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For several years i have had a personal policy of never meeting drug reps one to one, never eating their lunchtime sandwiches (though i confess to scoffing to odd leftover in the fridge) never going to dinners where they are present or are paying. If i had a way of paying my personal share of the extra conference costs that would have accrued with no sponsored stands or symposia or logos on conference materials, then i would. I do not feel it shows any professional integrity for doctors to meet people employed by profit-making companies whose job it is to market their products. We have peer reviewed clinical trials, we have cochrane reviews and NICE guidelines as well as guidelines from professional societies (though i acknowledge some of the guideline group members are compromised by conflicts of interest). At least these give us an honest attempt at transparent impartial scrutiny. I am uncomfortable as a doctor when i go to conferences and see eminent speakers/researchers who declare a conflict of interest as long as your arm quite openly and shamelessly. As well-paid public servants in a tax-funded service,trained by the taxpayer we should all be ashamed of ourselves. So what if the cost of medical CPD doubles, at least we would have some professional integrity