Volume 29, Issue 1 (Avicenna Journal of Clinical Medicine-Spring 2022)                   Avicenna J Clin Med 2022, 29(1): 57-66 | Back to browse issues page


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Nazarian B, Cheraghi Z, Farhanchi A. What Do Clinical Professors of Hamadan University of Medical Sciences Know About Conflict of Interest in the Fields of Research, Education, and Treatment? A Qualitative Study. Avicenna J Clin Med 2022; 29 (1) :57-66
URL: http://sjh.umsha.ac.ir/article-1-2299-en.html
1- School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Epidemiology, School of Health, Modeling of Noncommunicable Disease Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
3- Department of Anesthesiology and Critical Care, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran , afarhanchi1970@yahoo.com
Abstract:   (1241 Views)
Background and Objective: Conflict of interest is a situation in which professional judgment about a primary interest is unjustifiably affected by a secondary one; therefore, it is a subject that occurs objectively. Also, conflict of interest is not inherently immoral; however, the way to deal with these conflicts is a matter of professional ethics.
Materials and Methods: The present qualitative study was conducted at Hamadan University of Medical Sciences, Hamadan, Iran during the spring and summer of 2019. Samples were selected from the clinical professors of the university using purposive sampling until informational redundancy or saturation was achieved. Research data was obtained through face-to-face interviews with the professors and were analyzed using the method of Elo and Kyngas.
Results: Three main categories of conflict of interest in research, education, and treatment as well as 19 themes were extracted from 16 interviews. In the present study, 10 professors had a clear definition of the conflict of interest in all three categories and the other 6 fail to provide a comprehensive one.
Conclusion: The issue of conflict of interest and its implications in various fields should be seriously introduced to medical students, physicians, and researchers due to its widespread and destructive effects. Also, a framework is suggested to be provided to clarify the importance and increase awareness of the subject and explain comprehensive and operational rules for dealing with its potential adverse effects. In the interview, the participants were introduced to the topic of conflict of interest.

 
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Type of Study: Original | Subject: Social Medicine

References
1. Dihkhuda AA, Mu'in M. Loghatname Ali Akbar Dehkhoda Persian Encyclopedia Dictionary (Encyclopedic Dictionary). Tehran: Tehran University;1995. [Persian]
2. Mehran H, Stulz RM. The economics of conflicts of interest in financial institutions. J financ econ. 2007;85(2):267-96. [DOI]
3. Garner BA, Black HC. Company WP. Black's law dictionary. St. Paul:West Group; 1999.
4. Williams MJ. Validity of the traffic conflicts technique. Accid Anal Prev. 1981;13(2):133-45. [DOI]
5. Ackermann A. The idea and practice of conflict prevention. J Peace Res. 2003;40(3):339-47. [DOI]
6. Johnson C. Conflict of interest in scientific publications: a historical review and update. J Manipulative Physiol Ther. 2010;33(2):81-6. [DOI]
7. Foster RS. Conflicts of interest: recognition, disclosure, and management. J Am Coll Surg. 2003;196(4):505-17. [DOI] [PubMed]
8. Smith R. Conflicts of interest: how money clouds objectivity. J R Soc Med. 2006;99(6):292-7. [DOI] [PubMed]
9. Lingegowda JB, Muddegowda PH, Ramkumar KR, Konapur PG, Konapur P. Reviewing manuscript for international medical journal: issue on ethical problems of author. Clin Case Rep. 2012;2(2):23-8.
10. Rezaeian M. Fabrication and falsification of data. J Rafsanjan Univ Med Sci. 2011;10(1):1-2. [Persian]
11. Okike K, Kocher MS, Wei EX, Mehlman CT, Bhandari M. Accuracy of conflict-of-interest disclosures reported by physicians. N Engl J Med. 2009;361(15):1466-74. [DOI] [PubMed]
12. Blum JA, Freeman K, Dart RC, Cooper RJ. Requirements and definitions in conflict of interest policies of medical journals. JAMA. 2009;302(20):2230-4. [DOI] [PubMed]
13. The PLoS Medicine Editors. Making sense of non-financial competing interests. Public Library of Science. PLoS Med. 2008;5(9):1-3. [DOI] [PubMed]
14. Cain DM, Detsky AS. Everyone's a little bit biased (even physicians). JAMA. 2008;299(24):2893-5. [DOI] [PubMed]
15. Fusch P, Ness LR. Are We There Yet? Data Saturation in Qualitative Research. Qual Rep.2015;20(9):1408-16. [DOI]
16. Leung L. Validity, reliability, and generalizability in qualitative research. J Family Med Prim Care. 2015;4(3):324-7. [DOI] [PubMed]
17. Downie J. Grasping the nettle: Confronting the issue of competing interests and obligations in health research policy. Toronto: University of Toronto Press;2006.
18. Lemmens T. Commercialized medical research and the need for regulatory reform. Univ Tor Law J. 2007; 967393:396-426.
19. Emanuel EJ, Steiner D. Institutional conflict of interest. N Engl J Med. 1995;332(4):262-7. [DOI] [PubMed]
20. Lemmens T, Miller PB. The human subjects trade: ethical and legal issues surrounding recruitment incentives. J Law Med Ethics. 2003;31(3):398-418. [DOI] [PubMed]
21. HHS, OIG. The globalization of clinical trials: a growing challenge in protecting human subjects: executive summary (2001). J Int Bioethique. 2003;14(1-2):165-9. [PubMed]
22. MacKenzie CR, Cronstein BN. Conflict of interest. HSS J. 2006;2(2):198-201. [DOI] [PubMed]
23. Kalb PE, Koehler KG. Legal issues in scientific research. JAMA. 2002;287(1):85-91. [DOI] [PubMed]
24. Bekelman JE, Li Y, Gross CP. Scope and impact of financial conflicts of interest in biomedical research: a systematic review. JAMA. 2003;289(4):454-65. [DOI] [PubMed]
25. Chan AW, Krleza Jeric K, Schmid I, Altman DG. Outcome reporting bias in randomized trials funded by the Canadian Institutes of Health Research. CMAJ. 2004;171(7):735-40. [DOI] [PubMed]
26. Khaji A. Non-financial ethical conflicts in medical research: challenges and solutions. J Med Ethics. 2019;14(44):00. [Persian]
27. Relman AS, Angell M. America’s drug problem. The new republic. 2003 . https://facultystaff.richmond.edu/~bmayes/pdf/relmanangell_Rxdrugs.pdf
28. Vainiomaki M, Helve O, Vuorenkoski L. A national survey on the effect of pharmaceutical promotion on medical students. Med Teach. 2004;26(7):630-4. [DOI] [PubMed]
29. Shaughnessy AF, Slawson DC, Bennett JH. Teaching information mastery: evaluating information provided by pharmaceutical representatives. Fam Med. 1995;27(9):581-5. [PubMed]
30. Marco CA, Moskop JC, Solomon RC, Geiderman JM, Larkin GL. Gifts to physicians from the pharmaceutical industry: an ethical analysis. Ann Emerg Med. 2006;48(5):513-21. [DOI] [PubMed]
31. Parsa M, Namazi HR, Larijani B. Resolving conflicts of interest and examples in education and therapy. Medicine & Cultivation. 2012:21(1):5-13. [Persian]
32. Sharami SH, Faraji R, Khoramnia S, Dalile Heyrati SF. Survey the Reason of Maternal Request for Prenatal Ultrasound in Low Risk Pregnancy. J Guil Uni Med Sci. 2011;20(78):49-55. [Persian]
33. Milanifar A. Legal challenges in medical ethics. J Med Ethics Hist Med. 2011;4(3):1-8. [Persian]
34. Mohammad Fazeli, Zahra Akbari, Conflicts of Interest, Medicine and Quality of Health Care, Shargh Newspaper, Special issue of the pharmaceutical industry, NO:3533,03/07/1398. [Persian]
35. Milanifar A, Akhondi MM, Paykarzadeh P, Larijani B. Assessment of conflicts of interest in iran’s health legal system.‎ J Med Ethics Hist Med. 2011;5(1):1-16. [Persian]
36. General Guide to the Professional Ethics of Medical Professionals and Affiliates of the Medical System Organization of the Islamic Republic of Iran, approved by the Supreme Council of the Medical System Organization. 2016.https://irimc.org/DesktopModules/Bring2mind/DMX/API/Entries/Download?entryid=91&command=core_download&language=fa-IR&PortalId=0&TabId=209.
37. Directive on Conflict of Interest. 2021. https:// www.canada.ca/en/revenue-agency/corporate/careers-cra/information-moved/directive-on-conflict-interest-gifts-hospitality-post-employment.html
38. Annamoradnejad D, Mohammadi S, Hosseini Moghadam SH. Legislation necessity in management of conflict of interests. J Leg Stud. 2021;13(4):1-24. [DOI]
39. Cases of conflict of interest (conflict of interest in the field of health), Deputy of Monitoring and Management Studies, Research Center of the Islamic Consultative Assembly. 2022.https://rc.majlis.ir/fa/report/show/1668525
40. Bill on how to manage conflicts of interest in performing legal duties and providing public services. 2021.https://rc.majlis.ir/fa/legal_draft/show/1742713.

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