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Healthy Skepticism Library item: 4126

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

Van HR, Mazmanian PE, Osborne CE.
Commercial support for CME courses sponsored by medical schools
Journal of Continuing Education in the Health Professions 1990; 10:197-210


Abstract:

Potential benefits and problems associated with commercial support of CME courses are often discussed. To put the discussion in a more concrete context, the extent of commerical funding for medical-school-based CME coursees is examined along with the frequency of various uses of commercial support adn the prevalence of some procedural policies regarding support. In 1988, 58 medical schools with membership in the Society of Medical College Directors of Continuing Medical Education responded to a survey inquiring about commercial support for CME courses. The results found that medical schools vary widely in the commercial support received. Overall, almost half of CME courses receive some commercial support. Most courses with commercial support would have been held without it. Compared to medical schools with larger CME programs, medical schools with smaller numbers of courses were more likely to have commercial support represent a larger portion of their CME revenue. The most frequent usee for commerical dollars are a general grant to a course and payment of speakers’ honoraria and travel expenses. Procedural policies for handling support vary considerably. The results indicate that commercial support is a sizable secondary source of CME revenue which warrants monitoring and study. Screening for potentially inappropriate commercial influence in CME programs could focus on institutions with a high percentage of revenue from commercial sources and on CME programs with large amounts of support going to items not directly associated with the educational effort. Research efforts could be directed toward better understanding the extent of bias in the most frequent situation: a course with limited commercial support paying for a speaker’s honorarium and travel.

Keywords:
*analytic survey/United States/continuing medical education/CME/Society of Medical College Directors of Continuing Medical Education/corporate funding/conference speakers/honoraria/sponsored symposia & conferences/PROMOTION DISGUISED: COMPANY SPONSORED SPEAKING TOURS AND CONFERENCE SPEAKERS/PROMOTION DISGUISED: SUPPORT FOR CME/REGULATION, CODES, GUIDELINES: CME

 

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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