Kelcher S, Brownoff R, Meadows L M
Department of Family Medicine, Faculty of Medicine, University of Alberta, Edmonton.
Can Fam Physician. 1998 May;44:1053-6, 1059-60.
Family medicine residents frequently interact with pharmaceutical sales representatives (PSRs) during their medical training; the literature indicates that these meetings affect future prescribing habits. We needed to develop a structured approach to PSR visits because our program did not provide residents with a consistent experience in dealing with PSRs.
To develop a structured approach to PSR visits that would permit residents to better understand the role of PSRs and to gain more from their interactions with PSRs in the future.
First-year family medicine residents at an academic teaching unit in Edmonton were surveyed on their knowledge and attitude to PSRs and then given a 1-hour educational seminar and five structured visits from PSRs. Following each PSR presentation, residents completed an evaluation form and discussed the interaction with their preceptors.
We believe that a structured educational program is better than a written policy restricting interactions between PSRs and residents for providing residents with an understanding of the role of PSRs and making them better prepared for future contact.
家庭医学住院医师在医学培训期间经常与医药销售代表(PSR)互动;文献表明,这些会面会影响未来的处方习惯。由于我们的项目没有为住院医师提供与PSR打交道的一致体验,我们需要制定一种结构化的PSR拜访方法。
制定一种结构化的PSR拜访方法,使住院医师能够更好地理解PSR的角色,并在未来与PSR的互动中收获更多。
对埃德蒙顿一家学术教学单位的一年级家庭医学住院医师进行了关于他们对PSR的知识和态度的调查,然后为他们举办了一场1小时的教育研讨会,并安排了5次PSR的结构化拜访。每次PSR介绍后,住院医师填写一份评估表,并与他们的指导教师讨论互动情况。
我们认为,对于让住院医师理解PSR的角色并为未来的接触做好更充分准备而言,结构化教育项目比限制PSR与住院医师互动的书面政策更有效。