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Some Medical Education Unknowingly Sponsored By Drug Companies
An article published on bmj.com claims that drug
companies are still directly sponsoring the education of thousands of
general practitioners. The Australian investigation is
reported while the world is calling for an end to direct sponsorship by
drug companies.
In Australia, it is common for drug company sponsors to recommend
speakers who give presentations to thousands of general practitioners
who believe that the lecturers are not associated with drug companies.
Ray Moynihan of the University of Newcastle in Australia reports that
industry representatives reveal similar practices occurring in the
United Kingdom. In the UK, about half of doctor education is supported
by drug companies.
Moynihan has had access to leaked documents and e-mails from several
sources that show how the selection of speakers at recent seminars has
been influenced by drug companies. However, the brochures for these
seminars, given to general practitioners, maintain that "all content is
independent of industry influence."
In Australia, Medicines Australia is the representative group for drug
companies. They have confirmed that inviting drug company sponsors to
help select speakers is not a rare occurrence. Since educational
providers and institutions have final say in who does and does not
speak at conferences, the drug industry does not view their input as a
conflict of interests in providing medical education.
Of course, the Australian investigation provides many examples where
drug company suggestions were in fact embraced by the educational
provider and doctors were not told of the "invisible sponsor
influence," says Moynihan. Australian and UK industry representatives
strongly believe that the educational sessions should be transparent
and "fully and explicitly" inform doctors if sponsors have had input
into the selection of session speakers.
Moynihan writes that this type of disclosure could change the content
of accredited education, which is thought among doctors to be free of
sponsor influence.
Current evidence suggests that the prescribing habits of doctors are
influenced only in the short term after attending events sponsored by
drug companies.
Harvard Professor David Blumenthal - an internationally authority on
relationships between doctors and drug companies - and colleagues
recently wrote a paper calling for medical centers in the United States
to end the allowing of drug companies to sponsor continuing education
events. As an alternative, they suggest that a blind trust be created
to fund education at an institutional level. Peter Mansfield of
HealthySkepticism - a group critical of pharmaceutical marketing -
believes that medical education should be funded by the taxpayer
through competitive grants.
Moynihan argues that institutions do not desire to end drug company
influence, and oversight of continuing education events is currently a
"self-regulatory affair." "Perhaps the recent revelations from
Australia - confirmation from the industry itself that it is 'not
unusual' for sponsors to suggest speakers - will sharpen the lines of
debate about how to achieve more independent education or at least
greater transparency," concludes Moynihan.
The invisible influence
Ray Moynihan
BMJ. Volume 336. pp. 416-417.
February 22, 2008.
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Written by: Peter M Crosta
Copyright: Start Sanatate
Not to be reproduced without permission of Start Sanatate
Unele educaþie medicalã fãrã a sponsorizat de cãtre companiile de droguri - Some Medical Education Unknowingly Sponsored By Drug Companies - articole medicale engleza - startsanatate