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NBME 22 Answers

nbme22/Block 3/Question#10 (14.7 difficulty score)
A 50-year-old man comes to the physician for ...
Yes; the patient may wish to consider the money's influence on the physician's recommendation🔍

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I actually picked "No; the arrangement is contractual between the physician and the company, not the patient." However, after some FA review (2019, page 264), informed consent include disclosure, which includes the the incentive that the company is offering the physician.

I hope this helps!

Wouldn't telling the patient about the referral do more harm than good?

  1. Pt considers it a bribe and leaves
  2. Ruins study due to placbo effects
  3. Puts doc/hospital at risk for potential legal hassle.

I guess maybe I read it as a study when it really is just a referral but its not that much of a leap to think that this "experimental"" treatment is part of a study

drzed  I think this more of an ethical question (not a legal, or study design problem). Ethically, between the choices of being transparent with your patient, or not, the choice would be to disclose. Disclosing and offering to share would come across as a bribe, so that is less favorable than simply being transparent and putting the patient in charge of their decision. +  

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submitted by sunny(2),
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ergogenic22  because then it is as if you are paying the patient to enroll in the experimental treatment +  
ergogenic22  because then it is as if you are paying the patient to enroll in the experimental treatment, which I don't know why that would be wrong +  
dubywow  Bribery is only good for doctors. Can't bribe patients. That's illegal. Kind of like how NCAA gets paid a lot, but student athletes get nadda. Still the TLDR is it always ethical to disclose financial incentives when they relate to anything that may affect your decision on how to treat a patient. +