Brown Steven R, Evans David V, Fugh-Berman Adriane
Banner Good Samaritan Family Medicine Residency and Department of Family and Community Medicine, University of Arizona-Phoenix.
Fam Med. 2015 Apr;47(4):279-82.
Most medical residents have some interaction with the pharmaceutical industry. It is not known if this interaction has changed over time. We determined whether interactions between family medicine residencies and the pharmaceutical industry have changed in the past 5 years.
We surveyed program directors of US family medicine residencies with questions addressing industry-sponsored gifts, drug samples, access of industry representatives to trainees, and industry-sponsored residency activities. The questions were part of a larger 2013 survey administered by the Council of Academic Family Medicine Educational Research Alliance (CERA). The authors compared results from 2008 and 2013.
The response rate to the 2013 CERA program director survey was 56% (251/445); 47% (208/445) of surveyed directors viewed and answered all survey questions. Between 2008 and 2013, residency programs that accept no gifts or industry-sponsored food increased from 48% (137/286) to 73% (151/208). Residencies refusing samples increased from 52% (148/286) to 78% (166/212), and residencies that do not allow industry representatives to have access to learners increased from 43% (124/286) to 74% (157/212). Residency programs that forbade industry-sponsored activities remained stable (67% versus 73%). About half (49%) (101/208)) of programs in 2013 qualified as "pharma-free," compared to 26% (75/286) in 2008.
In 2013, one of two family medicine residencies disallow gifts, drug samples, interactions between residents and pharmaceutical sales representatives, and pharmaceutical industry-sponsored activities. This proportion is twice what was observed in 2008. Restrictions increased in all categories except industry-sponsored activities.
大多数住院医师都与制药行业有一定互动。目前尚不清楚这种互动是否随时间发生了变化。我们确定了过去5年中家庭医学住院医师培训项目与制药行业之间的互动是否有所改变。
我们对美国家庭医学住院医师培训项目主任进行了调查，问题涉及行业赞助的礼品、药品样本、行业代表与学员的接触以及行业赞助的住院医师培训活动。这些问题是学术家庭医学教育研究联盟（CERA）2013年进行的一项更大规模调查的一部分。作者比较了2008年和2013年的结果。
2013年CERA项目主任调查的回复率为56%（251/445）；47%（208/445）的受访主任查看并回答了所有调查问题。2008年至2013年期间，不接受礼品或行业赞助食品的住院医师培训项目从48%（137/286）增至73%（151/208）。拒绝药品样本的住院医师培训项目从52%（148/286）增至78%（166/212），不允许行业代表接触学员的住院医师培训项目从43%（124/286）增至74%（157/212）。禁止行业赞助活动的住院医师培训项目保持稳定（67%对73%）。2013年约一半（49%）（101/208）的项目符合“无制药影响”标准，而2008年为26%（75/286）。
2013年，每两个家庭医学住院医师培训项目中就有一个禁止礼品、药品样本、住院医师与制药销售代表的互动以及制药行业赞助的活动。这一比例是2008年观察到的两倍。除行业赞助活动外，所有类别中的限制都有所增加。
