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Letter to the Editor
Published Online: 20 December 2002

Why Drug Companies?

One can only praise the APA leadership for seeking “better efficiency and cost-effectiveness” (“Board Votes to Abolish Two Officer Positions,” October 4).
Board members on the proposed list are appropriate. One might, however, question the presence at the Board meetings of fellows sponsored by pharmaceutical companies. The article’s only explanation is that these fellows will “continue to attend, since their expenses are paid by the sponsoring companies.” (I can think of other agents who may want a nonvoting voice and an ear at the APA Board meetings, for example, allied professions, insurance companies, managed care industry, government.) More information may dispel concerns about APA’s independence from the pharmaceutical industry.
APA President Paul Appelbaum, M.D., responds:
APA runs fellowship programs for approximately 140 residents a year, sponsored by pharmaceutical and federal government sources. In general, the fellowships allow residents to come to APA meetings and participate in APA components. Among the components to which a small number of fellows from several of these programs are assigned is the Board of Trustees. Apart from providing the funding for the programs, the pharmaceutical companies play no role whatsoever in the selection of the fellows or in controlling any aspect of their activities. The residents who attend the Board meetings, like their colleagues who are assigned to other components, have the opportunity to learn from and participate in the proceedings. But in no way do they represent an “ear” for the sponsoring companies at the Board.
By the way, Board meetings are open to all APA members (except for executive sessions), and anyone who is interested in seeing how the Board operates is welcome to attend.

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Published online: 20 December 2002
Published in print: December 20, 2002

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Robert M. Gossart, M.D.

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