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Teaching appropriate interactions with pharmaceutical company representatives: The impact of an innovative workshop on student attitudes

机译:与制药公司代表进行适当的互动教学:创新研讨会对学生态度的影响

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Background Pharmaceutical company representatives (PCRs) influence the prescribing habits and professional behaviour of physicians. However, the skills for interacting with PCRs are not taught in the traditional medical school curriculum. We examined whether an innovative, mandatory workshop for third year medical students had immediate effects on knowledge and attitudes regarding interactions with PCRs. Methods Surveys issued before and after the workshop intervention solicited opinions (five point Likert scales) from third year students (n = 75) about the degree of bias in PCR information, the influence of PCRs on prescribing habits, the acceptability of specific gifts, and the educational value of PCR information for both practicing physicians and students. Two faculty members and one PCR led the workshop, which highlighted typical physician-PCR interactions, the use of samples and gifts, the validity and legal boundaries of PCR information, and associated ethical issues. Role plays with the PCR demonstrated appropriate and inappropriate strategies for interacting with PCRs. Results The majority of third year students (56%, 42/75) had experienced more than three personal conversations with a PCR about a drug product since starting medical school. Five percent (4/75) claimed no previous personal experience with PCRs. Most students (57.3%, 43/75) were not aware of available guidelines regarding PCR interactions. Twenty-eight percent of students (21/75) thought that none of the named activities/gifts (lunch access, free stethoscope, textbooks, educational CD-ROMS, sporting events) should be restricted, while 24.0% (8/75) thought that students should be restricted only from sporting events. The perceived educational value of PCR information to both practicing physicians and students increased after the workshop intervention from 17.7% to 43.2% (chi square, p = .0001), and 22.1% to 40.5% (p = .0007), respectively. Student perceptions of the degree of bias of PCR information decreased from 84.1% to 72.9% (p = .065), but the perceived degree of influence on prescribing increased (44.2% to 62.1% (p = .02)). Conclusions Students have exposure to PCRs early in their medical training. A single workshop intervention may influence student attitudes toward interactions with PCRs. Students were more likely to acknowledge the educational value of PCR interactions and their impact on prescribing after the workshop intervention.
机译:背景技术制药公司代表(PCR)影响医生的处方习惯和专业行为。但是,传统医学院课程中并未教授与PCR交互的技能。我们研究了为三年级医学生开设的创新性,强制性讲习班是否对与PCR相互作用的知识和态度有直接影响。方法研讨会干预前后进行的调查征求了三年级学生(n = 75)的意见(五点李克特量表),涉及PCR信息的偏倚程度,PCR对处方习惯的影响,特殊礼物的可接受性以及PCR信息对执业医师和学生的教育价值。两名教职人员和一名PCR主持了研讨会,重点介绍了典型的医生与PCR的相互作用,样品和礼物的使用,PCR信息的有效性和法律界限以及相关的道德问题。 PCR的角色扮演证明了与PCR相互作用的适当和不适当的策略。结果自从医学院毕业以来,大多数三年级学生(56%,42/75)经历了超过3次关于药品的PCR私人对话。百分之五(4/75)的人声称以前没有PCR的个人经验。大多数学生(57.3%,43/75)不了解有关PCR相互作用的可用指南。 28%的学生(21/75)认为不应限制任何指定的活动/礼物(午餐,免费听诊器,教科书,教育CD-ROMS,体育赛事),而24.0%(8/75)认为限制学生只能参加体育比赛。研讨会干预后,对执业医师和学生而言,PCR信息的教育价值分别从17.7%增至43.2%(卡方,p = .0001)和22.1%增至40.5%(p = .0007)。学生对PCR信息偏倚程度的认识从84.1%降低到72.9%(p = .065),但是对处方的影响的感知程度却增加了(44.2%至62.1%(p = .02))。结论学生在医学培训的早期就接触过PCR。一次研讨会的干预可能会影响学生对与PCR互动的态度。在工作坊干预后,学生更有可能认识到PCR相互作用的教育价值及其对开处方的影响。

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