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Healthy Skepticism Library item: 19835

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Brotzman GL, Mark DH.
The effect on resident attitudes of regulatory policies regarding pharmaceutical representative activities.
J Gen Intern Med 1993; 8:(3):130-4
http://www.ncbi.nlm.nih.gov/pubmed/8455108


Abstract:

OBJECTIVE:

To determine the effect on resident attitudes of policies regarding pharmaceutical representative interactions with residents.
DESIGN:

Cross-sectional survey.
SETTING:

National sample of U.S. family medicine residencies.
PARTICIPANTS:

Three hundred seventy-eight residents from 14 randomly selected programs. Seven programs had written policies and restrictions (restricted programs), and seven had no such restriction or guideline (free programs).
MEASUREMENTS AND MAIN RESULTS:

The authors assessed resident attitudes regarding the perception of benefit from pharmaceutical representative activities, the usefulness of various sources of drug information, and the appropriateness of accepting gifts from a pharmaceutical representative. There were 265/378 respondents (70% response rate). Residents from restricted programs reported fewer benefits from pharmaceutical representative interactions and were less likely to feel that acceptance of gifts was appropriate. The amount of exposure to pharmaceutical representatives was positively correlated with perceived benefit and negatively correlated with ratings of appropriateness of gift acceptance.
CONCLUSION:

Regulatory policies can influence resident attitudes and perceptions. Training programs should develop written policies to help guide resident-pharmaceutical representative interactions.

Keywords:
Attitude of Health Personnel* Cross-Sectional Studies Data Collection Drug Industry* Ethics, Medical* Family Practice/education* Humans Information Dissemination Internship and Residency/organization & administration* Risk Assessment

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909