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The Medical Professionalism Blog

Category Archives: Conflict of Interest

Exemplifying Conflict of Interest Disclosure in MedEd

After graduating from college, I spent a year as an AmeriCorps volunteer at a Philadelphia-area clinic. Living on an AmeriCorps stipend is challenging, so I looked forward to the days when drug reps came to the office bearing pizza or sandwiches. I rationalized taking the lunches and occasional pens and sticky notes. Money was tight [...]

Recommended Reading: November 30-December 6

I am going to confess something that may make me a pariah in the land of Eagles madness, not to mention among all of the fantasy football enthusiasts in our office. I don’t like football. Call me uptight, but it’s hard for me to kick back and enjoy a sport that causes significant brain damage [...]

Trust and Conflicts of Interest

In the wake of the recent government shutdown, I have been thinking a lot about the “trust” that needs to exist between the public and institutions, and what the repercussions of losing that trust are.

Physician Skepticism About Industry-Funded Clinical Trials

In a recent New England Journal of Medicine article “A randomized study of how physicians interpret research funding disclosures” Dr. Kesselheim and colleagues found that internists harbor mistrust of industry-funded clinical trials. In his accompanying editorial, Dr. Jeffrey Drazen states that “how trials influence practice should be based on the quality of the information conveyed [...]

Acts of Professionalism: Opposition to Self-Referrals by Specialty Societies

In September, the Government Accountability Office (GAO) released a report titled Higher Use of Advanced Imaging Services by Providers Who Self-Refer Costing Medicare Millions. The report concluded that: From 2004 through 2010, the number of self-referred and non-self-referred advanced imaging services—magnetic resonance imaging (MRI) and computed tomography (CT) services—both increased, with the larger increase among [...]

Knowing the Cost: A Prescription for Choosing Wisely®

Still fresh from the recent ABIM Foundation Forum, I stumbled across a striking example of the need to integrate the principles of the Choosing Wisely campaign into our daily medical practice.  I stopped by the drugstore after work and while waiting in line for a prescription, saw a man who appeared to be upset as [...]

What’s All the Fuss about Conflict of Interest in Medical Care?

A couple of weeks ago, the New York Times published a story entitled I Disclose…Nothing by Elisabeth Rosenthal. The premise of the article dealt with conflicts of interests in several professions, including those in medicine. It got me thinking about whether or not the concept of disclosure can successfully manage conflicts of interest in medicine [...]

Thank You, Dr. Greenfield

Dear Dr. Shelly Greenfield and the Institute of Medicine’s Committee Members on Standards for Developing Trustworthy Clinical Practice Guidelines, Thank you for bestowing this gift to the health care industry: For the first time, we have universal standards for developing clinical practice guidelines and systematic reviews.