{"id":7132,"date":"2009-05-01T13:12:00","date_gmt":"2009-05-01T13:12:00","guid":{"rendered":"http:\/\/www.pharma-mkting.com\/confession-of-kol-perverse-effect-of\/"},"modified":"2019-02-21T01:23:16","modified_gmt":"2019-02-21T01:23:16","slug":"confession-of-kol-perverse-effect-of","status":"publish","type":"post","link":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/confession-of-kol-perverse-effect-of\/","title":{"rendered":"Confession of a KOL: The Perverse Effect of Conflict of Interest Disclosure"},"content":{"rendered":"<p><a onblur=\"try {parent.deselectBloggerImageGracefully();} catch(e) {}\" href=\"http:\/\/3.bp.blogspot.com\/_ZiPiXEv_Q_g\/SfrwAUitrNI\/AAAAAAAACco\/PRaABAXrnqw\/s1600-h\/DrStein.jpg\"><img decoding=\"async\" style=\"margin: 0pt 10px 10px 0pt; float: left; cursor: pointer; width: 315px; height: 282px;\" src=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2009\/05\/DrStein.jpg\" alt=\"\" id=\"BLOGGER_PHOTO_ID_5330836997251378386\" border=\"0\" \/><\/a>&#8220;I was also wrong about disclosure,&#8221; said James Stein, MD at a University of Wisconsin conflict of interest seminar (see <a href=\"http:\/\/videos.med.wisc.edu\/videoInfo.php?videoid=9138\">video here<\/a>). Dr. Stein, a cardiologist, was proud to list all his drug company affiliations on his CV in the 90&#8217;s and admitted he liked the money he got from being on their advisory boards and speakers&#8217; bureaus.<\/p>\n<p>&#8220;I really felt that if I stood up in front of a crowd and said these are my disclosures, look how honest I am, that I was really managing conflict of interest. The literature tells me it [has] the opposite effect. Although its laudable to disclose your relationships [with drug companies] &#8230; it actually has the perverse effect. The recipient of your information becomes more trusting. Also, professionals who disclose become more biased. That&#8217;s the perverse effect of disclosure.&#8221;<\/p>\n<p>The good doctor drew chuckles from the audience when he said &#8220;The solution isn&#8217;t disclosure. If you are doing something that&#8217;s wrong or unethical, don&#8217;t disclose it. Just don&#8217;t do it!&#8221;<\/p>\n<p>That&#8217;s the problem, of course, physicians who disclose do not think they are doing anything wrong or unethical. It&#8217;s the one who DO NOT disclose who believe they have something to hide. In both cases, Dr. Stein&#8217;s words are falling on deaf ears.<\/p>\n<p>Listen to the whole 16 minutes <a href=\"http:\/\/videos.med.wisc.edu\/videoInfo.php?videoid=9138\">here<\/a>.<\/p>\n<p>Hat Tip: <a href=\"http:\/\/pharmagossip.blogspot.com\/2009\/05\/confessions-of-kol-james-stein-md.html\">PharmaGossip<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;I was also wrong about disclosure,&#8221; said James Stein, MD at a University of Wisconsin conflict of interest seminar (see video here). Dr. Stein, a cardiologist, was proud to list all his drug company affiliations on his CV in the 90&#8217;s and admitted he liked the money he got from being on their advisory boards [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":9340,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12],"tags":[211,390,184],"topic":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Confession of a KOL: The Perverse Effect of Conflict of Interest Disclosure - Pharma Marketing Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/confession-of-kol-perverse-effect-of\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Confession of a KOL: The Perverse Effect of Conflict of Interest Disclosure - Pharma Marketing Network\" \/>\n<meta property=\"og:description\" content=\"&#8220;I was also wrong about disclosure,&#8221; said James Stein, MD at a University of Wisconsin conflict of interest seminar (see video here). Dr. Stein, a cardiologist, was proud to list all his drug company affiliations on his CV in the 90&#8217;s and admitted he liked the money he got from being on their advisory boards [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/confession-of-kol-perverse-effect-of\/\" \/>\n<meta property=\"og:site_name\" content=\"Pharma Marketing Network\" \/>\n<meta property=\"article:published_time\" content=\"2009-05-01T13:12:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-02-21T01:23:16+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2009\/05\/DrStein.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"315\" \/>\n\t<meta property=\"og:image:height\" content=\"282\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Pharma Guy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Pharma Guy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/confession-of-kol-perverse-effect-of\/\",\"url\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/confession-of-kol-perverse-effect-of\/\",\"name\":\"Confession of a KOL: The Perverse Effect of Conflict of Interest Disclosure - 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