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.
From the Salmonella saintpaul outbreak which sickened more than 1,400 people in the U.S. to autism and vaccines as well as bisphenol A in baby bottles, 2008 certainly generated its share of medical scare stories. We have likely not heard the end of these stories, but experts from different fields of medicine are now sharing their predictions about what we will be seeing more -- or less of -- in 2009.
By and large, the common thread tying together all the specialties in 2009 is the growth of personalized...