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Volume 26 (2)
Volume 26, Issue 2, Spring 2006
J Contin Educ Health Prof 2006; 26(2):
RESEARCH ARTICLE
What Constitutes Commercial Bias Compared With the Personal Opinion of Experts?
Jean K. Cornish
James C. Leist
A b s t r a c t
Introduction: The presence of commercial messages in continuing medical education
(CME) is an ongoing cause of concern. This study identifies actions perceived by CME participants
to convey commercial bias from CME faculty.
Methods: A questionnaire listing actions associated with CME activities was distributed to
230 randomly selected participants from 7 CME activities designated for AMA PRA
Category 1 Credit™. The activities were held over an 8-month period. Participants were
asked to complete the questionnaire before participating in the live activity.
Results: Nine actions identified by over 50% of all respondents were perceived to convey
commercial bias. The most critical ones reflecting commercial bias were speaking about
only one agent, not providing a balanced presentation of all agents, and faculty relationships
with commercial supporters. Ten actions identified by over 50% of the respondents were perceived
to convey personal opinion of the faculty. The most prevalent actions were the influence
of mentors or teachers, relating general practice habits from the faculty member’s own
experience, and cultural differences among patient populations. More than half the respondents
who indicated they perceived commercial bias in certified activities attributed this perception
to an overall impression, instead of 1 or 2 specific actions.
Discussion: Actions were identified that conveyed differences between commercial messages
and personal opinion. CME providers should define commercial bias for participants, faculty,
and planners and provide education about that definition.
Lessons for Practice
- The learner perceives a difference between commercial bias and personal opinion in CME activities
- Learners perceive commercial bias as an overall concept for a specific CME presentation
- Convey to planners, faculty members, and learners the actions perceived as commercial bias
- Inform faculty to advise learners when faculty are conveying their personal opinions
Key Words: continuing medical education (CME), commercial bias, personal opinion,
Category 1 Credit
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