Jahnke Kristine, Kremer Marcel Stephan, Schmidt Carsten Oliver, Kochen Michael M, Chenot Jean-François
Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Allgemeinmedizin, Greifswald, Deuschland.
Universitätsmedizin Greifswald, Institut für Community Medicine, Abteilung Study of Health in Pomerania - Klinisch-epidemiologische Forschung (SHIP-KEF), Greifswald, Deuschland.
GMS Z Med Ausbild. 2014 Aug 15;31(3):Doc32. doi: 10.3205/zma000924. eCollection 2014.
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.
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.
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.
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.
许多国际研究表明医学生早期接触药品推广情况。我们评估了德国医学生接触药品推广的频率和场所，并调查了他们对药品推广活动的态度。
这项横断面调查基于一份自行编制的问卷。2010年将问卷分发给哥廷根大学医学院的所有临床专业学生。采用4级评分量表评估对有关药品推广不同陈述的态度。
总体回复率为55%（702/1287）。与药品销售代表有直接接触的学生比例从临床第一年的21%增至最后一年的77%。60%的学生在选修实习期间被接触。80%的学生接受过推广礼品。86%的学生表示其处方行为不易受接受推广礼品的影响。然而，35%认为自己不易受影响的学生认为医生易受影响。几乎所有学生（90%）报告称讲座中从未涉及药品推广相关内容，65%的学生感觉自己未做好与制药行业互动的准备。19%的学生赞成禁止医学生与制药行业接触。
德国医学生早期就频繁接触药品推广。对相关利益冲突的认识有限。医学院校需要规范接触行为，并将该主题纳入课程，以使学生做好与制药行业互动的准备。
