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Is it proper for doctors to receive medical company remuneration for giving a lecture to other physicians regarding a specific pharmaceutical or medical device?
#Response DateOther (please specify)
1.1/30/2008 12:59:00 PMDepends on the product and what peer reviewed literature says about it.
2.1/30/2008 1:39:00 PMyes, but with full disclosure thothe audience
3.1/30/2008 2:21:00 PMThis is problematic, because some physicians have no sense of responsibility about what they say.
4.1/30/2008 3:11:00 PMYes, as long as the information is balanced and accurate
5.1/30/2008 3:13:00 PMYes as long as they disclose this arrangement as a potential bias.
6.1/30/2008 3:19:00 PMI think that some of this is an educational device. Unfortunately it can be abused. But the advatage pf personal presentation questions outweighs the disadvantage.
7.1/30/2008 3:41:00 PMIt depends upon the circumstances. It would be better if the lecture was via a clean CME regulated route.
8.1/30/2008 3:56:00 PMPossibly, but full disclosure remains a problem. In addition, if we don't do that, no way to btain research funding and academic achievement
9.1/30/2008 4:03:00 PMYes, only if disclosed.
10.1/30/2008 4:11:00 PMPerhaps.
11.1/30/2008 4:20:00 PMDepends on the subject and size of the honorarium. There should be no editorial control by the company.
12.1/30/2008 5:27:00 PMwith the appropriate disclosures of any conflicts and barring huge sums for minimal prep work, this is probably ok
13.1/30/2008 5:57:00 PMThere must be an open disclaimer by the physician that the talk is sponsored and therefore all listeners should be alert to the possibility of product promotion. Preservation of freedom of expression and the open marketplace of ideas is so important to our democracy that creating healthcare exceptionalism is this area cannot be justified. Granted, there are economic costs. The right answer is having doctors that are sophisticated and informed and therefore immune to nonscientific presentations. Ideally, the public should be encouraged to learn what it can and therefore make open judgments. There are many arenas in which marketing undoes justice. To repet, the answer is NOT the suppression of the expression of opinion.
14.1/30/2008 6:02:00 PMAgain, it's difficult to be specific. Lectures advocating a specfic drug are clearly improper, but most lectures include a specific drug among many others
15.1/30/2008 6:31:00 PMno
16.1/30/2008 7:40:00 PMIt depends. Some of the honoraria are outrageous and call into question, at the very least, the appearance of impropriety. Also, using slides or similar material prepared by the device or drug company, or a medical education company at the direction of the payer, should be avoided, unless they are restricted to only disease state issues.
17.1/30/2008 7:50:00 PMYes, if the clear purpose is to educate them about the drug/device, and not disguised as CME or general lecture
18.1/30/2008 8:24:00 PMthere should be the expectation of objectivity
19.1/30/2008 9:25:00 PMif the remuneration is not excessive, in amount and in frequency; i.e. not more than $1,000per event.
20.1/30/2008 9:38:00 PMAs long as this is declared at time of CME.
21.1/30/2008 9:54:00 PMThe information presented has to be scientifically based and not an advertisement
22.1/30/2008 10:37:00 PMMy time is valuable, as is my knowledge. I charge a speaker fee when I speak elsewhere. Why is it inappropriate to charge a similar fee in this setting?
23.1/31/2008 7:01:00 PMHow else would you get a doctor to speak about your product?
24.1/31/2008 9:29:00 PMMust state that they are being paid by company.
25.2/1/2008 12:24:00 AMNo as long as they act as salesmen for the pharmaceutical, which very often is the case.
26.2/1/2008 2:37:00 AMThis area is far more problematic than pens and pads
27.2/1/2008 3:23:00 AMI think there is nothing wrong with this if the doctor thinks the product is appropriate
28.2/1/2008 8:40:00 PMIf they disclose that they are being paid do that, and their patients also have access to that information.
29.2/1/2008 10:58:00 PMI am not sure about that. Sometimes these talks ae really helpful.
30.2/4/2008 9:31:00 AMyes if this is clearly declared