Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: The authors of these letters help put our recommendations into a larger framework. Dr Meador, Dr Gozum, Drs Goldblum and Franzblau, and Dr Ting identify some of the other avenues for industry influence over medical practice in addition to those issues we discussed, including advertising in medical journals, funds for GME, and marketing to practitioners outside of AMCs. Dr Poses and colleagues point to managed care as a prolific source of conflict of interest. We agree that all of these activities challenge the principles of medical professionalism.
Brennan TA, Rothman DJ, Chimonas S, Naughton J, Cohen J, Blank L, Kimball H, Blumenthal D, Smelser N, Kassirer JP, Goldman J. Academic Medical Centers and Conflicts of Interest—Reply. JAMA. 2006;295(24):2845–2849. doi:10.1001/jama.295.24.2848-c