CMA ethics and legal affairs -- new directions.
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Canadian physicians now operate under a revised Code of Ethics. In August General Council endorsed a revised code put forward by the CMA's Committee on Ethics. The endorsement brings 4 years' work to a positive conclusion.
OBJECTIVES: In response to perceived controversies regarding interactions between physicians and the pharmaceutical industry, we undertook a study to look at the relationship between Canadian psychiatry training programs and the pharmaceutical industry. METHODS: The authors distributed a survey to the residency program directors and chief residents of the 16 psychiatry training programs in Canada. RESULTS: Of respondents, 75 per cent were either unaware of or noted an absence of policies or guidelines regarding interactions with the pharmaceutical industry in their training programs; 70 per cent viewed staff psychiatrists and residents to be at least 50 per cent familiar with the Canadian Medical Association's policy summary; and 74 per cent were unaware of any structural teaching regarding potential conflicts of interest between psychiatry and the pharmaceutical industry. A significant number of respondents perceived occasional excessive influence by the pharmaceutical industry on residents' training. CONCLUSIONS: Despite concerns about potential conflicts of interest, there are a few guidelines in most psychiatry training programs in Canada regarding the relationship between physicians and the pharmaceutical industry.
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