Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Speakers need to explicitly state financial relationships

James Colbert, MD
Meds
December 8, 2013
Share
Tweet
Share

I just returned from the annual American Heart Association meeting where I heard distinguished cardiologists and researchers from around the world present the latest in cardiovascular disease.

Yet, amidst all the late-breaking clinical trial presentations and ask-the-expert sessions, what I didn’t hear were the speakers’ financial conflicts of interest.

Don’t get me wrong — the AHA mandates that all speakers present a disclosure slide at the beginning of every talk, and this rule was reliably followed by all presenters … in the following manner: “Here are my disclosures” — PowerPoint slide flashes on screen with a list of pharmaceutical/device companies. Yet, by the time the speaker finishes speaking those four words, the slide deck has already advanced to the next slide. I, and my fellow audience members, didn’t even have enough time to read the disclosures, let alone process them.

Now, I have no problem with pharmaceutical sponsorship of biomedical research. Nor do I wish to criticize physicians for accepting industry funds. However, I do feel strongly that all such financial relationships must be completely transparent.

Personally, I feel that transparency is not achieved by quickly flashing a slide in front of an audience. No, transparency requires not only that each speaker’s financial relationships be read out loud, but that any connection between these relationships and the subject matter being discussed should be explicitly stated. We as audience members should not have to connect the dots and look up which pharmaceutical companies manufacture which drugs; rather, we should expect that these connections will be made for us.

What would such transparency look like in practice?

For example, if a speaker is giving a talk on novel oral anticoagulants for use in atrial fibrillation, the talk should begin with the following statement:

Today I’m going to talk about the use of oral direct thrombin inhibitors and Xa inhibitors. I would like to disclose that I receive consulting fees from Boehringer Ingelheim, maker of dabigatran, Bayer, maker of rivaroxaban, and Daiichi Sankyo, maker of edoxaban.

That’s it. Short and sweet. But now, when the presenter proceeds to discuss the clinical use of dabigatran, rivaroxaban, and edoxaban, I know that he has a financial connection to these drugs.

There has been great progress towards transparency recently, including the passage of the “Sunshine Act,” which mandates that drug and device manufacturers participating in federal health programs publicly report payments to physicians and teaching hospitals. Yet, such transparency will only be meaningful if it is presented clearly, and in a manner easily understandable by the public.

Explicitly stating (out loud) financial relationships between speakers and the topics they discuss would be a good start.

James Colbert is an internal medicine physician who blogs at MedPage Today’s The Gupta Guide where this article originally appeared.  He can reached on Twitter @jcolbertMD.

Prev

The new cholesterol guidelines: Emphasize patient preference

December 7, 2013 Kevin 23
…
Next

Let's bring up family health history during the holidays

December 8, 2013 Kevin 2
…

Tagged as: Cardiology, Medications

< Previous Post
The new cholesterol guidelines: Emphasize patient preference
Next Post >
Let's bring up family health history during the holidays

ADVERTISEMENT

More in Meds

  • GLP-1 weight regain: Why stopping medication leads to weight return

    Jessica Duncan, MD
  • Marijuana rescheduling: Why the medical community’s silence is dangerous

    Farid Sabet-Sharghi, MD
  • Peptides for chronic pain: Navigating safety and regulations

    Stephanie Phillips, DO
  • Mifepristone safety: Comparing the data to Viagra and penicillin

    Theresa Rohr-Kirchgraber, MD and Sophia Yen, MD, MPH
  • Deprescribing in health care: Why less medication can be more

    American Medical Association & John Whyte, MD, MPH
  • Beyond weight loss: the expanding benefits of GLP-1 receptor agonists

    Zehra Haider, MD
  • Most Popular

  • Past Week

    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • American health care policy reform: Why we need a bipartisan commission

      Steve Cohen, JD | Policy
    • Outsourcing patient contact: a solution for multilingual health care

      Deepak Gupta, MD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • What HCPs across the country are saying about policy and emerging research and why your voice matters

      InCrowd | Sponsored
    • Winter in Islamabad: Finding hope in the daily struggle

      Dr. Damane Zehra | Conditions
    • The hidden cost of uncompensated work on physician burnout

      Jessie Mahoney, MD | Physician
    • Physician burnout solutions: Why system change isn’t enough

      Diane W. Shannon, MD, MPH | Physician
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Rest is a holy practice: Reclaiming the soul of medicine [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 15 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • American health care policy reform: Why we need a bipartisan commission

      Steve Cohen, JD | Policy
    • Outsourcing patient contact: a solution for multilingual health care

      Deepak Gupta, MD | Conditions
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Sabbaticals provide a critical lifeline for sustainable medical careers [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why Medicare must cover atrial fibrillation screening to prevent strokes

      Radhesh K. Gupta | Conditions
    • Teaching joy transforms the future of medical practice [PODCAST]

      The Podcast by KevinMD | Podcast
  • Recent Posts

    • What HCPs across the country are saying about policy and emerging research and why your voice matters

      InCrowd | Sponsored
    • Winter in Islamabad: Finding hope in the daily struggle

      Dr. Damane Zehra | Conditions
    • The hidden cost of uncompensated work on physician burnout

      Jessie Mahoney, MD | Physician
    • Physician burnout solutions: Why system change isn’t enough

      Diane W. Shannon, MD, MPH | Physician
    • How board certification fuels the physician shortage crisis

      Brian Hudes, MD | Physician
    • Rest is a holy practice: Reclaiming the soul of medicine [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Speakers need to explicitly state financial relationships
15 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...