Exposure and attitudes to pharmaceutical promotion among pharmacy and medical students in Kuwait
Keywords:Attitudes, gifts, drug promotion, medical students, pharmacy students
Purpose: To determine exposure and attitudes to, and acceptance of, drug promotion among pharmacy and medical students at Kuwait University.
Methods: A cross-sectional survey of all pharmacy students and a sample of preclinical medical students using a self- administered questionnaire.
Results: A total of 135 pharmacy and 103 medical students completed questionnaires. Medical students reported receiving more training on the ethics of drug promotion than pharmacy students (63 vs. 48%; p = 0.026). Non-educational gifts and glossy advertisements were the most common. A textbook was considered the most appropriate gift (72 and 70%) and hospitality the least appropriate (29 and 24%). Both groups agreed that most drug company talks are biased (74 vs. 60%, respectively; p = 0.008), but there was little other skepticism of pharmaceutical promotion.
Conclusions: Students are exposed to drug promotion from early studies. Formal training to prepare them is required and local institutional ethical guidelines should also be developed.
Barnes, C. J., & Holcenberg, J. S. (1971). Student reactions to pharmaceutical promotion practices. Northwest Medicine, 70, 262 – 266.
Bellin, M., McCarthy, S., Drevlow, L., & Pierach, C. (2004). Medical students’ exposure to pharmaceutical industry market- ing: A survey at one US medical school. Academic Medicine, 79(11), 1041–1045.
Brennan, T. A., Rothman, D. J., Blank, L., Blumenthal, D., Chimonas, S. C., & Cohen, J. J. (2006). Health industry practices that create conflicts of interest. A policy proposal for academic medical centers. The Journal of American Medical Association, 295, 429–433.
IFPMA. (2000). IFPMA code of pharmaceutical marketing practices, IFPMA: Geneva. http://www.ifpma.org/site_docs/ News/Code_English_2000.pdf [Accessed 12 Sept 2006].
Lexchin, J., Norris, P., Herxheimer, A., & Mansfield, P. (2005). Drug promotion: What we know, what we have yet to learn, WHO/HAI: Geneva.
Mantyranta, T., & Hemminki, E. (1994). Medical students and drug promotion. Academic Medicine, 69, 736.
Matowe, L., Al-Kandery, A. A., & Bihzad, S. M. (2003). Pharmacy in Kuwait. American Journal of Health-System Pharmacy, 60, 1591 – 1592.
McCormick, B. B., Tomlinson, G., Brill-Edwards, P., & Detsky, A. S. (2001). Effect of restricting contract between pharmaceu- tical company representatives and internal medicine residents on posttraining attitudes and behavior. The Journal of American Medical Association, 286, 1994–1999.
Mick, T. (1991). Pharmaceutical funding and medical students. The Journal of American Medical Association, 265, 659–664.
Mintzes, B. (2005). Educational initiatives for medical and pharmacy students about drug promotion: An international cross-sectional survey, World Health Organization/Health Action International: Geneva. [WHO/PSM/PAR/2005.2].
National Institute for Health Care Management. (2001). Prescrip- tion drugs and mass media advertising, 2000. Washington: NIHCM Foundation.
Rogers, W. A., Mansfield, P. R., Braunack Mayer, A. J., & Jureidini, J. N. (2004). The ethics of pharmaceutical industry relationships with medical students. The Medical Journal of Australia, 180(8), 411 – 414.
Sandberg, W. S., Carlos, R., Sanoberg, E. H., & Roizen, M. F. (1997). The effect of educational gifts from pharmaceutical firms on medical students’ recall of company names or products. Academic Medicine, 72, 916–918.
Sierles, F. S., Brodkey, A. C., Clearly, L. M., McCurdy, F. A., Mintz, M., & Frank, J. (2005). Medical students exposure to and attitudes about drug company interactions. The Journal of American Medical Association, 294, 1034–1042.
Silversides, A. (2006). Pharmacies receiving massive rebates from generic drug-makers. Canadian Medical Association Journal, 175(4), 342–343.
Suryawati, S., & Santoso, B. (1997). Drug advertisements: A critical lesson for Indonesian students. Essential Drugs Monitor, (23), 23.
Vainiomaki, M., Helve, O., & Vuorenkoski, L. (2004). A national survey on the effect of pharmaceutical promotion on medical students. Medical Teacher, 26(7), 630–634.
Vinson, D. C., McCandless, B., & Hosokawa, M. C. (1993). Medical students’ attitudes toward pharmaceutical marketing: possibilities for change. Family Medicine, 25, 31–33.
Wazan, A. (2000). Physicians and the pharmaceutical industry: Is a gift ever just a gift? The Journal of American Medical Association, 283, 373–380.
WHO. (1998). Ethical criteria for medicinal drug promotion, WHO: Geneva. [ISBN 92 4 154239 X].
Wilkes, M. S., & Hoffman, J. R. (2001). An innovative approach to
educating medical students about pharmaceutical promotion. Academic Medicine, 76, 1271–1277.