CASE STUDIES IN ETHICS.doctor industry relationshipptx

Case studies in ethics doctor and indistry rekationship

1. CASE STUDIES IN ETHICS: THE DOCTOR-INDUSTRY RELATIONSHIP DR GOKULAKRISHNAN MBBS,MS,FMAS,FIAGES

2. INTRODUCTION OF CASE Case Study: Dr. Thompson, a gastroenterologist and surgeon, has a relationship with EndoMed , a company that manufactures endoscopic equipment and devices. EndoMed provides Dr. Thompson with: Consulting fees for advising on product development Research funding for studies on EndoMed's devices Sponsorship for educational events and conferences A grant to support a fellowship program in gastroenterology

3. Dr. Thompson is now considering using EndoMed's new endoscopic ultrasound (EUS) device in his practice, despite some concerns about its safety and efficacy. A rival manufacturer, GastroView , has raised questions about the device's accuracy and durability. Ethical Questions: 1. Has Dr. Thompson's financial relationship with EndoMed influenced his judgment about the new EUS device? 2. Should Dr. Thompson disclose his relationship with EndoMed to his patients and the hospital? 3. Is it acceptable for Dr. Thompson to receive consulting fees from EndoMed while using their device in his practice? 4. How should the hospital manage this conflict of interest to ensure patient safety and trust?

4. Regulatory Considerations: 1. Does Dr. Thompson's relationship with EndoMed violate the AdvaMed Code of Ethics or the Physician Payment Sunshine Act (PPSA)? 2. Are there any FDA regulations governing the development and marketing of the EUS device?

5. Practical Implications: 1. How can Dr. Thompson maintain transparency and objectivity in his research and clinical practice? 2. What measures can the hospital implement to manage conflicts of interest among its physicians? 3. How can patients be informed and protected in such situations?

6. Additionally, consider the following: Dr. Thompson's department has a large volume of procedures using EndoMed's devices, potentially creating a financial incentive to continue using their products. Dr. Thompson has a close personal relationship with the EndoMed sales representative, potentially blurring professional boundaries. The hospital has a contract with EndoMed for exclusive use of their devices, potentially limiting Dr. Thompson's options for alternative products. This case scenario highlights the complexities of gastro surgeon-industry relationships, where financial ties, research funding, and sponsorship can create conflicts of interest and influence medical decisions.