Brotzman G L, Mark D H
Department of Family Medicine, Medical College of Wisconsin, Milwaukee.
J Fam Pract. 1992 Jan;34(1):54-7.
Residents frequently interact with pharmaceutical representatives during their training. The purpose of this study was to determine the prevalence of policies restricting or regulating the interactions of pharmaceutical representatives with family medicine residents.
A descriptive, cross-sectional survey was sent to all 386 accredited family practice residency programs. Programs were surveyed for the presence of restrictions or policies regarding the following circumstances and activities through which pharmaceutical representative-resident interactions could occur: (1) contact during working hours, (2) clinic drug samples, (3) personal samples for residents, (4) displays, (5) distribution of literature, (6) gifts and outings, and (7) group presentations.
Overall, residency programs tended to allow most of these activities and had only informal guidelines regarding pharmaceutical representative interaction. Written policies were present in 58% of the programs. Prohibitions of some type were present in 41% of the programs. A higher prevalence of written policies was noted in military programs, larger programs, and programs located in hospitals with only family practice residents.
There are wide variations among family practice residency programs regarding the regulation of pharmaceutical representative-resident interactions. In view of the educational mission of residency training programs and the recent concern over the ethics of the relationship between the medical profession and the pharmaceutical industry, it would be prudent for all residencies to develop written policies addressing the activities of pharmaceutical representatives in training sites.
住院医师在培训期间经常与医药代表互动。本研究的目的是确定限制或规范医药代表与家庭医学住院医师互动的政策的普遍程度。
向所有386个经认可的家庭医学住院医师培训项目发送了一项描述性横断面调查。通过以下可能发生医药代表与住院医师互动的情况和活动，对各项目进行了关于是否存在限制或政策的调查：（1）工作时间内的接触，（2）诊所药品样本，（3）给住院医师的个人样本，（4）展示，（5）文献分发，（6）礼品和外出活动，以及（7）团体讲座。
总体而言，住院医师培训项目倾向于允许这些活动中的大多数，并且对于医药代表互动只有非正式的指导方针。58%的项目有书面政策。41%的项目存在某种类型的禁令。在军事项目、规模较大的项目以及仅设有家庭医学住院医师的医院中的项目中，书面政策的普遍程度更高。
家庭医学住院医师培训项目在规范医药代表与住院医师互动方面存在很大差异。鉴于住院医师培训项目的教育使命以及近期对医学专业与制药行业关系伦理的关注，所有住院医师培训项目制定书面政策来规范培训场所中药品代表的活动是明智的。
