Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis

  title={Inadequate conflict of interest policies at most French teaching hospitals: A survey and website analysis},
  author={Christian Guy-Coichard and Gabriel Perraud and Anne Chailleu and V{\'e}ronique Gaillac and P. J. Scheffer and Barbara J. Mintzes},
  journal={PLoS ONE},
Background There are 32 teaching hospitals in France, including 30 University hospitals and two Regional teaching hospitals. Teaching hospitals have three roles: health care provision, training of healthcare professionals, and medical research. These roles lead to frequent interactions with pharmaceutical and medical device companies, inevitably raising risks of conflicts of interests. Therefore, policies to manage conflict of interests (COI) are crucial. This study aims to examine COI policies… 

Tables from this paper

Conflict of Interest Policies at Medical Schools and Teaching Hospitals: A Systematic Review of Cross-sectional Studies.

The proportion of medical schools and teaching hospitals with conflicts of interest (COI) policies for health research and education is estimated and the provisions included in the policies and their impact on research outputs and educational quality or content are described.

Conflict of interest policies at Belgian medical faculties: Cross-sectional study indicates little oversight.

There is little transparency regarding interactions between medical students and pharmaceutical companies at Belgian medical faculties, which may create COI issues and there is still some way to go to ensure an independent medical training for future Belgian physicians.

Medical students’ exposure to and attitudes towards product promotion and incentives from the pharmaceutical industry in 2019: a national cross-sectional study in France

In France in 2019, medical students’ exposure to pharmaceutical product promotion and incentives remains considerable and starts early during medical training, and education on promotional strategies and institutional policies should be improved to ensure responsible and ethical behaviour in prescribing medications.

GPs and Pharma Reps: Why Are We So Ambivalent? Crossing perspectives from sociology, psychology and general practice toward a qualitative study in France

Background: Receiving a gift from pharma reps or meeting them is correlated with an amount of bigger, more expensive and sometimes less rational prescriptions. French General Practitioners (GPs)

Awareness and perception of pharmacy researchers about conflict of interest: A study from the MENA region

The literature has shown some bias in research about the effectiveness and efficacy of medications due to the influence of the pharmaceutical industry. Thus, researchers’ understanding of conflict of

Industry influence in healthcare harms patients: myth or maxim?

Examining interactions with industry across these domains seeks to identify mutually beneficial relationships and potential conflict leading to patient harms and explores the many areas where industry influences healthcare and the subsequent effects on patient care.

General practitioners and sales representatives: Why are we so ambivalent?

Introduction Accepting gifts from pharmaceutical sales representatives (sales reps) or meeting them is correlated with excessive, more expensive and sometimes less rational prescribing. French



Conflict of Interest Policies at French Medical Schools: Starting from the Bottom

Little evidence is found that protection of medical students from undue commercial influence is a priority, either through institutional policies or education, despite national transparency legislation on industry financing of health professionals and limits on gifts.

Managing Conflicts of Interest in Clinical Care: A National Survey of Policies at U.S. Medical Schools

This analysis provides a comprehensive overview of medical schools' CCOI policies, highlighting the need to eliminate undue industry influence in clinical care and to preserve public trust in the medical profession.

Attitudes of Medical Students towards Conflict of Interest: A National Survey in France

In this survey, personal research performed by students was more likely to be associated with perception of potential bias on prescription for self than attending a lecture on COI, and complementary strategies should be implemented within medical schools.

Too Few, Too Weak: Conflict of Interest Policies at Canadian Medical Schools

The results suggest that the COI policy environment at Canadian medical schools is generally permissive, and should be developed to develop restrictive COI policies to ensure that their medical students are educated based on the best clinical evidence available.

Health industry practices that create conflicts of interest: a policy proposal for academic medical centers.

More stringent regulation is necessary, including the elimination or modification of common practices related to small gifts, pharmaceutical samples, continuing medical education, funds for physician travel, speakers bureaus, ghostwriting, and consulting and research contracts.

Pharmaceutical industry exposure in our hospitals: the final frontier

Case studies involving students and public hospital doctors are discussed to show that divestment is possible without significant financial detriment and health services need to be proactive in transitioning financial and cultural reliance on pharmaceutical industry sponsorship to other potentially less harmful sources.

Medical Education and the Pharmaceutical Industry: A Review of Ethical Guidelines and Their Implications for Psychiatric Training

  • C. Geppert
  • Medicine
    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
  • 2007
Eight ethical guidelines of major professional organizations regarding the pharmaceutical industry’s role in the psychiatric education of trainees are summarized and can serve as a basis for dialogue, curricula development, and further research on the ethics of pharmaceutical company interactions with trainees in academic psychiatry.

Medical Students' Exposure to and Attitudes about the Pharmaceutical Industry: A Systematic Review

Undergraduate medical education provides substantial contact with pharmaceutical marketing, and the extent of such contact is associated with positive attitudes about marketing and skepticism about negative implications of these interactions.

A Survey of the Interactions Between Psychiatry Residency Programs and the Pharmaceutical Industry

  • C. VarleyM. JibsonM. McCarthyS. Benjamin
  • Medicine
    Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
  • 2005
A survey of the American Association of Directors of Psychiatry Residency Training on interactions between the pharmaceutical industry and psychiatry residency programs recommended more structured teaching and the establishment of formal program and institutional policies to govern these interactions.

Physicians and the pharmaceutical industry: is a gift ever just a gift?

The present extent of physician-industry interactions appears to affect prescribing and professional behavior and should be further addressed at the level of policy and education.