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Healthy Skepticism Library item: 2293

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

Roner L
Resident physicians not enamored with drug reps
eyeforpharma Briefing 2005 Aug 17; (151):
http://www.eyeforpharma.com/index.asp?nli=o&g-p&nld=8/17/2005&news=47334


Full text:

A new study by StopPagingMe.com, a popular portal among young resident doctors in the US, finds nearly half (49%) of 110 physicians in training polled consider drug reps to be “irritating.”

Many (51%) also said they believe reps’ tactics have no influence on their prescribing patterns, while 34% say reps occasionally influence their prescribing decisions.

Slightly more than half (51%) of those polled say they see drug reps at least once per week and nearly one quarter (23%) report seeing reps daily.

In a question that allowed multiple responses, nearly half of the residents report finding the reps “helpful” (46%) and “educational” (46%). But 14% went so far as to say they found reps’ to be immoral and nearly one quarter (23%) said reps should not be allowed in the hospital.

Although more than half (53%) say they appreciate the free food and promotional items reps bring, they could do without the accompanying “speech.” But 10% say they never take drug company “freebies,” and some say they find the practice to be “unethical.”

While the study comes with few details about its methodology and the statistical significance of its small sample size is questionable, it does offer a glimpse into the minds of the newest crop of US physicians. And a few things are painfully clear from that glimpse – not the least of which being, that as we’ve said many times on these pages lately – the old ways of selling drugs days are numbered.

This new breed of docs is tough to influence, quick to perturb, suspicious and difficult to impress. The one crack in their armor seems to be the chance for reps to provide educational information – again, a song you’ve heard us sing here many times before.

Dare we repeat ourselves?

The current sales and marketing model is ripe for change. The opportunity, hidden in the industry’s substantial challenges, lies in moving beyond sales force growth and mass promotion to usher in a decidedly new era of sales force effectiveness – one where reps are armed with information tailored specifically for individual physicians that will add real, sustainable value by helping them improve their practices and patient care.

Even the docs still wet behind the ears are saying it.

 

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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