A Prospective Before-and-After Trial of an Educational Intervention About Pharmaceutical Marketing

• DOI: 10.1097/01.ogx.0000157047.32993.19
• Publication Date: 2005-03-25T09:04:02Z
• Authors: Sacha Agrawal; Inderpal Saluja; Janusz Kaczorowski
• Keywords: Adult; Marketing of Health Services; Drug Industry; Attitude of Health Personnel; Conflict of Interest; Internship and Residency; Ethics, Professional; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; Advertising; Controlled Before-After Studies; Physicians; Humans; Education, Medical, Continuing; Prospective Studies; Family Practice

There is increasing evidence that physicians may be compromised by their interactions with the pharmaceutical industry. The authors aimed to develop and determine the effect of an educational intervention to inform family medicine residents about pharmaceutical marketing.Confidential, self-administered questionnaires were administered to family medicine residents at McMaster University, Hamilton, Canada, immediately before and after a two-part, 2.5-hour educational intervention. The curriculum consisted of (1) a faculty-led debate and discussion of a systematic review of physician-pharmaceutical industry interactions, and (2) an interactive workshop that included a presentation highlighting key empirical findings, a video illustrating techniques to optimize pharmaceutical sales representatives' visits, and small- and large-group problem-based discussions. Residents were asked about their attitudes toward five marketing strategies: drug samples, industry-sponsored continuing medical education, one-on-one interactions with sales representatives, free meals, and gifts worth less than CAN $10.A total of 37 residents responded to both questionnaires. After the intervention residents had more cautious attitudes, rating marketing strategies on a five-point Likert scale as less ethically appropriate (-0.41, p < .05) and less valuable to patients or useful to the resident (-0.39, p < .05), and reporting less intention to use them in the future (-0.44, p < .01).This intervention appears to have promoted more cautious attitudes toward pharmaceuticals marketing. Its long-term sustainability and effect on behavior remain unknown.