Healthy Skepticism Library item: 18606

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

Kuehn BM
Successes, Challenges Emerge From Efforts to Shift Away From Industry-Funded CME
JAMA 2010 Aug 18; 304:(7):729
http://jama.ama-assn.org/cgi/content/extract/304/7/729

Abstract:

A growing number of medical institutions and organizationsare responding to concerns about potential biases in industry-funded continuing medical education (CME) by working to limit industry sponsorship of and influence in this realm. So far, such efforts are proving that industry-free CME is feasible, but not without challenges.

Several medical schools and medical centers are in the process of reducing or phasing out industry funding of CME at their institutions, including the University of Michigan Medical School in Ann Arbor, Memorial Sloan-Kettering Cancer Center in New York City, and East Carolina University Brody School of Medicine in Greenville, NC. In addition to these institutional efforts, the Accreditation Council for Continuing Medical Education (ACCME) has developed more stringent standards to limit commercial influence on accredited CME programs.

Institutions are moving forward with limits on industry funding for and involvement in continuing medical education.

The efforts aim to prevent marketing . . .

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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