دورية أكاديمية
Association of State Legislation and Industry Compensation to Orthopaedic Residents: A 3-Year Review of the Centers for Medicare and Medicaid Services Open Payments Database.
العنوان: | Association of State Legislation and Industry Compensation to Orthopaedic Residents: A 3-Year Review of the Centers for Medicare and Medicaid Services Open Payments Database. |
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المؤلفون: | Wills BW; From the Department of Orthopaedic Surgery, University of Alabama at Birmingham Hospital (Dr. Wills, Dr. Almaguer, and Dr. Ponce), the University of Alabama School of Medicine (Mr. Robin and Mr. Archie), Birmingham, AL, the University of Alabama School of Law, Tuscaloosa, AL (Dr. McMichael), the University of Alabama School of Public Health, Birmingham, AL (Dr. McGwin), and the Department of Orthopaedics and Rehabilitation, The University of Vermont Larner College of Medicine, South Burlington, VT (Dr. Ames)., Almaguer AM, Robin JX, Archie A, McMichael BJ, McGwin G Jr, Ames SE, Ponce BA |
المصدر: | The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2020 Nov 15; Vol. 28 (22), pp. e1020-e1028. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Wolters Kluwer Country of Publication: United States NLM ID: 9417468 Publication Model: Print Cited Medium: Internet ISSN: 1940-5480 (Electronic) Linking ISSN: 1067151X NLM ISO Abbreviation: J Am Acad Orthop Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2016- : Philadelphia : Wolters Kluwer Original Publication: Rosemont, IL : American Academy of Orthopaedic Surgeons, c1993- |
مواضيع طبية MeSH: | Centers for Medicare and Medicaid Services, U.S.* , Databases, Factual*, Compensation and Redress/*legislation & jurisprudence , Internship and Residency/*economics , Orthopedics/*economics , Orthopedics/*education, Accreditation ; Humans ; United States |
مستخلص: | Background: The Sunshine Act aims to increase the transparency of physicians receiving compensation from pharmaceutical and medical device companies. Nine states have supplementary legislation in addition to the Federal Sunshine Act. The purpose of this study is to assess the characteristics of financial compensation to orthopaedic residents on the Centers for Medicare and Medicaid Services (CMS) Open Payments Database in states with more restrictive regulations compared with those without additional restrictions. Methods: A complete list of accredited orthopaedic residency programs in the United States was compiled using the Accreditation Council for Graduate Medical Education and American Osteopathic Academy of Orthopedics websites. The website of each orthopaedic residency program was searched to compile a list of residents who attended their program from 2014 to 2016. The CMS Open Payments Database was used to search the residents identified for the corresponding years. All data available on the CMS Open Payments Database were recorded. Results: Over the 3-year period, 3,622 residents were identified from 151 programs. A total of 41% of the residents were reported as receiving compensation from the industry. The percent of residents reported from programs in less restrictive states was 45% versus 28% in more restrictive states (P < 0.001). Residents had a mean of 5.3 transactions per year in less restrictive states and 2.4 transactions per year in more restrictive states (P < 0.001). The mean compensation per resident reported was $2,730 for less restrictive sates versus $1,937 for more restrictive states (P < 0.001). Discussion: Overall, 41% of orthopaedic residents were reported on the CMS Open Payments Database with fewer transactions and less compensation going to residents in states with more restrictive legislature. Potential implications on resident education remain unknown. |
References: | Patient Protection and Affordable Care Act. Washington D.C. US Public Law 111–148, 111th Congress, Section 6002. 42 U.S.C. § 1320a-7h. 2010. Available at: http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf. Accessed September 9, 2018. Centers for Medicare & Medicaid Services: Open Payments Database. Available at: https://www.cms.gov/OpenPayments/index.html. Accessed November 7, 2018. Marshall D, Jackson M, Hattangadi-Gluth J: Disclosure of industry payments to physicians: An epidemiologic analysis of early data from the open payments program. Mayo Clin Proc 2016;91:84-96. Cvetanovich G, Chalmers P, Bach B: Industry financial relationships in orthopaedic surgery: Analysis of the sunshine Act open payments database and comparison with other surgical subspecialities. J Bone Joint Surg Am 2015;97:1288-1295. Samuel A, Webb M, Lukasiewica A, et al.: Orthpaedic surgeons receive the most industry payments to physicians but large disparities are seen in sunshine act data. Clin Orthop Relat Res 2015;473:3297-3306. Iyer S, Derman P, Sandhu H: Orthopaedics and the physician payments sunshine Act. J Bone Joint Surg Am 2016;98:e18. AMA Physician Masterfile and Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2010, to July 1, 2015, from the U.S. Census Bureau, Population Division. 2016. Okazaki Y: Development trends of custom-made orthopedic implants. J Artif Organs 2012;15:20-25. O'Connor B, Pollner F, Fugh-Berman A: Salespeople in the surgical suite: Relationships between surgeons and medical device representatives. PLoS One 2016;11:e0158510. Montague BT, Fortin AH, Rosenbaum J: A systematic review of curricula on relationships between residents and the pharmaceutical industry. Med Educ 2008;42:301-308. 78 Fed. Reg. 9458, 9467 (2013); 42 C.F.R. § 403.902. Accreditation Council for Graduate Medical Education (ACGME)—Public. 2018. Available at: https://apps.acgme.org/ads/Public/Reports/Report/1. Accessed October 16, 2018. AOAO Orthopedic Residency Programs. 2018. Available at: http://aoao.org/groups/raoao/residency-programs/. Accessed 16 October 2018. Sullivan T: Physician Payments Sunshine Act: Review of Individual State Reporting Requirements. 2018. https://www.policymed.com/2014/04/physician-payments-sunshine-act-review-of-individual-state-reporting-requirements.html. Accessed September 8, 2018. D.C. Code Ann. § 48-833.01–09. 18 V.S.A. § 4632. Mass. Gen. Laws Ann. ch. 111N, §§1–8. Minn. Stat. Ann. § 151.252. W. Va. Code, § 16-29H-8. Cal. Health & Safety Code § 119402. Conn. Gen. Stat. Ann. § 21a-70e. La. Stat. Ann. § 42:1115. Nev. Rev. Stat. Ann. § 639.570. 42 U.S.C. § 1320a-7h(e)(6)(A). 1320a-7(e)(6). AAMC: Industry Funding of Medical Education. Washington, DC: AAMC; 2008. Available at: https://services.aamc.org/Publications/showfile.cfm?file=version114.pdf&prd_id=232. Accessed November 13, 2018. Principles to Guide the Relationship between Graduate Medical Education, Industry, and Other Funding Sources 3 for Programs and Sponsoring Institutions Accredited by the ACGME. Available at: http://www.acgme.org/Portals/0/PFAssets/PublicationsPapers/GME-Funding-Industry-Other-Sources.pdf. Accessed October 16, 2018. United States Government Accountability Office: Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding. 2018. GAO-18-240. Available at: https://www.gao.gov/assets/700/690581.pdf. Accessed September 20, 2018. Statement on Guidelines for Collaboration of Industry and Surgical Organizations in Support of Continuing Education. American College of Surgeons. 2009. Available at: https://www.facs.org/about-acs/statements/36-collaboration-industry-surgical. Accessed November 14, 2018. Murrin S: Deputy Inspector General. August 2018. OEI-03-15-00220. Available at: https://oig.hhs.gov/oei/reports/oei-03-15-00220.pdf. Accessed November 3, 2018. Agrawal S, Brennan N, Budetti P: The Sunshine Act—Effects on physicians. N Engl J Med 2013;368:2054-2057. La. Stat. Ann. § 42:1115.1. D.C. Code Ann. § 48-833.03. § 1320a-7h(d)(3)(B). Lo B, Field MJ: Conflict of interest in medical research, education and practice. Conflicts of interest in medical education (Chapter 5). Washington, DC: The National Academies; 2009. Industry Funding of Medical Education: Report of an AAMC Task Force. Available at: https://members.aamc.org/eweb/upload/Industry%20Funding%20of%20Medical%20Education.pdf. Accessed November 14, 2018. Physician Payments Sunshine Act: Review of Individual State Reporting Requirements. Available at: https://www.policymed.com/2014/04/physician-payments-sunshine-act-review-of-individual-state-reporting-requirements.html. Accessed May 8, 2019. |
تواريخ الأحداث: | Date Created: 20200523 Date Completed: 20201125 Latest Revision: 20210126 |
رمز التحديث: | 20231215 |
DOI: | 10.5435/JAAOS-D-19-00637 |
PMID: | 32441903 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1940-5480 |
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DOI: | 10.5435/JAAOS-D-19-00637 |