Low Rates of Reporting Commercial Bias by Physicians Following Online Continuing Medical Education Activities

Ellison, Julie A.; Hennekens, Charles H.; Wang, Jing; Lundberg, George D.; Sulkes, Destry J.

doi:10.1016/j.amjmed.2009.02.026

Cited by 16 publications

(9 citation statements)

References 11 publications

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“…Sixty percent of bias ratings came from assessments of individual speakers (FIGURE 1). 17,21,22 Even with our more inclusive wording, few participants rated the entire program biased. Additionally, the answer format (3-point) and precise wording of the question (asking whether the content was commercially The average percent of lectures assigned each bias rating were compared across participants based on their bias rating for the entire program.…”

Section: Discussionmentioning

confidence: 99%

“…While the higher rate of indications may be indicative of false positives, this wording could be useful in future studies comparing commercial and noncommercial CME, which have been hampered by a ceiling effect of attendees perceiving almost no bias regardless of commercial funding. 17,21,22 Even with our more inclusive wording, few participants rated the entire program biased. Moreover, the response rate indicates that attendees were willing to respond to these questions.…”

Section: Discussionmentioning

confidence: 99%

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Attendees' Perceptions of Commercial Influence in Noncommercially Funded CME Programs

Goldfarb

Baer

Fromson

et al. 2012

Journal of Continuing Education in the Health Professions

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Introduction:The controversy surrounding commercial support for continuing medical education (CME) programs has led to policy changes, but data show no significant difference in perceived bias between commercial and noncommercial CME. Indeed, what attendees perceive as commercial influence is not fully understood. We sought to clarify what sources contribute to attendees' perceptions of commercial influence in non-industry-supported CME programs, and how attendees perceive that this influence manifests itself on both speaker and program levels.Methods: Evaluation forms were received from 1 544 attendees at 14 live noncommercially supported CME programs in 2006, 2007, and 2010. Attendees rated perceived commercial influence for each lecture and the entire program. Using open-ended and "check all that apply" questions, participants specified perceived sources and manifestations of commercial influence.Results: Attendees rating individual lectures but not the entire program as commercially influenced accounted for 59.9% of those who identified bias. The most frequently endorsed source of commercial influence was individual speakers' funding, and the most listed manifestations were speakers' mentions of pharmaceuticals and expressions of personal opinions. Rating the entire program commercially influenced correlated with whether attendees considered the funding of referenced research a source of influence.Discussion: CME attendees consider a broad spectrum of factors when reporting commercial influence. Evaluation forms should include bias questions per lecture as well as items to clarify perceived sources and manifestations of commercial influence.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Attendees' Perceptions of Commercial Influence in Noncommercially Funded CME Programs

Goldfarb

Baer

Fromson

et al. 2012

Journal of Continuing Education in the Health Professions

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“…10 There was, however, a small but significant excess of bias reporting in commercially supported activities (0.8% vs 0.5%; P Ͻ .001). 10 Kawczak et al analyzed data from almost 100,000 participants in 346 CME programs conducted through the Cleveland Clinic. On average, 98.4% of participants reported that the activities were free from bias with no signal of an effect of commercial support on bias perception.…”

Section: S Cmementioning

confidence: 93%

“…Ellison and colleagues surveyed more than 1.5 million physicians participating in on-line CME. 10 They documented that Ͻ1% of physician participants reported bias in the presentations in which they participated. 10 There was, however, a small but significant excess of bias reporting in commercially supported activities (0.8% vs 0.5%; P Ͻ .001).…”

Section: S Cmementioning

confidence: 98%

“…10 They documented that Ͻ1% of physician participants reported bias in the presentations in which they participated. 10 There was, however, a small but significant excess of bias reporting in commercially supported activities (0.8% vs 0.5%; P Ͻ .001). 10 Kawczak et al analyzed data from almost 100,000 participants in 346 CME programs conducted through the Cleveland Clinic.…”

Section: S Cmementioning

confidence: 98%

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Restrictions on interactions between doctors and industry could ultimately hurt patients

Kimmelstiel

2011

Journal of Vascular Surgery

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Physician-industry collaboration has led to a diverse array of therapeutic advancements that have benefitted a broad spectrum of patient populations. Evolving regulations, both institutional and governmental, aiming to govern interactions between physicians and pharmaceutical and medical device manufacturers have become increasingly prevalent. Emerging data suggest that restrictions on physician-industry collaboration have the potential to harm patient care by degrading innovation and stifling medical education. The following article reviews the effects of legislation on medical innovation as well as the impact on continuing medical education.

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What Is the Enemy in CME, Conflicts of Interest or Bias?

Ott

2013

JAMA

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Low Rates of Reporting Commercial Bias by Physicians Following Online Continuing Medical Education Activities

Cited by 16 publications

References 11 publications

Attendees' Perceptions of Commercial Influence in Noncommercially Funded CME Programs

Attendees' Perceptions of Commercial Influence in Noncommercially Funded CME Programs

Restrictions on interactions between doctors and industry could ultimately hurt patients

What Is the Enemy in CME, Conflicts of Interest or Bias?

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