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Industry Sponsorship of Continuing Medical Education
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To the Editor: Dr Relman1 has assembled a litany of unsupported and inaccurate assertions, much of which have been gathered from newspapers. I believe that education that changes behavior or confirms good behavior is a positive outcome. Relman expresses dismay that "CME does in fact change the prescribing behavior of the physicians who attend." He thus implies that institutional education the only permissible source of behavioral change.
The ACCME, however, provides some additional data about the CME enterprise. While the Wall Street Journal article cited by Relman claims that more than 60% of total support for CME came from the pharmaceutical industry, the ACCME reports2 that 38.6% of the revenue of the CME enterprise was "Commercial Support Income Received From Firms That Manufacture Products Regulated by FDA."Of all CME hours available to physicians, accredited publishing, education, and communication companies provide a mere 7%. Less than 10% of physician interface with . . . [Full Text of this Article]
Jack E. Angel
Coalition for Healthcare Communication Greenwich, Conn
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