Professional medical associations and their relationships with industry

David J. Rothman, Walter J. McDonald, Carol D. Berkowitz, Susan C. Chimonas, Catherine D. Deangelis, Ralph W. Hale, Steven E. Nissen, June E. Osborn, James H. Scully, Gerald E. Thomson, David Wofsy

Research output: Contribution to journalReview articlepeer-review

Abstract

Professional medical associations play an essential role in defining and advancing health care standards. Their conferences, continuing medical education courses, practice guidelines, definitions of ethical norms, and public advocacy positions carry great weight with physicians and the public. Because many PMAs receive extensive funding from pharmaceutical and device companies, it is crucial that their guidelines manage both real and perceived conflict of interests. Any threat to the integrity of PMAs must be thoroughly and effectively resolved. Current PMA policies, however, are not uniform and often lack stringency. To address this situation, the authors first identified and analyzed conflicts of interest that may affect the activities, leadership, and members of PMAs. The authors then went on to formulate guidelines, both short-term and long-term, to prevent the appearance or reality of undue industry influence. The recommendations are rigorous and would require many PMAs to transform their mode of operation and perhaps, to forgo valuable activities. To maintain integrity, sacrifice may be required. Nevertheless, these changes are in the best interest of the PMAs, the profession, their members, and the larger society.

Original languageEnglish (US)
Pages (from-to)1367-1372
Number of pages6
JournalJAMA
Volume301
Issue number13
DOIs
StatePublished - Apr 1 2009
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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