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Healthy Skepticism Library item: 19780

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

Sara G, Prior N
Drug Companies and CME: Prohibition, Declaration or Engagement?
Australas Psychiatry 2000 Sep; 8:(3):195-198
http://apy.sagepub.com/content/8/3/195.full


Abstract:

How should we approach pharmaceutical industry involvement in CME activities? Like similar organisations, we currently have a set of rules with which there is probably both broad agreement and broad noncompliance. We have at least three choices. We may accept this status quo. We may adopt a more rigorously restrictive approach. We may instead put less emphasis on regulation and more on strategies such as transparency, engagement and education. This paper does not argue for a particular one of these choices. Instead we outline some of the advantages and disadvantages of each.

The paper has been prepared on behalf of the College’s CME committee as a first step in redrafting our current ethical guideline. None of the strategies outlined has been endorsed by the Committee or the Board of Practice Standards. A fax-back form has been included with this edition of Australasian Psychiatry – please take a moment to complete it.

 

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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