Chapter

The Production of Trustworthy Knowledge

in Contested Medicine

Published by University of Chicago Press

Published in print May 2009 | ISBN: 9780226465319
Published online March 2013 | e-ISBN: 9780226465333 | DOI: http://dx.doi.org/10.7208/chicago/9780226465333.003.0003
The Production of Trustworthy Knowledge

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This chapter concentrates on the work at the National Institutes of Health (NIH) of James Shannon, who, by the late 1950s, had begun to fear that the medical research enterprise was in danger owing to the unethical behavior of some physician-investigators. By the early 1960s, Shannon was concerned about the rapid depletion of public confidence in medical research, and he perceived the need to introduce some sort of regulatory structure. He was also concerned about the ethical conduct of research that had predated Food and Drug Administration (FDA) regulations. The mid-1960s offers an important, even radical, break in the governance of clinical conduct. The research practices of physicians would require formal review by peers, who would judge the risks and benefits of the research and the form and content of the consent statement.

Keywords: medical research; James Shannon; National Institutes of Health; ethical conduct; Food and Drug Administration; governance; clinical conduct

Chapter.  11058 words. 

Subjects: History of Science and Technology

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