DelSignore Jeanne L
Hand Surgery Associates, LLP, Rochester, NY 14623, USA.
Clin Orthop Relat Res. 2003 Jul(412):21-7. doi: 10.1097/01.blo.0000074411.99625.55.
The importance of continuing medical education has been long recognized by the orthopaedic profession as vital in maintaining a current knowledge and skills base. There has been increasing concern over the expanding involvement of industry in sponsoring continuing medical education. Concomitant with rising costs of medical education is a decreasing source of funds from government and other sources; therefore industry has taken an active role in sponsoring continuing medical education, leading to a potential for serious conflict of interest. National and federal guidelines have been created to allow commercial sponsorship, yet leave the responsibility for the design, faculty, and content to the accredited provider. The guidelines are intended to prevent bias, keep commercial displays separate from educational presentations, and clearly state that industry-sponsored events should be primarily educational in nature and directly benefit the patient. Because of the potential conflict inherent within industry-sponsored continuing medical education, a cooperative relationship between educators, industry, and attendees of educational activities must be achieved to prevent bias and to keep the patient's best interest as paramount. Each orthopaedic surgeon has an ethical obligation to resolve any conflicts of interest in the best interest of the patient.
骨科行业长期以来一直认识到继续医学教育的重要性,它对于维持最新的知识和技能基础至关重要。人们越来越关注行业在赞助继续医学教育方面的参与不断扩大。与医学教育成本上升相伴的是政府和其他来源资金的减少;因此,行业在赞助继续医学教育方面发挥了积极作用,这导致了严重利益冲突的可能性。已经制定了国家和联邦指导方针以允许商业赞助,但将设计、教员和内容的责任留给经认可的提供者。这些指导方针旨在防止偏见,将商业展示与教育演示分开,并明确指出行业赞助的活动在本质上应主要是教育性的,且应直接使患者受益。由于行业赞助的继续医学教育中存在潜在冲突,必须在教育工作者、行业和教育活动参与者之间建立合作关系,以防止偏见并将患者的最大利益置于首位。每位骨科外科医生都有道德义务以患者的最大利益解决任何利益冲突。