| Managing Conflicts of Interest in Clinical Care: A National Survey of Policies at U.S. Medical Schools. | |
| | |
MedLine Citation:
|
PMID: 21248603 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
PURPOSE: Policy recommendations specify how academic medical centers should manage clinical conflicts of interest (CCOIs), including gifts and payments to physicians from pharmaceutical companies. However, no reliable data exist on the extent to which schools have policies to manage CCOIs. The authors sought to determine the extent and strength of medical schools' CCOI policies. METHOD: A survey asked compliance officers at 125 MD-granting medical schools in the United States to indicate whether their institutions had policies covering 11 areas of CCOI and to provide copies of relevant policies. Policies were scored as 0 (no policy), 1 (permissive), 2 (moderate), or 3 (stringent), based on published recommendations. Each school's scores were averaged to create a measure of overall policy strength. The authors also collected information on schools' public/private status, hospital ownership/affiliation, and NIH funding to determine whether these characteristics were associated with differences in policy strength. RESULTS: A representative sample of 77 of 125 (62%) medical schools responded between October 2007 and December 2008. Absence of policy was the most frequent finding in 7 of 11 CCOI areas. The mean score for overall policy strength was 1.2. Greater NIH funding was associated with stronger policies in 9 areas. CONCLUSIONS: This analysis provides a comprehensive overview of medical schools' CCOI policies. Wider adoption of CCOI policies is crucial to eliminate undue industry influence in clinical care and to preserve public trust in the medical profession. The authors close with a consideration of why so few medical schools have implemented strong policies. |
| | |
Authors:
|
Susan Chimonas; Lisa Patterson; Victoria H Raveis; David J Rothman |
Related Documents
:
|
10874403 - Minority politics in the house of medicine: the physicians forum and the new york count... 1874613 - Doctor to patient, doctor to colleague: the ethics of medical practice. 12202693 - The importance of strategy for the evolving field of radiology. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-1-18 |
Journal Detail:
|
Title: Academic medicine : journal of the Association of American Medical Colleges Volume: - ISSN: 1938-808X ISO Abbreviation: - Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-1-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8904605 Medline TA: Acad Med Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Dr. Chimonas is associate research scholar, Center on Medicine as a Profession, Columbia University, New York, New York. Ms. Patterson is research associate, Center on Medicine as a Profession, Columbia University, New York, New York. Dr. Raveis is research professor, School of Dentistry, New York University, New York, New York. Dr. Rothman is professor of social medicine, Center on Medicine as a Profession, Columbia University, New York, New York. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: What should we include in a cultural competence curriculum? An emerging formative evaluation process...
Next Document: Physicians' Empathy and Clinical Outcomes for Diabetic Patients.