{"id":34145,"date":"2015-05-08T10:53:23","date_gmt":"2015-05-08T09:53:23","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34145"},"modified":"2015-05-08T10:53:55","modified_gmt":"2015-05-08T09:53:55","slug":"the-bmj-today-assessing-eyes-open-data-new-ema-rules","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/05\/08\/the-bmj-today-assessing-eyes-open-data-new-ema-rules\/","title":{"rendered":"The BMJ Today: Assessing eyes in infants, latest on open data, and new EMA rules on pharma&#8217;s revolving door"},"content":{"rendered":"<p>Here\u2019s what is new in <em>The BMJ<\/em> today.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/baby_eyes2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-34149\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/baby_eyes2-300x194.jpg\" alt=\"baby_eyes2\" width=\"161\" height=\"104\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/baby_eyes2-300x194.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/baby_eyes2.jpg 540w\" sizes=\"auto, (max-width: 161px) 100vw, 161px\" \/><\/a>\u2022\u00a0<strong>Practice<\/strong><br \/>\nMany GPs may find the challenge of assessing eyes and vision in infants and preschool children intimidating. <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h1716\">Andrew Blaikie and Gordon Dutton offer advice<\/a>\u2014with multiple video demonstrations and tutorials.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/F1.large-80.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-34150\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/F1.large-80-300x265.jpg\" alt=\"F1.large (80)\" width=\"131\" height=\"116\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/F1.large-80-300x265.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/F1.large-80-1024x903.jpg 1024w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/F1.large-80.jpg 1280w\" sizes=\"auto, (max-width: 131px) 100vw, 131px\" \/><\/a>\u2022\u00a0<strong>Clinical review<\/strong><br \/>\nHow confident are you in diagnosing interstitial lung diseases? How many of this heterogeneous set of conditions can you name? <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2072\">Radiologist and physician team Adam Wallis and Katherine Spinks discuss everything<\/a> from disease assessment and investigation to treatment in their clinical review on the topic.<!--more--><\/p>\n<p><strong>\u2022\u00a0Open data<\/strong><br \/>\nYou may have heard of the recent World Health Organization statement on clinical trial data transparency. But did you know the Nordic Trial Alliance came out with an even bolder declaration: \u201cto make clinical research conducted in the Nordic region the most trusted clinical research in the world\u201d? There is a growing understanding that data sharing is a fundamental quality of trustworthy research, and in this spirit, <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2373\">editors Elizabeth Loder and Trish Groves announce that<\/a> <em>The BMJ<\/em> has extended its policy of requiring individual participant level data sharing to all trials, not just drugs and devices.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/gmc.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-34151\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/gmc-300x194.jpg\" alt=\"gmc\" width=\"281\" height=\"182\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/gmc-300x194.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/05\/gmc.jpg 540w\" sizes=\"auto, (max-width: 281px) 100vw, 281px\" \/><\/a><strong>\u2022\u00a0Conflicts of interest<\/strong><br \/>\nFreedom of information laws allow citizens to know what their government is up to. But making use of those laws can be difficult. <a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2400\">In a personal view, Benjamin J F Dean says<\/a> the General Medical Council spent \u201cmore than \u00a34000 on legal fees in resisting my freedom of information request.\u201d<\/p>\n<p>It\u2019s not hard to see why: a supposedly \u201cindependent\u201d review of UK postgraduate medical training chaired by David Greenaway\u2014and criticized by the BMA, Royal College of Physicians, and trainee groups\u2014made use of many \u201csecret meetings with senior politicians and civil servants throughout the review.\u201d One email, also obtained under freedom of information, sheds light on why the GMC thought the secrecy so necessary: \u201cDisclosure would undoubtedly impact on future relationships with both these individuals and the departments they represent.\u201d But Dean counters, and asks whether secrecy or transparency actually better serves patient safety.<\/p>\n<p><strong>\u2022\u00a0EMA \u201ctightens\u201d rules on revolving door with pharma industry<\/strong><br \/>\nThe European Medicines Agency (EMA)\u00a0<a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2436\">announced this week that it has updated its rules on declarations of interest<\/a> of scientific committee members and experts consulted by the regulator. Individuals declaring they plan to take a job in the pharma industry will have their involvement in EMA matters restricted, according to the announcement.<\/p>\n<p>Is this a progressive, cutting edge policy? What does this say about EMA decisions prior to this policy? \u201cEMA considers that employment in a pharmaceutical company is incompatible with an involvement in Agency activities,\u201d the <a href=\"http:\/\/www.ema.europa.eu\/ema\/index.jsp?curl=pages\/news_and_events\/news\/2015\/05\/news_detail_002322.jsp&amp;mid=WC0b01ac058004d5c1\">EMA press release stated<\/a>. But what about substantial financial relationships with pharma among those employed elsewhere? How many former and active advisors and decision makers have competing financial interests? Why are questions like these difficult to answer? Is anything stopping the EMA, Food and Drug Administration (FDA), and other regulators from making their own public, searchable database of internal and external experts and their financial competing interests, like <a href=\"http:\/\/www.propublica.org\/series\/dollars-for-docs\">ProPublica\u2019s Dollars For Docs<\/a>?<\/p>\n<p><em><strong>Peter Doshi<\/strong>, associate editor, <\/em>The BMJ<em>.\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here\u2019s what is new in The BMJ today. \u2022\u00a0Practice Many GPs may find the challenge of assessing eyes and vision in infants and preschool children intimidating. Andrew Blaikie and Gordon [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/05\/08\/the-bmj-today-assessing-eyes-open-data-new-ema-rules\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5750],"tags":[],"class_list":["post-34145","post","type-post","status-publish","format-standard","hentry","category-the-bmj-today"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The BMJ Today: Assessing eyes in infants, latest on open data, and new EMA rules on pharma&#039;s revolving door - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/05\/08\/the-bmj-today-assessing-eyes-open-data-new-ema-rules\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The BMJ Today: Assessing eyes in infants, latest on open data, and new EMA rules on pharma&#039;s revolving door - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Here\u2019s what is new in The BMJ today. \u2022\u00a0Practice Many GPs may find the challenge of assessing eyes and vision in infants and preschool children intimidating. 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