Skip to content
My WebMD Sign In, Sign Up

Information and Resources

Font Size

Cleaning up the System

By Kristi Coale
WebMD Feature

April 10, 2000 (San Francisco) -- One fact jumps out of the paper published in the January 19 issue of the Journal of the American Medical Association: the ignorance of residents (trainees) and practicing physicians regarding guidelines concerning their contacts with drug companies. According to three studies cited in the paper, only between 23% and 50% of residents knew of these policies, while 62% of doctors said they knew of at least one guideline. Clearly, an ongoing awareness campaign needs to be part of any new policy. Other proposed reforms include:

  • Physician associations, continuing medical education associations, and drug companies should develop one set of industry-wide standards regulating appropriate contacts and the involvement of drug companies in medical education.
  • Medical colleges should monitor and develop policies for medical students and residents attending company-sponsored conferences. Currently, they can accept travel scholarships from companies to attend such conferences.
  • Medical schools should develop formal courses to teach residents and medical students to critically analyze drug marketing techniques and product claims.
  • Physicians should disclose potential conflicts of interest and be guided in their actions by whether they would be willing to have their junkets, perks, and financial associations made public.

In 1997, when the FDA relaxed its rules regarding direct-to-consumer ads on television, drug companies began buying up airtime in record amounts. To counter pressure on doctors from patients responding to the ads, the March 6, 2000 issue of Health Affairs suggests the following reforms:

  • Drug companies should provide understandable, jargon-free product information that gives equal treatment to a drug's side effects and its benefits.
  • Individual physicians and medical associations should monitor consumer ads for accuracy and balance and should tell their patients about the purpose of such ads -- to bolster sales.
  • Congress should fund studies that examine how direct-to-consumer ads affect health care costs and the quality of prescribing.

Recommended Related to Drugs and Herbs

What Is a Drug Recall?

Medicine is rigorously tested for safety and effectiveness before becoming available to the consumer. In the U.S., the FDA makes sure this happens. Once on the market, the FDA, along with the makers of the drug, continue to monitor the medicine for any unforeseen problems. Should an issue develop, or the safety of a medication come into question, a recall may be initiated.

Read the What Is a Drug Recall? article > >

Kristi Coale is a San Francisco-based freelance journalist who specializes in science and medical issues. Her work has appeared in Salon,Wired, and The Nation.

Hot Topics

WebMD Video: Now Playing

Click here to wach video: Dirty Truth About Hand Washing

Which sex is the worst about washing up? Why is it so important? We’ve got the dirty truth on how and when to wash your hands.

Click here to watch video: Dirty Truth About Hand Washing

Popular Slideshows & Tools on WebMD

hands on abdomen
Can you catch one?
Woman sitting in front of UV lights
Is yours working?
woman using breath spray
What's causing yours?
womans hand on abdomen
Are you ready for baby?
MS Overview
Recognizing symptoms.
bowl of yogurt with heart shape
Eat for a healthy heart.
woman doing pushups
To help you get fit.
Colored x-ray of tooth decay
Know what to look for.
Woman sitting with child
Do you know the symptoms?
mosquito
Stings, bites, burns, and more.
Allentown, PA
Are you living in one?
Thyroid exam
See how much you know.

Women's Health Newsletter

Find out what women really need.