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Presentation
at a training program ‘Applying the Principles of Ethics to Clinical
Practice:’ held at Aramco Dhahran April 6, 2015 by Professor Omar
Hasan Kasule Sr. MB ChB (MUK). MPH (Harvard), DrPH (Harvard) Chairman of the
Ethics Committee King Fahad Medical City.
Conflict of interest
·
Financial or
non-financial benefit that affects professional judgment and practice
·
Do small gifts
affect the doctor’s judgment and prescription habits?
·
Are physicians
influenced to add medicine to the hospital formulary?
·
Do gifts affect
physician reporting of research results?
What pharmaceutical companies offer physicians?
·
Free drug
samples
·
Expenses for
attending conferences
·
Payments as
consultants
·
Payments for
giving lectures
·
Payments for research
·
Drug company representatives
give drug information? Accurate? biased
Scenario 1
A physician involved in a multi-center clinical trial and receiving
substantial financial compensation was told by the pharmaceutical company to
terminate the study and he never asked for the reason. What do you think could
be the underlying reason?
Scenario 2
A researcher was offered a fully paid conference package with his
family when he published a paper favorable to the drug being introduced by the
pharmaceutical company. The next year he published an unfavorable report about
another drug of the company. No conference package was offered and his wife
were asking him why they did not go overseas this year. Explain.