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Healthy Skepticism Library item: 12101

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: news

Do Medical Schools Affect the Way Future Doctors Interact with Drug Companies?
PharmaLive 2007 Dec 3
http://pharmalive.com/news/index.cfm?articleID=496899&categoryid=9&newsletter=1


Full text:

INDIANAPOLIS, Dec. 3, 2007 – Although more and more drug advertisements are appearing on television, the bulk of the approximately $21 billion dollars that pharmaceutical companies spend annually to market their products is targeted to physicians, doctors in training (residents) and medical students.

A literature review by researchers from the Indiana University School of Medicine and the Regenstrief Institute, Inc. published in the December issue of the journal Pediatrics focuses on the interaction between drug companies, medical students and residents and concludes that well-designed seminars, role playing and focused curricula can affect medical student and resident attitudes and behavior toward drug companies.

The review, led by Aaron E. Carroll, M.D., M.S., assistant professor of pediatrics with the Children’s Health Services Research at the IU School of Medicine and a Regenstrief Institute affiliated scientist, scrutinized the recent literature in the field. Dr. Carroll and colleagues found 12 studies since 1991 focusing on the efforts of academic medical centers to modify the relationship between pharmaceutical companies and medical students and residents.

“Not surprisingly, we found that the greatest impact medical schools had on the interaction of medical students and residents with drug companies was if the school banned all contact with company representatives. But even requiring medical students or residents to participate in one hour of training had an impact on the relationship,” said Dr. Carroll, who is also with Riley Hospital for Children, a Clarian Health Partner.

The study authors reported evidence that policy decisions to restrict contact between trainees and the pharmaceutical industry were associated with greater skepticism toward information given by drug company product representatives and altered behavior in future contact with drug company representatives.

“Doing nothing is no longer an acceptable option. Medical schools need to bring up the complex financial, medical and ethical issues involved in the interactions between doctors and drug companies. Fortunately doing almost anything seems to have at least a minimal impact,” said Dr. Carroll.

###

Co-authors of the study are Rachel Vreeman, M.D. and Jennifer Buddenbaum, MHA, of the IU School of Medicine’s Department of Pediatrics and Thomas Inui, M.D., president and CEO of Regenstrief Institute and Sam Regenstrief Professor of Health Services Research; Professor of Medicine and associate dean for health care research, IU School of Medicine.

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University

 

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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