I received many helpful suggestions for how to part with my "dirty thirty." I've decided that the most logical solution is to donate time to "counter-detailing," which is essentially the opposite of giving drug talks. Pioneered as "academic detailing" by Jerry Avorn at Harvard Medical School, counter-detailing involves visiting doctor's offices and teaching about evidence-based medicine. The emphasis is on confronting the latest marketing claims of more expensive me-too medications and alerting doctors to the subtle statistical deceptions so common in pharmaceutical advertising.
Reviewing my Wyeth pay stubs, I can replicate my 2002 March of Shame through local doctor's offices and counter-detail them on my own dime. Anyone who wants a free talk for their organization can contact me at email@example.com. I'll do these until my 30K runs out.
By the way, several physicians at the National Physician's Alliance (NPA) are available for free talks on pharmaceutical industry influence, and they span the specialties, offering counter-detailing on treatments in internal medicine, cardiology, pediatrics, etc.... And join NPA while you're on their site. Unlike the AMA, they will never sell your name to drug companies.