BMJ 1998;317:318 ( 1 August )

Filler

Conflict of interest

Equanimity upset

Joseph Herman, family practitioner, Netivot, Israel
The first 150 words of the full text of this article appear below.

Sir William Osler was characteristically outspoken on conflicts of interest. In Aequinimitas he referred to keeping the practitioner "out of the clutches of the arch enemy of his professional independence---the pernicious literature of our camp followers, a literature increasing in bulk....The profession has no more insidious foe than the large borderland pharmaceutical houses." 1 He proposed as an "antidote to the corroding influence of Mammon ... the presence in the community of a body of men devoted to science, living for investigation and caring nothing for the lust of the eyes and the pride of life." 1

What would he have said about today when many such persons are, to some extent "on the take"? Would he not have concurred with the idea that the blandishments of commerce can predispose an investigator to gratitude? Is it too much to suggest that gratitude, at times a strong feeling, is hardly the stuff of . . . [Full text of this article]


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