How to know if your physician has a potential conflict of interest in their recommendations of medications or medical devices.
is maintained by the federal government’s Centers for Medicare and Medicaid Services, and it keeps track of financial interactions between physicians and “drug and medical device manufacturers” that exceed $10 in value. This can include free food at sponsored seminars, consulting fees, payments for conducting research, or investment stakes in such companies.
Out of curiosity, I looked up my own profile. Between 2016 and 2023, I received a total of $26.66 in the form of two free educational lunches sponsored by drug companies . If I ever resume practice in California, I am completely prepared to disclose this information to my patients. I fully understand the intent of the database and the California notification law. In theory, this information can help patients know if their physician’s treatment decisions might be unduly influenced by a financial relationship with a drug company or medical device company. For instance, if a physician consistently prescribes a particular pricy medication and he or she also receives a large consulting fee for lecturing on behalf of the manufacturer, a patient might want to ask a few questions.
However, the mere existence of a financial relationship between a doctor and a pharmaceutical/medical device company does not automatically imply unethical behavior. For example, I know of orthopedic surgeons who consult closely with manufacturers of artificial hip hardware to devise ways to improve the longevity and safety of the hardware.
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