Department of Psychiatry, University at Buffalo, Buffalo, New York, USA.
Acad Med. 2010 Jan;85(1):68-73. doi: 10.1097/ACM.0b013e3181c42deb.
The authors describe the development of a comprehensive policy for relationships of full-time and volunteer faculty and residents with industry. The underlying philosophy was that an academic approach to relations with industry that emphasizes objective outcomes and internal change will be more effective than rote restrictions on behavior that assume that physicians cannot learn new behaviors and that are impossible to enforce. The policy, developed through much discussion and debate with stakeholders, involves elimination of industry-supplied meals, gifts, and favors; integration of industry-sponsored and academic research; education of faculty and residents about the ways in which industry marketing influences clinical decision making; and comprehensive disclosure by faculty, including to patients, of financial interests in industry. At occasional points in the psychopharmacology curriculum and at a departmental "pharma symposium," industry representatives or industry-sponsored guest speakers are allowed to present peer-reviewed articles followed by comments by a faculty member with relevant expertise about aspects of the presentation that are accurate or misleading and by a general discussion of research and clinical implications of the research and the manner in which it is presented. Adherence to new protocols has been high because faculty and residents participated in developing them and are involved in their implementation. Acceptance by industry representatives has been variable. Experience with this approach suggests that it is possible to develop a collaborative relationship with industry that maintains appropriate boundaries between industry and academia.
作者描述了制定一项全面的政策，以规范全职和兼职教师与住院医师与行业的关系。其基本理念是，采用学术方法处理与行业的关系，强调客观结果和内部变革，将比简单地限制行为更为有效。这些限制行为假设医生无法学习新的行为，而且是不可能执行的。该政策是通过与利益相关者进行大量讨论和辩论而制定的，其中包括消除行业提供的膳食、礼物和好处；整合行业赞助和学术研究；教育教师和住院医师了解行业营销如何影响临床决策；以及教师全面披露（包括向患者）他们在行业中的财务利益。在精神药理学课程的偶尔点和部门的“制药研讨会”上，允许行业代表或行业赞助的客座演讲者介绍经过同行评审的文章，然后由具有相关专业知识的教师对演讲中准确或误导的方面进行评论，并对研究和临床意义进行一般性讨论，以及研究的呈现方式。由于教师和住院医师参与了新协议的制定，并参与了其实施，因此对新协议的遵守程度很高。行业代表的接受程度各不相同。这种方法的经验表明，有可能与行业建立合作关系，同时保持行业与学术界之间的适当界限。
