Program in Medical Ethics, Division of General Internal Medicine, and Department of Medicine, University of California San Francisco, San Francisco, California 94143-0903, USA.
Acad Med. 2010 Jan;85(1):9-11. doi: 10.1097/ACM.0b013e3181c46e96.
Articles in this issue by Steinman and colleagues, Dubovsky and colleagues, and Camilleri and Parke illustrate how academic health centers (AHCs) and professional membership organizations can take the lead in improving conflict of interest (COI) policies. In this commentary, the strategies explored in these articles are examined in the context of the Institute of Medicine (IOM) report, "Conflict of Interest in Medical Research, Education, and Practice," issued in April 2009. The author applauds the empirical research, educational efforts, and guidelines development described in the three articles and relates them to specific recommendations in the IOM report. Important issues that deserve attention are making disclosure of financial relationships more specific and less burdensome, developing a model for continuing medical education that provides high-quality education without undue influence, addressing institutional conflicts of interest, and honoring the educational mission. The author concludes that these articles show that physician leaders, AHCs, and professional societies can continue to take the lead by developing, implementing, enforcing, evaluating, and improving thoughtful and effective COI policies.
本期文章由 Steinman 及其同事、Dubovsky 及其同事、以及 Camilleri 和 Parke 撰写，阐述了学术健康中心 (AHC) 和专业会员组织如何能够率先改进利益冲突 (COI) 政策。在这篇评论中，将参照 2009 年 4 月发布的美国医学研究所 (IOM) 报告《医学研究、教育和实践中的利益冲突》来探讨这三篇文章中所探讨的策略。作者赞赏三篇文章中所描述的实证研究、教育努力和准则制定，并将其与 IOM 报告中的具体建议联系起来。值得关注的重要问题包括使财务关系的披露更加具体且不那么繁琐、为继续医学教育制定一个提供高质量教育而不受不当影响的模式、解决机构利益冲突以及尊重教育使命。作者得出结论，这些文章表明，医师领导者、AHC 和专业学会可以通过制定、实施、执行、评估和改进深思熟虑且有效的 COI 政策继续发挥带头作用。
