit due to overall budget cuts by drug and device companies and the extreme scrutiny placed on industry-supported CME due to perceived bias.

 

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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