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Healthy Skepticism Library item: 19237

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

Hopkins Tanne J
US medical school faculty still break conflict of interest rules, report says
BMJ 2010 Dec 30; 341:
http://www.bmj.com/content/341/bmj.c7435.extract


Abstract:

ProPublica, an independent, non-profit investigative journalism project, reported that although medical schools have strengthened their rules about faculty members’ interactions with drug companies, some doctors still break their institutions’ conflict of interest rules.

The report is part of ProPublica’s Dollars for Docs project, which it launched in October 2010 ( BMJ 2010;341:c6026; doi: 10.1136/bmj.c6026 ).

The recent report said that some medical schools with tough conflict of interest policies were not checking to make sure faculty members followed the rules. It pointed to Stanford University, among others, saying that faculty members had not disclosed ties to drug and device companies.

ProPublica noted that Stanford University in California was one of the first medical schools to try to separate drug company influence from faculty. It banned sales representatives, stopped provision of free meals by drug companies, and pharma labelled devices, and last year forbade its doctors to give talks sponsored by drug companies. But, ProPublica noted in its story of 19 December, “more than …

 

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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