The Orthopaedic Forum   |    
Orthopaedic Surgeons and the Medical Device IndustryThe Threat to Scientific Integrity and the Public Trust
Richard H. Gelberman, MD1; David Samson, Esq2; Sohail K. Mirza, MD, MPH3; John J. Callaghan, MD4; Vincent D. Pellegrini, Jr., MD5
1 Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid, Campus Box 8233, St. Louis, MO 63110. E-mail address: gelbermanr@wustl.edu
2 Wolff and Samson PC, The Offices at Crystal Lake, One Boland Drive, West Orange, NJ 07052
3 Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756-0001
4 Department of Orthopaedic Surgery, University of Iowa Health Care, 200 Hawkins Drive, 01073 JPP, Iowa City, IA 52242
5 Department of Orthopaedics, University of Maryland School of Medicine, 22 South Greene Street, Suite S11B, Baltimore, MD 21201. E-mail address: vpellegrini@umoa.umm.edu
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. One or more of the authors, or a member of his or her immediate family, received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from commercial entities (Medartis, Wright Medical, Lippincott Williams & Wilkins, University of Washington [royalties], and DePuy [consultation, intellectual property, and royalty agreement]).

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Mar 01;92(3):765-777. doi: 10.2106/JBJS.I.01164
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The purpose of this article is to relate recent actions by the United States Department of Justice, the Institute of Medicine, the Association of American Medical Colleges (AAMC), and others to the specific challenges confronting the specialty of orthopaedic surgery. Further, it strives to reconcile the duty and value propositions associated with the orthopaedic surgeon-medical device company relationship, with the persistent risks that are attendant to that relationship, and to develop a new path—one that strives to restore the integrity of scientific investigation and day-to-day clinical decision making, while providing justification for future physician-industry interaction. To consider the topic in perspective, it is interesting to assess the origins of the current model of physician-industry interaction as they relate specifically to the issues currently confronting the specialty of orthopaedic surgery.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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