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Healthy Skepticism Library item: 4082

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

Ethical aspects of phamaceutically based clinical investigation
Annals of the Royal College of Physicians and Surgeons of Canada 1990; 23:436-438


Abstract:

A workshop on ethics review of pharmaceutical research was held for members of research ethics boards (REBs) and clinical investigators. Particularly troubling were: 1) the emergency of non-institutional REBs and resultant discrepancies in the review system; 2) the increase in commercially sponsored drug research and the resulting demand for appropriate ethics review, and a larger number of qualified investigators; 3) multi-centre clinical trials; 4) research as marketing. Discussions were held on all of these areas.

Keywords:
*analysis/Canada/National Council on Bioethics in Human Research/ drug company sponsored research/ bioethics/ relationship between researchers, academic institutions and industry/ conflict of interest/Research Ethics Boards/ETHICAL ISSUES IN PROMOTION: LINKS BETWEEN HEALTH PROFESSIONALS AND INDUSTRY/PROMOTION DISGUISED: CLINICAL TRIALS/PROMOTION DISGUISED: POSTMARKETING RESEARCH/SPONSORSHIP: RESEARCH

 

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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