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30-20-10 reps for time:

French Onion Steak

How common are conflicts of interest in medical leadership?

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Seared steak topped with buttery caramelized onions and melted Gruyère cheese, finished with a rich, savory au jus infused with Dijon, soy sauce, and warm spices.

Financial Ties Between Medical Association Leaders and Industry

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Ingredients

6 oz ribeye or sirloin steak
1 small yellow onion, thinly sliced
1 Tbsp butter (for onions)
1 Tbsp butter (for steak)
1 oz Gruyère cheese, shredded (or Swiss cheese)
½ tsp garlic powder
Salt and pepper, to taste
1 tsp fresh thyme leaves (optional)

For the Au Jus:
½ cup beef bone broth
1 Tbsp soy sauce or coconut aminos
1 tsp Dijon mustard
1 tsp apple cider vinegar
¼ tsp garlic powder
¼ tsp onion powder
Pinch of cinnamon
Salt and pepper, to taste
½ Tbsp butter

Macronutrients

Protein: 48g
Fat: 54g
Carbs: 6g

Preparation

Melt butter (1 Tbsp) in a skillet over medium-low heat. Add the thinly sliced yellow onion (1 small) with a pinch of salt and cook slowly, stirring occasionally, for 15–20 minutes until deeply caramelized and golden. Set the onions aside.

Season the ribeye or sirloin steak (6 oz) with salt, pepper, and garlic powder (½ tsp). In the same skillet, melt butter (1 Tbsp) over medium-high heat and sear the steak for 3–4 minutes per side until your desired doneness is achieved. Remove the steak from the skillet and allow it to rest while preparing the sauce.

Lower the heat to medium and pour in the beef bone broth (½ cup). Stir in the soy sauce or coconut aminos (1 Tbsp), Dijon mustard (1 tsp), apple cider vinegar (1 tsp), garlic powder (¼ tsp), onion powder (¼ tsp), cinnamon (a pinch), and a pinch of salt and pepper. Simmer the sauce gently for 3–4 minutes, letting it reduce slightly. Whisk in butter (½ Tbsp) to finish the sauce and keep it warm.

Return the steak to the skillet or place it on a serving plate. Top the steak with the caramelized onions (from earlier) and sprinkle the shredded Gruyère cheese (1 oz) over the top. Tent the steak loosely with foil for 1–2 minutes to allow the cheese to melt, or briefly place under a broiler if a bubbly, golden finish is desired.

Spoon the warm spiced au jus around the steak and garnish with fresh thyme leaves (1 tsp) if desired. Serve immediately.

This 2020 BMJ study examined industry payments to 328 leaders of 10 influential U.S. professional medical associations. Nearly three-quarters had financial ties to pharmaceutical or medical-device companies, rising to 80% among leaders who were physicians. Altogether, those leaders were linked to nearly $130 million in payments, with a median of $31,805 per leader. The amounts varied dramatically between organizations, from a median of $212 among leaders of the American Psychiatric Association to $518,000 for the American Society of Clinical Oncology.

These associations help shape medical education, clinical guidelines, disease definitions, and ultimately patient care, making their financial independence particularly important. The study does not show that industry payments changed specific recommendations, but the authors argue that such extensive financial relationships raise questions about independence and integrity—especially given previous evidence that industry sponsorship can influence research results and prescribing.

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