Sponsorship of Healthcare Professionals by Medical Device Companies healthcare professionals is consistent with the code published by the Advanced Medical Technology Association (AdvaMed), MedTech Europe's U.S. counterpart. In the U.S., healthcare professionals attending medical conferences as attendees or listeners have not been directly sponsored by medical companies for over 20 years. In continental Europe and the United Kingdom, direct sponsorship of healthcare professionals is currently generally permitted, subject to the limitations set forth in each of the applicable legislations, and subject also to the rules and recommendations issued by local representative associations. conferences held throughout Europe that medical technology companies sponsor healthcare professionals by directly paying conference fees, travel, food and entertainment. There has been much debate on whether the banning of this practice could negatively impact not only the way in which medical companies do business in Europe, but also continuing medical education and patient care. Some of the principal arguments made against the ban include that continuing medical education, and particularly, attendance to larger congresses, will be made far more difficult with the new grant system. In November 2015, shortly before the publication of the Revised MedTech Code, several European leading interventional cardiologists urged for a postponement of the ban to 2019 on the basis that it would negatively impact the future of medical continued education, possibly reducing conference attendance by 30 to 50 percent. educational conferences that offer strong scientific programs and are held in appropriate locations will continue to attract healthcare professionals and obtain support from the industry via educational grants. In similar terms, many healthcare professionals, medical associations and advocacy groups have welcomed the ban of direct sponsorship. In December 2015, Larry Husten, editor of CardioBrief, a source for information about cardiovascular medicine, argued that "[...] this possible decline [in attendance] might be a sign that industry funding for the routine activities of medical education might be unseemly and even unhealthy. If the industry stranglehold on European doctors is the only thing propping up medical meetings then it might be a good idea to reconsider the entire underlying relationship of industry and medicine, not just the direct sponsorship of physicians to attend medical meetings." who are in favor of the ban have pointed out that the new grant system offers greater transparency and will benefit younger, less experienced professionals at lower levels of hospital hierarchies who do not make purchase decisions, and are not being invited to conferences. Party Medical Congresses in Europe? a professor of medicine at Stanford University, in a resonant article published in the American Journal of Medicine, predicted the extinction of many of the world's current third-party organized medical conferences. "In theory, these meetings aim to disseminate and advance research, train, educate and set evidence policy. Although these are worthy goals, there is virtually no evidence supporting the utility of most conferences. suggests that medical congresses may serve a specific system of questionable value that may be harmful to medicine and healthcare." increasing number of medical congresses have entirely forfeited the financing of the medical industry. Most of them are smaller in scope (with fewer attendees and a shorter duration), are often local or regional, offer little social content, encourage high levels of participation and networking of attendees, use the latest technology as an important tool for teaching how medical devices work, and offer more economic fees. They are typically financed with the fees paid directly by attendees. In some cases, public health institutions may contribute funds or cede a location in which to hold the event. Without a doubt, important changes will take place throughout the next years in Europe's medical technology industry. In his article, Ioannidis wrote: "Are medical congresses dinosaurs doomed to become extinct? The future will tell." EDMA (representing the European in vitro diagnostic industry), and EUCOMED (representing the European medical devices industry). 3 In Spain, direct sponsorship of healthcare professionals and limitations set forth in the FENIN Ethics Code, first published in 2005, revised in 2009, and again on December 2016, to incorporate the changes brought about by the Revised MedTech Code. FENIN, founded in 1977, represents over 500 companies dedicated to the manufacture and distribution of medical technology, equal to 80% of Spanish medical technology companies. that will Definitely Influence our Profession and Continuing Medical Education. Eurointervention, November 20, 2015. Meetings. cardiobrief.org/2015/12/03/prominent- european-cardiologists-decry-curbs-on-industry- support-for-docs-attending-medical-meetings/ jama.2012.360 |