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Am J Med. 2019 Mar 7. pii: S0002-9343(19)30221-9. doi: 10.1016/j.amjmed.2019.02.026. [Epub ahead of print]

The Medical Profession, Industry and Continuing Medical Education: Finding the Balance That's Right for Patients.

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Chair Advocacy and Public Affairs Committee - European Society of Cardiology.
Chair of Industry Relations Committee - European Society of Cardiology.
Member of Advocacy and Public Affairs Committee - European Society of Cardiology.
Chair Education Committee - European Society of Cardiology.
Biomedical Alliance in Europe.
European Society of Cardiology. Electronic address:


Provision and participation in formal external continuing medical education (CME) is costly. Employer or state support of CME is the exception rather than the rule. The medical industry has supported both providers and consumers of educational activities, leading to concerns of commercial bias. Recent medical industry initiatives in Europe to improve the transparency of the relationship between industry and the profession, including the field of medical education, have had the paradoxical effect of the industry playing an increasingly direct role in the provision of physician education. Funding of medical professional society annual congresses has been directly and indirectly jeopardised. Acknowledging that there are areas of co-operation in the field of education between the medical profession and the medical industry from which both can benefit, we argue that medical education requires an objective approach that the primary fiduciary duty of medical industry companies precludes. Medical professional societies, as not-for-profit organisations whose core mission is the development and promotion of best practice, are best placed to guide and deliver medical education to their members. Clinical significance. This will be submitted off-line as discussed with the editor in chief. Dr. Alpert.


Continuing medical education; conflict of interest; financial support; healthcare industry; medical professional societies

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