Hi Allen-

Thanks for providing further information about Dr. Kramer. I particularly
enjoyed reading, "Practitioners and the Pharmaceutical Industry ". As
someone who lives with a pharmaceutical sales rep and who has many friends
who are physicians I get to hear both sides of this debate fairly
frequently. I think that this article by Kramer puts things in a
reasonable perspective.

All the best,

-Don.

Allen Esterson said:
> On 24 April I wrote, quoting Bill Scott first:
>
>> On April 22 Bill Scott wrote:
>>
>> > Dr. Kramer is a well known advocate of polypharmacy, the giving of
>> multiple drugs to alleviate disorders when single drugs have not
>> been effective. I have not looked up his connections to the drug
>> companies but I am sure he is well funded by them. His disclaimer as
>> to funding relates only to this particular message within which he
>> reports no specific results of research. I invite anyone to inform
>> me if I am wrong.
>>
>> Maybe I�m missing something, but if Bill has not looked up Dr Thomas
>> Kramer�s connections to any drug companies, on what grounds can he be
>> �sure� that Kramer is well funded by them?
>
> Bill Scott replied:
>
>> I apologize for "being sure". I strongly suspect. I should look for
>> the evidence before being sure. Perhaps, if I can find the time, I
>> will do so and report back. Thanks for the correction.
>>
>> Bill Scott
>
> I�ve checked out a number of articles by Thomas A. M. Kramer, who is
> Clinical Associate Professor of Psychiatry, Northwestern University,
> Chicago. A message he posted on the AAMC REPORTER website may be of
> interest:
>
> Association of American Medical Colleges REPORTER
> http://www.aamc.org/newsroom/reporter/july01/respond.htm
>
> Q. Should there be systems in place to educate students and residents on
> appropriate interactions with pharmaceuticals? If so, what should they
> be?
>
> I think such education would be very helpful to medical trainees. It
> should put these companies marketing efforts in context: how much money
> is at stake, what their options are (i.e., what they can and cannot say
> or do), and what they hope to accomplish. Pharmaceutical representatives
> often encourage physicians and trainees to think of their companies as
> benevolent "foundations," and they are anything but. This must be made
> clear early in medical education.
>
> Thomas A.M. Kramer, M.D.
> Senior Vice President
> American Board of Psychiatry and Neurology Inc.
>
> See also:
> Practitioners and the Pharmaceutical Industry
> http://consultapsi.com/noticias/medicos_laborat.htm
>
> Allen Esterson
> Former lecturer, Science Department
> Southwark College, London
> [EMAIL PROTECTED]
>
> http://www.human-nature.com/esterson/index.html
> http://www.butterfliesandwheels.com/articleprint.php?num=10
>
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