Healthy Skepticism Library item: 3602

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

Relman AS.
“A matter of influence”: graduate medical education and commercial sponsorship
New England Journal of Medicine 1988; 318:53-54

Abstract:

There is nothing wrong with journal advertisements provided they have no influence on the contents of the journal. It is a different matter when graduate medical education is shaped to further commercial ends.

Keywords:
*letter to the editor/United States/ attitude toward promotion/ continuing medical education/ editorial freedom/ corporate funding/ relationship between medical profession and industry/ATTITUDES REGARDING PROMOTION: MEDICAL JOURNALS/PROMOTION DISGUISED: SUPPORT FOR CME

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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