By John D. Pickard

This sequence, subsidized through the eu organization of Neurosurgical Societies, has already turn into a vintage. typically, one quantity is released in line with 12 months. The Advances part provides fields of neurosurgery and comparable parts within which very important contemporary development has been made. The Technical criteria part good points unique descriptions of normal strategies to aid younger neurosurgeons of their post-graduate education. The contributions are written through skilled clinicians and are reviewed via all participants of the Editorial Board.

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Horrobin DF (1999) Non-financial conflicts of interest are more serious than financial conflicts. BMJ 318: 466 9. Cohen JJ (2001) Trust us to make a difference: ensuring public confidence in the integrity of clinical research. Acad Med 76: 209–214 10. Relman AS (1980) The new medical-industrial complex. N Engl J Med 303: 963–970 11. Moses JW, Leon MB, Popma JJ et al. (2003) Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med 349: 1315–1323 12.

The sociologists also point out that, in our case, gifts create the expectancy of reciprocity which may increase the health costs, affect the objectivity of the clinical decision, and bite the moral core of the profession, inevitably creating the appearance of a conflict of interest. It is important then, to deal openly with this issue. The conflicts of interest A conflict of interest arises whenever an individual or an institution has a primary duty and simultaneously a secondary one, that may overwhelm the other, or is sufficiently tempting to create the possibility or the appearance that this may occur [8].

It should be reminded that recent concerns about the threats to medical professionalism demand that we should fight to maintain its foundational values such as altruism, compassion, integrity, truth and competence, and these should not collide with management goals. Conflicts in academic duties The academic physician often faces the challenging dilemma of how to balance equitably the time spent in academic, clinical, teaching and managerial activities. Each one of them seeks to claim precedence, their relevance and relative weight varies according to the circumstances, and each one being subject to different and increasingly demanding forms of evaluation.

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