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Healthy Skepticism Library item: 17793

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: Electronic Source

Silverman E
Med Students Need Help Dealing With Reps: Study
Pharmalot 2010 May 13
http://www.pharmalot.com/2010/05/med-students-need-help-dealing-with-reps-study/


Full text:

Overwhelmed and overworked, medical students must then sort out the barrage of overtures from sales reps. But what do they make of these interactions? A paper in the Australian Medical Student Journal found that most med students have “considerable exposure” to promotion, and generally view gifts as acceptable, but only certain gifts (see page 54).
Meals and textbooks are deemed more acceptable than stethoscopes, social outings and paid travel to conferences, suggesting students do attach some negative value to gifts that are viewed as more expensive, unnecessary or influential. And while most view promotion as biased, students insist it has little effect on their prescribing, but is more likely to influence their colleagues (I’m objective, you’re not?)
“This sense of unique invulnerability has been documented previously among doctors and may suggest a naïve and inflated sense of objectivity in prescribing, as well as a curious differentiation between their abilities and those of their colleagues,” the authors write. Nonethless, students don’t support a ban on reps, but would still like more training in the official curricula for help in dealing with them.
The paper reviewed 14 studies found by searching PubMed that dealt with the issue of medical students attitudes to promotion and, the authors claim, is the first to examine student opinions and attitudes. The authors concluded that the implications are “chiefly that medical educator should be aware that medical students are exposed to pharmaceutical promotion and, currently, feel underprepared for their present and future interactions with the pharmaceutical industry.”

 

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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