title: Between two cultures: the expert clinician and the pharmaceutical industry.
abstract: Expert clinicians, valued for their academic status and independence, are used by the pharmaceutical industry for advice, for contract research, and as a means of conveying their message to other clinicians. Both academics and industry depend upon this interaction, but there is a fundamental clash of cultures at the interface between the two. Independence cannot be marketed for a fee, opinion too easily shades into advocacy, and secrecy and science do not mix. Formal guidelines and declarations of interest are inadequate as a means of policing an interface where undisclosed amounts of money change hands so freely. In the absence of effective sanctions, each of us must seek a personal solution to the professional and ethical issues involved.
authors.affiliation: Division of Medicine, University of Bristol. Edwin.Gale@bristol.ac.uk
authors.forename: Edwin A M
authors.initials: EA
authors.lastname: Gale
mesh_terms: D016265:Conflict of Interest; D004345:Drug Industry / Q000941:ethics*; D006282:Health Personnel / Q000941:ethics*; D006801:Humans; D007400:Interprofessional Relations / Q000941:ethics*