In the past, I have sometimes used this blog to refer to articles
from medical journals when I felt they had broad public interest.
Sometimes, those articles have not been available to the general public
because they were only available by subscription. From time to time,
commentors to this blog have complained about this. I have let those
comments go by without reply.
But, finally, I have had enough. I
want to state this clearly and directly: When a respected medical
journal issues a press release about a given article that has important
public policy ramifications but does not make available the full text
of the article, it is a bad thing. It inhibits full public
understanding of the issue and makes us beholden to other people’s
interpretation of the article. It is inconsistent with the general
principle of academic discourse and also is counterproductive in
facilitating an informed debate on issues.Here is today’s example, from the Journal of the American Medical Association ("JAMA"). Last week, I received the following email from the AAMC (Association of American Medical Colleges):
The
Feb. 13 issue of JAMA will include an article on a new study examining
the status of institutional conflicts of interest policies at U.S.
medical schools. The study was undertaken by the AAMC and Massachusetts
General Hospital, and provides the first national data on medical
school policies and practices for dealing with institutional financial
conflicts of interest. Susan Ehringhaus, associate general counsel for
regulatory affairs in AAMC’s division of biomedical and health sciences
research, is the lead author on the article.
This topic
is clearly of great public interest and import, and so I asked the
question of whether the full article would be available for reading
upon publication. The answer I received today was, "No." Checking the
JAMA website, I confirmed this. I can read the titles, the authors, and a short abstract.
But I can’t read the article and reach my own conclusions about the
methodology employed, the assumptions made, and the results.