ABSTRACT
This chapter examines in considerable detail the performance of the medical schools in comparison to other types of biomedical research institutions. It presents a comparison of medical schools with other types of biomedical research institutions, using data collected largely in National Survey. The chapter provides answer for the following question: "Have medical schools been ethical leaders in the establishment of controls, principally those of formal peer review, for safeguarding the welfare and rights of the human subjects of biomedical research?" It suggests that the autonomy and self-regulation components of the professional ethos, have been at least one determinant of the lack of ethical leadership by medical schools in the provision for adequate peer review. The chapter argues that strong values and interests of the medical school, have engendered greater resistance to the acceptance and implementation of peer review by the medical school than by other biomedical research institutions.
