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Published at www.nejm.org April 29, 2009 (10.1056/NEJMp0810200)

Controlling Conflict of Interest — Proposals from the Institute of Medicine
Robert Steinbrook, M.D.

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As Congress considers mandating the disclosure of industry gifts and payments to physicians on a searchable federal government Web site,1 others have been developing proposals for reforming physician–industry relations, and key changes are being made to policies at various academic medical centers, professional societies, and companies. In late April 2009, the Institute of Medicine (IOM) issued a report on conflicts of interest that is notable for its breadth — it covers many aspects of medical research, education, and practice as well as both individual and institutional financial relationships — and the variety of 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. It will appear in the May 21 issue of the Journal.


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