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Only three out of 102 agreed to answer specific questions. In 1992, four general practitioners from Imola, after the publication of a drug formulary, 2 asked 105 drug companies to submit only clinically relevant information and answer doctors' specific questions. This put a complete stop--which still persists--to visits from drug representatives. We analysed some typical "information packages" and found that "drug oriented" information is often flawed, biased, or misleading3 4: protocols of ongoing studies are used as evidence of clinical benefits; unpublished data on file are quoted as reliable references; pharmacological or molecular effects are overemphasised; and all this is almost regularly accompanied by an invitation to gather your own experiences with this drug and then judge. This is not patient oriented information drawn from a systematic evaluation of available evidence. Transforming advertising into reliable information is probably impossible. Pharmaceutical companies are well equipped to produce and disseminate information about their drugs, and they are one of the main sources of information for doctors. Health authorities should arrange a similar system, using dedicated professionals to provide doctors with valid and unbiased information. Interventions of this sort should be included in the current effort by Italy's health service to produce and implement practice guidelines. Local centres could be used to make this information easily available to doctors and to determine and evaluate the best strategies for dissemination and implementation.5. Annual Meeting Program The ASCCA Annual Meeting program will take place in San Francisco, California, on October 10, 2003. Last year's meeting, under the direction of Andrew Gettinger, M.D., was extremely well received. Highanesthesiologist's role in critical care medicine and how ASCCA can help. There will be special sessions on safety and quality in critical care, emergency preparedness, ethics in critical care research, new technologies, and compliance and compensation issues along with presentation of the 2003 Lifetime Achievement Award and an address by ASA President-Elect Roger W. Litwiller, M.D. Please join us! Fellowship Training The Committee on Education has been maintaining a list of anesthesiology critical care fellowship programs and a directory of program directors see page 7 ; . This directory allows easy communication with program William E. Hurford, M.D and celebrex.

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The opportunity to represent you during this set of negotiations to secure our first collective agreement as CAW Local 555 has truly been an honour and a privilege. Our decision to join the CAW was the right one - the resources, support and experience we needed were provided in order to maintain our previous gains and win new ones, despite the challenging collective bargaining climate on campus and within the post secondary education sector. The Bargaining Committee is grateful for your continued support, which was instrumental in the achievement of this fine collective agreement We were able to defend the 'Rule of 80' when other employee groups on campus could not! Further changes to our pension were achieved that guarantees we will have better control of our pension plan in the future. Wages have moved forward and improvements have been made in several key benefit areas that were identified by you. Further improvements in the areas of health & safety, job enhancement, equality issues and educational opportunities have also been achieved. This Agreement proves that we, the CAW, are a progressive and dynamic union committed to improving the lives of our members, families and community. I proud to join with your Bargaining Committee in unanimously recommending this Tentative Agreement be ratified and ceftin.