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Introduction to the
          FDASM
PF Anderson, Emerging Technologies Librarian for the
      Health Sciences, University of Michigan
  School of Dentistry Bootcamp, February 10, 2010
What is #FDASM?
FDA’s Stated Purpose
This hearing is intended to provide an opportunity for broad public
participation and comment concerning Internet promotion of FDA-
regulated medical products, including human and animal prescription
drugs and biologics and medical devices. Please note that this hearing
does not address nonprescription drug promotion. FDA is particularly
interested in hearing views from the public as to how expanding Web
2.0 technologies may be used to promote medical products to both
health care professionals and consumers in a truthful, nonmisleading,
and balanced manner. In addition, FDA is seeking public comment on
Internet adverse event reporting.
FDA’s Purpose: Main Points
Internet promotion of FDA-regulated medical products
    human/animal prescription drugs
    biologics
    medical devices
    does NOT address nonprescription drug promotion
Web 2.0 use to promote medical products
    to both health care professionals and consumers
    in a truthful, nonmisleading, and balanced manner
Internet adverse event reporting
Our Question
Who, What, Where, Why
Who
is allowed to say What
to Whom
regarding health information
Where in online spaces and social media?
Are Why & When & How part of the question/answer?
Main Questions
  Addressed
1. Accountability
2. Regulatory requirements best practices
3. Corrective information
4. Links
5. Adverse event reporting
1. For what online communications are manufacturers,
packers, or distributors accountable?
   FROM: Federal Register Notice of Public Hearing:
   http://edocket.access.gpo.gov/2009/E9-22618.htm
2. How can manufacturers, packers, or distributors fulfill regulatory
requirements (e.g., fair balance, disclosure of indication and risk
information, postmarketing submission requirements) in their
Internet and social media promotion, particularly when using tools
that are associated with space limitations and tools that allow for
real-time communications (e.g., microblogs, mobile technology)?
   FROM: Federal Register Notice of Public Hearing:
   http://edocket.access.gpo.gov/2009/E9-22618.htm
3. What parameters should apply to the posting of corrective
information on Web sites controlled by third parties?
   FROM: Federal Register Notice of Public Hearing:
   http://edocket.access.gpo.gov/2009/E9-22618.htm
4. When is the use of links appropriate?
5. Questions specific to Internet adverse event reporting
   FROM: Federal Register Notice of Public Hearing:
   http://edocket.access.gpo.gov/2009/E9-22618.htm
FDASM Resources
Wordle from Transcripts
Highlights from
November Forum
1. Outbound Links

Who is responsible if the target link changes content or
location?
Who should be required to use in-between page warning
consumer they are leaving the site? What about groups that
don’t have the skills or resources necessary to do so?
2. Semi-private conversations


Social media allows conversations and questions between
private individuals in public spaces.
3. Spurious content

Who decides what is good and what is not?
Who should be held accountable for the quality of the
information provided?
What should be asked of those who provide questionable
content?
4. Off-Label Use

When is emerging research beneficial or dangerous to a
healthcare consumer?
Who decides?
Should conversations on off-label use be supported,
discouraged or managed?
5. European Precedents
Title VIII, Advertising, Article 86 (Denmark)
   ”Directive 2001/83/EC on the Community code relating to medicinal
   products for human use” in conflict with “The European Convention
   for the protection of human rights and fundamental freedoms”

   The European Court of Justice: Third-party statements about
   medicines may be advertising: http://www.dkma.dk/1024/
   visUKLSArtikelBred.asp?artikelID=15472&print=true


Digital Economy Bill (in progress, UK)
   Clause 11
Maybe, instead of banning all kinds of opinions on
particular product, one should think of a better way to
distinguish independent journalism from mere
marketing strategies. The question is how?
Context: Social Media
   Use Examples
Things You Can Do
       NOW
Think about your concerns and hopes for the forthcoming
guidelines. Register your comments NOW.
FDA will have a second 90-day comment period after the
initial guidelines are proposed.
What do YOU want the
     FDA to do?

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FDA Social Media Guidelines - Introduction

  • 1. Introduction to the FDASM PF Anderson, Emerging Technologies Librarian for the Health Sciences, University of Michigan School of Dentistry Bootcamp, February 10, 2010
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  • 4. FDA’s Stated Purpose This hearing is intended to provide an opportunity for broad public participation and comment concerning Internet promotion of FDA- regulated medical products, including human and animal prescription drugs and biologics and medical devices. Please note that this hearing does not address nonprescription drug promotion. FDA is particularly interested in hearing views from the public as to how expanding Web 2.0 technologies may be used to promote medical products to both health care professionals and consumers in a truthful, nonmisleading, and balanced manner. In addition, FDA is seeking public comment on Internet adverse event reporting.
  • 5. FDA’s Purpose: Main Points Internet promotion of FDA-regulated medical products human/animal prescription drugs biologics medical devices does NOT address nonprescription drug promotion Web 2.0 use to promote medical products to both health care professionals and consumers in a truthful, nonmisleading, and balanced manner Internet adverse event reporting
  • 7. Who, What, Where, Why Who is allowed to say What to Whom regarding health information Where in online spaces and social media? Are Why & When & How part of the question/answer?
  • 8. Main Questions Addressed
  • 9. 1. Accountability 2. Regulatory requirements best practices 3. Corrective information 4. Links 5. Adverse event reporting
  • 10. 1. For what online communications are manufacturers, packers, or distributors accountable? FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm
  • 11. 2. How can manufacturers, packers, or distributors fulfill regulatory requirements (e.g., fair balance, disclosure of indication and risk information, postmarketing submission requirements) in their Internet and social media promotion, particularly when using tools that are associated with space limitations and tools that allow for real-time communications (e.g., microblogs, mobile technology)? FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm
  • 12. 3. What parameters should apply to the posting of corrective information on Web sites controlled by third parties? FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm
  • 13. 4. When is the use of links appropriate? 5. Questions specific to Internet adverse event reporting FROM: Federal Register Notice of Public Hearing: http://edocket.access.gpo.gov/2009/E9-22618.htm
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  • 21. 1. Outbound Links Who is responsible if the target link changes content or location? Who should be required to use in-between page warning consumer they are leaving the site? What about groups that don’t have the skills or resources necessary to do so?
  • 22. 2. Semi-private conversations Social media allows conversations and questions between private individuals in public spaces.
  • 23. 3. Spurious content Who decides what is good and what is not? Who should be held accountable for the quality of the information provided? What should be asked of those who provide questionable content?
  • 24.
  • 25. 4. Off-Label Use When is emerging research beneficial or dangerous to a healthcare consumer? Who decides? Should conversations on off-label use be supported, discouraged or managed?
  • 26. 5. European Precedents Title VIII, Advertising, Article 86 (Denmark) ”Directive 2001/83/EC on the Community code relating to medicinal products for human use” in conflict with “The European Convention for the protection of human rights and fundamental freedoms” The European Court of Justice: Third-party statements about medicines may be advertising: http://www.dkma.dk/1024/ visUKLSArtikelBred.asp?artikelID=15472&print=true Digital Economy Bill (in progress, UK) Clause 11
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  • 28. Maybe, instead of banning all kinds of opinions on particular product, one should think of a better way to distinguish independent journalism from mere marketing strategies. The question is how?
  • 29.
  • 30. Context: Social Media Use Examples
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  • 39. Things You Can Do NOW
  • 40. Think about your concerns and hopes for the forthcoming guidelines. Register your comments NOW. FDA will have a second 90-day comment period after the initial guidelines are proposed.
  • 41.
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  • 43. What do YOU want the FDA to do?