Skip to main content

New Restrictions on Financial Conflicts of Interest in CME


As reported in The Carlat Psychiatry Blog, the American Medical Association recently approved a report that may have substantial impacts on industry funding of continuing medical education. This report, authored by the AMA's Council on Ethical and Judicial Affairs, recommends:

"When possible, CME should be provided without [industry] support or the participation of individuals who have financial interests in the educational subject matter. " (page 99 of report)


What good is such a qualified recommendation from a mere report? The difference is that this report comes from, and was officially approved by, the AMA. The Accreditation Council for Continuing Medical Education (ACCME), which certifies providers of CME, is tightly linked to the AMA, such that CME credits are labelled "AMA PRA Category 1 Credit". Thus, the ACCME will likely need to modify its Standards for Commercial Support to impose greater restrictions on how CME can be funded and on the use of speakers with financial conflicts of interest.

There is plenty of wiggle room in these recommendations. For example, the report concedes that in certain cases exceptions to restrictions on funding and speakers may be needed to permit access to high-quality events. Thus, it remains unclear how much this report and resultant changes in ACCME standards will actually change current practices.

Nonetheless, this is an important milestone in efforts to reduce conflicts of interest in CME.

Comments

thank you for sharing such nice information about Restriction for Financial conflicts.. i love to face this instead of going away...thank you for the post..
Anonymous said…
Emboldened to new heights of educational integrity with this clarion call will the AMA next be counseling the thousands of med and healthcare students (including minorities and financially disadvantaged) who currently receive scholarships from big pharma? A great opportunity to state their position on influence peddling went begging earlier this year when AMA received $250,000 from Pfizer for their Excellence in Medicine Awards.

Popular posts from this blog

Practical Advice for the End of Life: A Podcast with BJ Miller

This week we talk with BJ Miller, hospice and palliative care physician, public speaker, and now author with Shoshana Berger of the book "A Beginner's Guide to the End."

As we note on the podcast, BJ is about as close as we get to a celebrity in Hospice and Palliative Care.  His TED Talk "What Really Matters at the End of Life" has been viewed more than 9 million times.  As we discuss on the Podcast, this has changed BJ's life, and he spends most of his working time engaged in public speaking, being the public "face" of the hospice and palliative care movement.

The book he and Berger wrote is filled to the brim with practical advice.  I mean, nuts and bolts practical advice.  Things like:
How to clean out not only your emotional house but your physical house (turns out there are services for that!)Posting about your illness on social media (should you post to Facebook)What is the difference between a funeral home and mortuaryCan I afford to die?  …

Caring, and the Family Caregivers We Don’t See

Over lunch at a restaurant in Manhattan, my father and I talked about long-term care insurance and the emergence of senior centers and nursing homes across the U.S. that offer a variety of ethnic cuisines and cultural events, catering not only to a growing population of adults over 65, but also, to an increasingly diverse population of adults who call the U.S. their home. This conversation was different from many similar ones before it – we weren’t talking about my research; we were talking about our own lives.
My parents immigrated to the U.S. in the late ‘70s and early ‘80s, following their parents’ advice on professional opportunities that seemed unimaginable in India at the time. Although they considered moving back soon after to care for their aging parents and to raise children, they ultimately decided to stay in the U.S. As I chronicled earlier, my paternal grandparents lived with us until I completed middle school, at which point they returned to India and lived with my mater…

Top 25 Studies in Hospice and Palliative Care (#HPMtop25)

by: Kara Bishoff (@kara_bischoff )

Back in 2015 we wrote a post asking for input on what articles should belong on a list of the top 25 articles in hospice and palliative care.   We decided to focus on hospice palliative care studies and trials - as opposed to review articles, consensus statements and opinion pieces.

Here’s what we came up with. It was hard to pick just 25! We highly prioritized clinical utility and tried to achieve diversity & balance. Many others are worthy of inclusion. Take a look and let us know if you have suggested changes for next year.

Module 1: Symptom Management
Randomized, Double-Blind, Placebo-Controlled Trial of Oral Docusate in the Management of Constipation in Hospice Patients. Tarumi Y et al. JPSM, 2013.Once-Daily Opioids for Chronic Dyspnea: A Dose Increment and Pharmacovigilance Study. Currow DC et al. JPSM, 2011.Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomise…