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Industry - Searles

Industry - Searles - Medical Education and the...

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Medical Education and the Pharmaceutical Industry: Biting the Hand That Feeds Us Chris Searles, MD, FAAFP H.S. Associate Clinical Professor Director, Combined Family Medicine & Psychiatry Residency Program University of California, San Diego In praise of the “devil” “Most research based companies behave ethically most of the time” Pharmaceutical companies have played a vital role in the development of life changing remedies for decades. Industry strongly supports CME Patients benefit from industry support and will “experience the consequences if physicians are not fully informed about the latest medical advances.” - Alan F. Holmer, JD (PhRMA) A Brief History… In the late 80’s, physicians were “caught” in seemingly difficult ethical circumstances (e.g. redeeming their prescriptions for frequent flyer miles, the AMA preparing to endorse health related products for a fee) and the media focused its attention on the problem.
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A Brief History In response: AMA, ACP, and other organizations rushed to formulate ethical guidelines regarding physicians and industry. A Brief History AMA Council on Ethical and Judicial Affairs 1990, first guidelines published REVISED: 1992,1994,1996,2000 ACP-ASIM: 1990 Guidelines published 2002 Position Paper published ACGME: 2001 “White Paper” PhRMA: PhRMA Code April 18, 2002 The Pharmaceutical Industry 17.8 21 15.7 13.9 12.5 11 9 0 5 10 15 20 25 1996 1997 1998 1999 2000 2001 2002 Promotional expenditures ($ billions) Promotional spending on prescription drugs l996-2002 Source: NIHCM, 2003
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