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Healthy Skepticism Library item: 4209

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

Mick T.
Pharmaceutical funding and medical students.
JAMA 1991 Feb 6; 265:(5):659,


Abstract:

The interaction between sales representatives and physicians often begins during medical school. Recent graduates and faculty who are frequently exposed to these interactions have become uneasy with them and this concern has spread to some educators. Certain schools have limited the interaction between students and sales representatives. Other educators view these issues differently and don’t believe that the majority of interactions and gifts are harmful. The pharmaceutical industry say that they want to let physicians and students know that their products exist and they want to provide them with information that they should have. In the last year both the American Medical Association and the American College of Physicians have taken stands against excessive physician acceptance of gifts and issues guidelines about which gifts doctors should accept.

Keywords:
*analysis/United States/students/industry perspective/gift giving/American Medical Association/AMA/American College of Physicians/attitude toward promotion/medical education/sales representatives/ATTITUDES REGARDING PROMOTION: HEALTH PROFESSION STUDENTS/ATTITUDES REGARDING PROMOTION: INDUSTRY/ATTITUDES REGARDING PROMOTION: MEDICAL EDUCATORS/ETHICAL ISSUES IN PROMOTION: GIFT GIVING/PROMOTION AS A SOURCE OF INFORMATION: DOCTORS/PROMOTIONAL TECHNIQUES: DETAILING/REGULATION, CODES, GUIDELINES: CONTACT WITH MEDICAL STUDENTS AND HOSPITAL STAFF/REGULATION, CODES, GUIDELINES: HEALTH PROFESSIONAL ORGANIZATIONS/VOLUME OF AND EXPENDITURE ON PROMOTION Drug Industry/economics* Students, Medical* United States

 

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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