AMBIT
* Clinical Research
What is studied. What is not. How study results are interpreted, discussed, disseminated and publicized. And how results of others studies may not be discussed or publicized—or even squelched.
* Medical Education
From dinner lecture circuit to journal clubs to traveling medical update programs to weekend junkets to international AIDS conferences to online conference reporting and CME accredited content.
* Medical Journals
Lobby for and establish a uniform conflict-of-interest disclosure policy across all journals in the HIV/AIDS field: one that is both comprehensive and detailed enough to be meaningfully useful. Conflation of disparate categories of income (e.g., "served as a consultant or received honoraria from ...") is not acceptable. Membership on speakers bureaus and/or HIV advisory boards must be clearly identified.
* Conflict of Interest Disclosure
Uniform reporting requirements, both for medical journals as well as CME accredited medical education & clinical update programs, are still lacking. Compliance, follow-up, oversight are still missing. Passage and implementing into law Physician's Payment Sunshine Act of 2007 (S. 2029 and H.R. 5605) holds the promise of lifting the onus of reporting from individual physicians as well as achieving the comprehensive, vetted and uniform reporting that is needed.
* Clinical Practice Guidelines
* Patient Advocacy & Activist Organizations
* AIDS Service Organizations
MEANS:
Education- Via online information, popular press, open source medical journals, community fora
Advocacy- Via collaborative efforts with like minded reform groups: academic, private non-profit, and Congressional
Research- Via medical and public health student interns, professional FOIA researcher, clipping service
Outreach- To elected officials, government oversight agencies, and the still significant number physicians, scientists, activists and even pharmaceutical employees who realize that the current system of incentives fails to fully serve the interests of patients and public health