We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Science on Trial: The Clash of Medical Evidence and the Law in the Breast Implant Case

Lorna A. Marshall, MD
JAMA. 1996;276(19):1604. doi:10.1001/jama.1996.03540190076036.
Text Size: A A A
Published online


Science on Trial is an account of the breast implant controversy. It relates the events that led to the 1992 decision by Food and Drug Administration Commissioner David Kessler to ban siliconegel—filled breast implants. It includes accounts of the hysteria that followed and the litigation that eventually led to the largest class action settlement in the history of trial courts. However, the focus of the book is really on what the author, Marcia Angell, MD, believes was missing from this controversy: attention to and respect for scientific evidence as a means to reach the truth.

Angell describes the litigation surrounding breast implants from the perspective of a physician dedicated to the use of the scientific method. As executive editor of the New England Journal of Medicine, she has followed the events and dealt directly with pertinent studies. Her concern is that greed and emotion, not scientific evidence, have become the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.