Gifts, Drugs, and the FDA: Cross-Disciplinary Perspectives on Physician-Pharmaceutical Interactions

Abstract

OPEN ACCESSSeptember 18, 2009Gifts, Drugs, and the FDA: Cross-Disciplinary Perspectives on Physician-Pharmaceutical Interactions Kayleen Papin, Michael Oldani, PhD, Jennifer Griffiths, MD Kayleen Papin Medical College of Wisconsin Google Scholar More articles by this author , Michael Oldani, PhD University of Wisconsin — Whitewater Google Scholar More articles by this author , Jennifer Griffiths, MD Medical College of Wisconsin Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.1777 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractThis PowerPoint presentation is part of a series of lectures entitled “Introduction to Patient Care” for first-year medical students at the Medical College of Wisconsin. The presentation is intended for medical students early in their medical school careers as a way of preparing them for the complexities of clinical care. It brings together different perspectives on interactions between physicians and the pharmaceutical industry and offers a basic introduction to students about guidelines from large physician groups as well as an overview of the literature about the impact on attitudes that gifting can have. The presentation also contains background information about the basics of FDA regulation and flaws in that system illustrated by real-world examples. Finally, it offers an anthropological perspective on physician-pharmaceutical interactions as a study of culture, both within the interaction and within the larger social context. Part of the richness of the advertising/anthropology discussion hinges on using current pharmaceutical advertisements in the presentation. The original version had an embedded advertisement, but as the ad is copyrighted material that will also go out of date, it has been removed. Advertisements can be preselected by presenters and inserted into the presentation as indicated. Presenters also have the option to ask students to bring advertisements (electronically or in paper format, provided one has the ability to project these to the group) that fit in the following categories: (1) scripting of the health care encounter, (2) families taking medication/interaction of medication and family, and (3) the physician's place in the scripting. This curriculum has been well received by medical students at the Medical College of Wisconsin. The 2007 lecture was highly rated by students who attended. The average rating was 1.5 (1 = Strongly Agree, 2 = Agree, 3 = Disagree, 4 = Strongly Disagree) for the various objectives, speaker, and content. Keeping the pharmaceutical examples and policies up to date can be challenging. Students have strong feelings and thoughts about pharmaceutical representatives, physicians, and advertising. They have already been exposed to a tremendous quantity of advertising as well as a wide range of personal experiences regarding pharmaceuticals. This is a contemporary, ever-changing topic that students will need background on and perspective from which to operate in their future careers. Educational Objectives By the end of this presentation, learners will be able to: Describe guidelines from the AMA, AMSA, and AAMC that guide physician-industry interactions.Identify patients' and physicians' attitudes about gifts.Find a connection between early courses in medical school and future professionalism.Describe the FDA's history and current policies.List three safe prescribing strategies.Describe examples of the impact of gift exchanges (i.e., social networking) on doctors' prescribing habits.Understand a brief cultural history of direct-to-consumer marketing.Identify strategies to incorporate into their daily practice when dealing with the pharmaceutical industry (and consumer demand). Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide.doc Presentation.ppt Annotated Bibliography.doc To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationPapin K, Oldani M, Griffiths J. Gifts, Drugs, and the FDA: Cross-Disciplinary Perspectives on Physician-Pharmaceutical Interactions. MedEdPORTAL. 2009;5:1777. https://doi.org/10.15766/mep_2374-8265.1777 Copyright & Permissions© 2009 Papin et al. This is an open-access article distributed under the terms of the Creative Commons Attribution license.KeywordsDrug PrescriptionsConflict of InterestDrug IndustryFDADrug PackagingEvaluation StudiesDrug Labeling Disclosures None to report. Funding/Support None to report. tabs.loading