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Academic Medical Centers and Conflicts of InterestReply
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In Reply: The authors of these letters help put our recommendations into a larger framework. Dr Meador, Dr Gozum, Drs Goldblum and Franzblau, and Dr Ting identify some of the other avenues for industry influence over medical practice in addition to those issues we discussed, including advertising in medical journals, funds for GME, and marketing to practitioners outside of AMCs. Dr Poses and colleagues point to managed care as a prolific source of conflict of interest. We agree that all of these activities challenge the principles of medical professionalism.
We were aware of these many dimensions of conflict of interest in clinical practice, both in AMCs and in the community, although we did not address all of them specifically. Rather, we chose to focus more narrowly on physicians and pharmaceutical and device manufacturers because we believe that not only is this set of conflicts particularly prevalent but that this is . . . [Full Text of this Article]
Troyen A. Brennan, MD
Aetna Inc Hartford, Conn
David J. Rothman, PhD;
Susan Chimonas, PhD
Columbia University College of Physicians and Surgeons New York, NY
James Naughton, MD
University of California San Francisco
Jordan Cohen, MD;
Linda Blank
Association of American Medical Colleges Washington, DC
Harry Kimball, MD
University of Washington School of Medicine Seattle
David Blumenthal, MD
Harvard Medical School Boston, Mass
Neil Smelser, PhD
University of California Berkeley
Jerome P. Kassirer, MD
Tufts-New England Medical Center Boston, Mass
JanLori Goldman
Health Privacy Project Washington, DC
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