As research has moved away from the realm of universities and into the private sector, more physicians are being paid by drug companies to enroll and monitor patients during clinical trials. Private corporations have been the largest sponsors of pharmaceutical research in both Canada and the United Sates in the last twenty years.

Research Ethics Boards (REB’s) exist to protect the safety of research subjects. However, they provide guidelines only, and often guidelines are ambiguous. REB’s may be private entities, and thus may be vulnerable to pressure. Read more →

I’ve decided to go ahead and post a series on Medicine and the Law. One of the things I hear about so often from both sides of the patient-physician relationship is the fear and threat of legal action. Typically physicians are paranoid of being sued. They practice defensive medicine and go out of their way to write copious notes, dictate exhaustive patient summaries and operative reports. For the practicing physician, all the documentation, paperwork, and reporting is simply exhausting. Sometimes all of the documentation takes up way more time and energy than the actual exam or procedure. It is a sad state of affairs when 90% of the time allocated to a patient is dedicated to documentation rather than with actual time with the patient. Read more →