Issue Two

Conflict of Interest, Collusion, Corruption

A true scientist reserves the right to possibly err, even about his own discipline! ~Robert Bendavid. Unlike Richard Horton (Editor-in-Chief of the Lancet), in his remarkable comment, “Offline: What is medicine’s 5 sigma?”, I cannot entirely observe Chatham House rules through which one cannot say who made what statement, nor can one take photographs of…

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Conflicts of Interest

Conflicts of Interest (COI) have the potential to adversely affect patient care. The obvious and major COI are the result of associations between doctors and industry (pharmaceutical and medical device companies). They need to be minimised and always disclosed in publications, but there are other COI that are often forgotten. I am concerned that doctors…

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Conflict of Interest and Moral Hazard

Public and private partnership There was a time when the public was a partner in medical school education and medical research. Under President Jimmy Carter shortly after his inauguration the capitation payments to medical schools for student tuition and support for medical research from the NIH were cut back drastically. Typical medical school tuitions increased…

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The Problem of Guidelines in Modern Medicine

When the Scottish physician George Fordyce, presented his 1793 seminal work “An attempt to improve the Evidence of Medicine”, he certainly could not have guessed in the least, in what direction or extent, the use of the terms “evidential” and “medical” would evolve. Ever since, there have been numerous attempts to bring more science into…

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Recommendation of the AHS Practice Advisory Committee

The Following has been, as last discussed within the committee, the recommendations by the AHS Practice Advisory Committee. I was expelled by this committee because I accidentally included a non-member of the panel of 25 surgeons in one of my replies! Still, whether intentional as thought by the lead member Yuri Novitsky or not, I…

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Hernia Surgery as a Post-truth Discipline

Recommendation of the AHS Practice Advisory Committee The Following has been, as last discussed within the committee, the recommendations by the AHS Practice Advisory Committee. I was expelled by this committee because I accidentally included a non-member of the panel of 25 surgeons in one of my replies! Still, whether intentional as thought by the…

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