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Healthy Skepticism Library item: 4197

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

Kessler DA.
Drug promotion and scientific exchange. The role of the clinical investigator
N Engl J Med. 1991 Jul 18;325(3):201-3 1991 Jul 18; 325:(3):201-3


Abstract:

Physicians who have been conducting studies in a particular field or of a certain drug are often asked to present their findings at medical symposiums sponsored by pharmaceutical firms. In 1988, 16 companies sponsored 34668 symposiums at a costg exceeding $85.9 million. Some of these industry-sponsored activities can provide health care professionals with excellent opportunities for education and scientific exchange but they can also be used for the illegal promotion of the sponsor’s products. The Food and Drug Administration is currently developing guidelines to help the pharmaceutical industry and physicians distinguish between industry-sponsored activities that are likely to be considered promotional events and activities that are likely to be considered nonpromotional scientific exchange. The FDA must also depend on the medical community to help ensure that scientific exchanges adhere to the highest professional and regulatory standards. An aggressive alliance between the FDA and the medical community is vital if scientific and educational activities are to retain their rigour and intellectual credibility.

Keywords:
*analysis/United States/Food and Drug Administration/FDA/regulation of promotion/sponsored symposia & conferences/conference speakers/relationship between medical profession and industry/INFORMATION FROM INDUSTRY: DOCTORS/PROMOTION DISGUISED: COMPANY SPONSORED SPEAKING TOURS AND CONFERENCE SPEAKERS/PROMOTION DISGUISED: CONFERENCES AND MEETINGS/REGULATION, CODES, GUIDELINES: COMPLIANCE, SANCTIONS, STANDARDS/REGULATION, CODES, GUIDELINES: DIRECT GOVERNMENT REGULATION Advertising* Commerce Congresses Drug and Narcotic Control Information Services* Pharmaceutical Preparations* Physician's Role Research Personnel* United States United States Food and Drug Administration

 

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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