The relationships between academic institutions and privatecompanies are strengthening. The decision of several large pharmaceuticalcompanies, and many biotechnology companies, to build majornew laboratories near U.S., European, and Asian universitiesis just one example of the growing commercial value of academicinnovation in biomedicine and the talent that produces it. Individualfaculty members and universities in the United States and othercountries have increasingly strong financial and nonfinancialincentives to start new companies and to participate directlyin the development of drugs, devices, and diagnostic tests.1
Many negative implications of this trend have been recognized.Articles in the . . . [Full Text of this Article]
The Forces Changing Biomedical Research
Conflicting Expectations
Patients and Their Families
Large and Small Companies (and Their Investors)
The Press, Legislators, and Regulators
Choices and Implications
Choice 1: Should Commercial Ties Be Encouraged?
Issues
Recommendation
Choice 2: Should Industry Ties Be Managed within the Academic Medical Center?
Issues
Recommendation
Choice 3: Should Faculty Be Identified with Companies?
Issues
Recommendation
Choice 4: Should Restrictions on Clinical Research and Basic Reseach Be Treated Differently?
Issues
Recommendation
Choice 5: Should Devices Be Treated as a Special Case?
Issues
Recommendation
Choice 6: How Is the Proper Balance between Commercially Sponsored Research and Government or Foundation Research to Be Achieved?
Issues
Recommendation
Choice 7: How Should Institutional Conflicts of Interest Be Managed?
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