Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • 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 | Kevin Pho, MD
  • 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
  • Upgrade to the KevinMD enhanced author page

Speakers need to explicitly state financial relationships

James Colbert, MD
Medications
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 and Prescribing

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

ADVERTISEMENT

More in Medications

  • Is anticoagulation bleeding risk worse in the real world?

    David K. Cundiff, MD
  • Heparin for acute coronary syndrome: a closer look

    David K. Cundiff, MD
  • 5 ways drug ads mislead patients on TV

    M. Bennet Broner, PhD
  • Peptide regulation: 4 lanes every physician must know

    Benjamin González, MD
  • Why physicians need to learn cannabis medicine now

    Janice Makela, MD
  • Medication adherence is a communication problem

    Vimal Patel, RPh
  • Most Popular

  • Past Week

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • What’s actually behind medical students using AI [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI bias in health care reads the writer, not the symptom

      Craig Hauben, MPA | Health Technology
    • How Becerra and Hilton differ on California health care

      Kayvan Haddadan, MD | Health Policy
    • Rural health care delivery is not a coverage problem

      Vance Alm, MD | Physician
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
    • Social media told her to abort her Turner syndrome baby

      Stephanie Waggel, MD | Conditions and Diseases
  • Recent Posts

    • What’s actually behind medical students using AI [PODCAST]

      The Podcast by KevinMD | Podcast
    • Oncology grief is the price of caring deeply for patients

      Rachel Jin, MD | Physician
    • Physicians and natural disasters: the fifth season

      American College of Physicians | Physician
    • AI in health care is a mirror, not a therapist

      Matt Hasan, PhD | Health Technology
    • Why the safest medical AI knows when not to answer

      Timothy Lesaca, MD | Health Technology
    • Statistics are not destiny: a story of hope in oncology

      Juan Carden, MD | Physician

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

    • The case for an AI-native health care platform

      Brian Hudes, MD | Health Technology
    • EMR errors get blamed on physicians, not systems

      Dennis Hursh, Esq | Health Policy
    • What’s actually behind medical students using AI [PODCAST]

      The Podcast by KevinMD | Podcast
    • AI bias in health care reads the writer, not the symptom

      Craig Hauben, MPA | Health Technology
    • How Becerra and Hilton differ on California health care

      Kayvan Haddadan, MD | Health Policy
    • Rural health care delivery is not a coverage problem

      Vance Alm, MD | Physician
  • Past 6 Months

    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • DOT ruling protects peanut allergies but not eggs, sesame, or milk [PODCAST]

      The Podcast by KevinMD | Podcast
    • Telemedicine as a career, not a side gig

      AIR Physician Academy | Physician
    • Social media told her to abort her Turner syndrome baby

      Stephanie Waggel, MD | Conditions and Diseases
  • Recent Posts

    • What’s actually behind medical students using AI [PODCAST]

      The Podcast by KevinMD | Podcast
    • Oncology grief is the price of caring deeply for patients

      Rachel Jin, MD | Physician
    • Physicians and natural disasters: the fifth season

      American College of Physicians | Physician
    • AI in health care is a mirror, not a therapist

      Matt Hasan, PhD | Health Technology
    • Why the safest medical AI knows when not to answer

      Timothy Lesaca, MD | Health Technology
    • Statistics are not destiny: a story of hope in oncology

      Juan Carden, MD | Physician

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...