title: A Troubled Solution: Medical Student Struggles with Evidence and Industry Bias.
abstract: This empirical work attends to the tensions and contradictions medical students articulate when they discuss their objection to industry's influence in medicine. Findings are based on 50 semi-structured interviews with medical students who are critical of the pharmaceutical industry's influence in medical education in the United States and Canada. These students advocate evidence-based medicine (EBM) as one solution to the problems with industry influence in medicine; namely industry bias in medical research. This investigation is an effort to understand why EBM is posed as a solution to industry bias in light of the literature demonstrating the ways that what is considered 'evidence-based' is influenced by industry. Participants articulate a struggle to find the 'best' evidence in a context where industry interests are integral in the production of medical knowledge.
authors.affiliation: Dalhousie University, Halifax, NS, Canada. kelly.holloway@dal.ca.
authors.forename: Kelly Joslin
authors.initials: KJ
authors.lastname: Holloway
mesh_terms: D001291:Attitude of Health Personnel; D015982:Bias; D002170:Canada; D016265:Conflict of Interest; D004345:Drug Industry / Q000941:ethics*; D004501:Education, Medical / Q000941:ethics*; D032984:Ethics, Research; D019317:Evidence-Based Medicine; D006801:Humans; D013337:Students, Medical; D014481:United States
keywords: Evidence-based medicine; Medical students; Pharmaceutical industry; Qualitative