Dr. Leon's reputation as a clinical trials clinical investigator and participant was therefore permanently disadvantaged.
Training and Presentation in Medical Conferences
Physicians such as Dr. Smathers participate in colloquia and congresses, and present teaching seminars about the use of medical devices and new pharmaceutical regimens. A concern of some is that this representation of the company can result in an endorsement of the company. A second concern is that the physician may allow his or her judgment to be compromised by their relationship with the company.
On the first concern, there is a pressing need for experienced physicians to teach others how to improve their practice. The rules (as above for clinical trials) are strict about what is presented, and how it is presented. The physician must present all sides, supported by clinical evidence, with a clear indication of side-effects and contraindications.
On the second concern, there may be an effect on the physician's prescribing behavior if he/she believes in the product. There is, by law, no direct relationship between the prescription of drugs or medical devices and pharmaceutical products and physician remuneration. Even the conversations between physicians and "drug reps" are carefully scripted, and bounded by the need to disclose negative and positive points of a drug or device.
Additional Reasons for Dr. Smather's Concerns
Dr. Smathers is bound by peer review, reputation and the conditions of her Hippocratic Oath. She may have been taken aback by our request for her to file an affidavit certifying that she is not "a crook" (a la Richard Nixon). This negative assertion would, in Dr. Smather's mind, be already covered...
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