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Healthy Skepticism Library item: 4501

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

Guidelines for faculty involvement in commercially supported continuing medical education.
Academic Medicine 1992 Sep 01; 67:(9):616-621


Abstract:

Physicians have a duty to keep pace with developments in science and medicine. CME has evolved to serve this function. Pharmaceutical and medical device manufacturers serve a valuable role in underwriting CME, but this carries a risk of promotional bias. Commercial support must not be permitted to bias faculty or conflict with obligations to parent institutions, the profession, or patients. Responsible guidance from the professional community is the best solution; external regulation is less desirable. Six guiding principles can limit bias in CME. 1. CME is for the education of the audience, and by extension their patients, not the benefit of grantors, sponsors, or faculty. 2. CME should be objective and balanced. 3. Assurance of objectivity and balance is the responsibility of sponsors. 4. Factors that can result in bias, e.g. monetary inducements beyond necessary expenses, gifts of more than nominal value, or personal amenities, must be avoided. 5. Selection of speakers, course materials etc. must be entirely the responsibility of sponsors and not subject to approval of grantors. Disclosure of affiliations, sponsorships, honoraria etc. must routinely be made. The responsibilities of grantors or supporters, sponsors or providers, course coordinators or directors, faculty or presenters, and the audience are outlined.

Keywords:
*policy statement & guideline/United States/

 

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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