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Legal Issues in Medicine
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Volume 351:1891-1900 October 28, 2004 Number 18
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Financial Conflicts of Interest in Physicians' Relationships with the Pharmaceutical Industry — Self-Regulation in the Shadow of Federal Prosecution
David M. Studdert, LL.B., Sc.D., M.P.H., Michelle M. Mello, J.D., Ph.D., M.Phil., and Troyen A. Brennan, M.D., J.D., M.P.H.

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The past two years have witnessed extraordinary regulatory ferment in the area of conflicts of interest involving physicians, especially conflicts arising in relationships with the pharmaceutical industry. Professional regulatory bodies, the pharmaceutical industry, and the government have all decided that physicians and drug manufacturers need stronger advice about appropriate relationships. In 2002, three leading professional organizations — the American Medical Association,1 the American College of Physicians,2 and the Accreditation Council for Continuing Medical Education3 — issued or revamped guidelines regarding physicians' interactions with drug companies. In July 2002, acting through its trade association, the Pharmaceutical Research and Manufacturers of America, . . . [Full Text of this Article]

Emergence of Conflicts of Interest Involving Pharmaceutical Companies

"Anti-Kickback" Law

Conflicts of Interest and the Lupron Case

Responses of the Industry and the Medical Profession

Guidance of the Office of the Inspector General

Conclusions


Source Information

From the Harvard School of Public Health (D.M.S., M.M.M., T.A.B.) and Harvard Medical School (T.A.B.) — both in Boston.

Address reprint requests to Dr. Brennan at Brigham and Women's Hospital, 75 Francis St., PBB4, Boston, MA 02115, or at tabrennan@partners.org.


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