As Congress considers mandating the disclosure of industry giftsand payments to physicians on a searchable federal governmentWeb site,1 others have been developing proposals for reformingphysician–industry relations, and key changes are beingmade to policies at various academic medical centers, professionalsocieties, and companies. In late April 2009, the Instituteof Medicine (IOM) issued a report on conflicts of interest thatis notable for its breadth — it covers many aspects ofmedical research, education, and practice as well as both individualand institutional financial relationships — and the varietyof its proposals (see Overview of IOM Recommendations . . . [Full Text of this Article]
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Dr. Steinbrook (rsteinbrook@attglobal.net) is a national correspondent for the Journal. On November 5, 2007, he spoke at a public session of the IOM Committee on Conflict of Interest in Medical Research, Education, and Practice.
This article (10.1056/NEJMp0810200) was published at NEJM.org on April 29, 2009.
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