Abstract
A Discussion of Conflicts of Interest in Plastic Surgery and Possible Remedies
Highlights
Conflict of interest (COI) is a subject of intense interest, to the extent that an entire issue of the Journal of the American Medical Association was devoted to this subject last year.[1]
Plastic surgeons often declare, “I have no relevant conflict of interest” or “I have no conflicts that would affect the content of my presentation.”
The American Society of Plastic Surgeons recently introduced dollar ranges for reporting financial conflicts.[2]
Summary
Conflict of interest (COI) is a subject of intense interest, to the extent that an entire issue of the Journal of the American Medical Association was devoted to this subject last year.[1] In 2014, the American Society of Plastic Surgeons created a task force to address this problem.[2] Conflict of interest was the lead story of a recent issue of Plastic Surgery News.[2] Remarkably, about half of U.S physicians, and 61% of surgeons, received payments from the pharmaceutical and medical device industries in 2015, amounting to $2.4 billion, including 136 plastic surgeons who received >$10,000 each.[3]. Luce laments that sometimes the duration of the disclosure slide presentation could be measured in nanoseconds, as reported in Plastic Surgery News.[2] The speaker usually decides whether a conflict is relevant. Proof of patient harm is not a requisite for COI; there are no “potential” COIs.[10]
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