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Healthy Skepticism Library item: 594

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

Shear NH, Black F, Lexchin J.
Examining the physician-detailer interaction
Can J Clin Pharmacol 1996; 3:(4):175-179


Abstract:

Over 85% of physicians see pharmaceutical-sponsored representatives (detailers). The purpose of the interaction is often touted by physicians as being educational, yet studies indicate that a common outcome of the interaction is inappropriate prescribing. Unfortunately many physicians do not formulate educational objectives before the interaction and are completely unaware of the structured sales techniques employed by detailers. The authors present their technique of using a video recreation of a physician-detailer interaction as the basis of a 1 hour interactive instructional program. The objective is to make the physician a knowledgeable participant in the doctor-detailer interaction so that if a physician chooses to meet with pharmaceutical representatives, the professional needs of the physician are met.

Keywords:
*educational intervention *analysis students physicians in training sales representatives influence techniques quality of information critical appraisal ATTITUDES REGARDING PROMOTION: CONSUMERS PATIENTS ATTITUDES REGARDING PROMOTION: HEALTH PROFESSIONALS EDUCATING ABOUT PROMOTION: HEALTH PROFESSION STUDENTS EDUCATING ABOUT PROMOTION: HEALTH PROFESSIONALS EDUCATING ABOUT PROMOTION: PHYSICIANS IN TRAINING EVALUATION OF PROMOTION: CRITICAL APPRAISAL TECHNIQUES EVALUATION OF PROMOTION: DETAILING EVALUATION OF PROMOTION: INFLUENCE TECHNIQUES INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE PROMOTION AS A SOURCE OF INFORMATION: DOCTORS

 

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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