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Professional News
Published Online: 5 June 2009

Collaborations Beneficial, but Limits Needed

Publication: Psychiatric News
Volume 44, Number 11
https://doi.org/10.1176/pn.44.11.0026
Here are some of the recommendations in the Institute of Medicine's report“ Conflicts of Interest in Medical Research, Education, and Practice.” It is posted at<www.iom.edu/CMS/3740/47464/65721.aspx>.

General policy

•
Adopt and implement conflict-of-interest policies.
•
Strengthen disclosure policies.
•
Standardize disclosure content and formats.
•
Create a national program for the reporting of company payments to affected parties.
Primary affected actors: institutions that carry out medical research and education, clinical care, and clinical practice guideline development; U.S. Congress; pharmaceutical, medical device, and biotechnology companies.

Medical education and research

•
Restrict participation of researchers with conflicts of interest.
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Reform relationships with industry in medical education.
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Provide education on conflict of interest.
•
Reform financing system for continuing medical education.
Primary affected actors: Academic medical centers, teaching hospitals, and research institutions; medical researchers; faculty, students, residents, and fellows; professional societies; organizations that created the accrediting program for continuing medical education and other organizations interested in high-quality, objective education.

Medical practice

•
Reform financial relationships with industry for community physicians.
•
Reform industry interactions with physicians.
Primary affected actors: Community physicians; professional societies; hospitals and other health care providers; pharmaceutical, medical-device, and biotechnology companies.

Clinical practice guidelines

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Restrict industry funding and conflicts in clinical practice guideline development.
•
Create incentives for reducing conflicts in clinical practice guideline development.
Primary affected actors: Institutions that develop clinical practice guidelines; accrediting and certification bodies, formulary committees, health insurers, public agencies, and other organizations with an interest in objective, evidence-based clinical practice guidelines.

Institutional conflict-of-interest policies

•
Create board-level responsibility for institutional conflicts of interest.
•
Revise Public Health Service regulations to require policies on institutional conflicts of interest.
Primary affected actors: Institutions that carry out medical research and education, clinical care, and clinical practice guideline development; National Institutes of Health.

Oversight and administrative agencies

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Provide additional incentives for institutions to adopt and implement policies.
•
Develop research agenda on conflict of interest.
Primary affected actors: Oversight bodies and other groups that have a strong interest in or reliance on medical research, education, clinical care, and practice guideline development; National Institutes of Health, Agency for Healthcare Research and Quality, and other agencies of the U.S. Department of Health and Human Services. ▪

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Go to Psychiatric News
Psychiatric News
Volume 44 • Number 11 • June 5, 2009
Pages: 26

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Published online: 5 June 2009
Published in print: June 5, 2009

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