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Healthy Skepticism Library item: 655

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

Shaughnessy AF, Slawson DC, Bennett JH.
Teaching information mastery: evaluating information provided by pharmaceutical representatives.
Fam Med 1995 Oct; 27:(9):581-5


Abstract:

BACKGROUND: The pharmaceutical industry plays a large role in the lifelong learning of family physicians. Controversy exists over how to integrate this potential information source into residency curricula. METHODS: Based on a a faculty and resident needs assessment, a curriculum was designed to teach the evaluation of pharmaceutical representatives’ (PRs) presentations. The Pharmaceutical Representative Evaluation Form is the keystone of the curriculum. This evaluation form guides discussion of pharmaceutical presentation to facilitate understanding of the sales process and help residents confirm or dispute the presentation’s content, based on the sales methods used. A second goal of the evaluation program is to improve the content of the PRs’ presentations. RESULTS: Residents rapidly acquire the ability to identify potential fallacies of logic and other misleading sales techniques in representatives’ presentations. Compared with pretest results, residents’ posttest scores demonstrate an understanding that PRs and the acceptance of promotional items can affect their prescribing behavior. Most PRs are pleased that their role is seen as educational. CONCLUSIONS: Physicians must function more as information managers than as information repositories, and it is important that residents be able to obtain useful information from PRs. Our curriculum has been effective in increasing residents’ abilities to evaluate the pharmaceutical sales process and allowing them to separate the inverted question markwheat from the chaff inverted question mark contained in this ubiquitous source of information.

Keywords:
*analytic survey *educational intervention United States sales representatives physicians in training attitude toward promotion quality of prescribing gift giving value of promotion ATTITUDES REGARDING PROMOTION: PHYSICIANS IN TRAINING EDUCATING ABOUT PROMOTION: PHYSICIANS IN TRAINING EVALUATION OF PROMOTION: DETAILING INFLUENCE OF PROMOTION: PRESCRIBING, DRUG USE PROMOTION AS A SOURCE OF INFORMATION: DOCTORS


Notes:

Comment in:
Fam Med. 1996 Mar;28(3):166-7.

 

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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