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Welcome to Impact Factor, your weekly dose of commentary on a new medical study. Im Dr. F. Perry Wilson of the Yale School of Medicine. Doctors, how much money did you receive from industry last year? If youre like me, that answer is $0 but its not exactly uncommon for docs to get something of value from industry. Of around 900,000 physicians in the US, about 400,000 45% - received a payment from a pharmaceutical or device manufacturer last year. We know this because of the Open Payments system, established by the Center for Medicare and Medicaid services in 2013 which requires disclosure of all non-research payments, whether in the form of cash, or lunches, or trips to exotic locales to physicians from these industries. And this week, in JAMA, we finally get to see how the existence of the Open Payments system the transparency has affected payments to physicians. The bottom line? Industry is spending about as much on physician consulting and honoraria as they ever were, they