German medical students' exposure and attitudes toward pharmaceutical promotion: a cross-sectional survey.

GMS Zeitschrift fur Medizinische Ausbildung Pub Date : 2014-08-15 eCollection Date: 2014-01-01 DOI:10.3205/zma000924
Kristine Jahnke, Marcel Stephan Kremer, Carsten Oliver Schmidt, Michael M Kochen, Jean-François Chenot
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Abstract

Objective: Early contact of medical students with pharmaceutical promotion has been shown in many international studies. We assessed the frequency and places of contact of German medical students to pharmaceutical promotion and examined their attitudes toward pharmaceutical promotional activities.

Methods: This cross-sectional survey was based on a self-developed questionnaire. It was distributed to all clinical students at the University of Goettingen Medical School in 2010. A 4-point rating scale was used to assess the attitudes toward different statements regarding pharmaceutical promotion.

Results: The overall response rate was 55% (702/1287). The proportion of students with direct contact to pharmaceutical sales representatives increased from 21% in the first clinical year up to 77% in the final year. 60% were contacted during their elective clerkship. 80% had accepted promotional gifts. 86% stated their prescribing behavior to be unsusceptible to the influence of accepting promotional gifts. However, 35% of the unsusceptible students assumed doctors to be susceptible. Almost all (90%) reported that dealing with pharmaceutical promotion was never addressed during lectures and 65% did not feel well prepared for interactions with the pharmaceutical industry. 19% agreed to prohibit contacts between medical students and the pharmaceutical industry.

Conclusions: German medical students get in contact with pharmaceutical promotion early and frequently. There is limited awareness for associated conflicts of interests. Medical schools need to regulate contacts and incorporate the topic in their curriculum to prepare students for interactions with the pharmaceutical industry.

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德国医科学生对药品促销的接触和态度:横断面调查。
目的:许多国际研究表明,医科学生很早就接触到药品促销活动。我们对德国医科学生接触药品促销的频率和地点进行了评估,并考察了他们对药品促销活动的态度:这项横断面调查基于一份自行编制的问卷。方法:这项横断面调查基于一份自制问卷,于 2010 年向戈廷根大学医学院的所有临床医学学生发放。采用 4 点评分法评估学生对有关药品促销的不同说法的态度:总回复率为 55%(702/1287)。直接接触药品销售代表的学生比例从临床一年级的 21% 增加到最后一年的 77%。60%的学生在选修实习期间接触过医药销售代表。80% 接受过促销礼品。86%的人表示他们的处方行为不受接受促销礼品的影响。然而,35% 的未受影响学生认为医生也会受影响。几乎所有学生(90%)都表示,在授课过程中从未涉及过如何处理药品促销问题,65%的学生认为没有为与制药业的互动做好充分准备。19%的人同意禁止医学生与制药业接触:结论:德国医科学生很早就经常接触到药品促销。对相关利益冲突的认识有限。医学院需要规范学生与制药业的接触,并将该主题纳入课程,使学生为与制药业的互动做好准备。
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