Table 10 describes respondents’ assessment of the degree of success of their educational programme in meeting its intended goals. There was no difference in the likelihood that a pharmacy or medical faculty respondent judged the programme to be successful. However, those devoting at least four hours to education about drug promotion were more likely to judge their work to be at least ‘somewhat‘ successful than those devoting half a day or less. As shown In Table 10a, the breakdown of responses differed little by region.
Table 10: How successful do you believe the educational programme on drug promotion at your institution is in meeting its goals?
| |
Pharmacy
n=91 |
Medical
n=137 |
Combined
n=228 |
Very successful |
7 (8%) |
9 (7%) |
16 (7%) |
Somewhat successful |
51 (56%) |
70 (51%) |
121 (53%) |
Somewhat unsuccessful |
9 (10%) |
25 (18%) |
34 (15%) |
Not at all successful |
0 |
5 (4%) |
5 (2%) |
Unknown/no comment |
15 (17%) |
23 (17%) |
38 (17%) |
| |
Half a day or less
n=69 |
Four to nine hours
n=66 |
10 or more hours
n=89 |
Very successful |
2 (3%) |
2 (3%) |
12 (14%) |
Somewhat successful |
26 (38%) |
41 (62%) |
53 (60%) |
Somewhat unsuccessful |
16 (23%) |
8 (12%) |
10 (11%) |
Not at all successful |
4 (6%) |
0 |
1 (1%) |
Unknown/no comment |
17 (25%) |
12 (18%) |
8 (9%) |
Table 10a: Opinions on success - by region
| |
Europe
n=92 |
Americas
n=56 |
W Pacific
n=31 |
Africa
n=20 |
SE Asia
n=20 |
E Medit
n=9 |
Very successful |
8 (9%) |
5 (9%) |
1 (3%) |
1 (5%) |
1 (5%) |
0 |
Somewhat successful |
49 (53%) |
26 (46%) |
17 (57%) |
14 (70%) |
10 (50%) |
5 (56%) |
Somewhat unsuccessful |
13 (14%) |
12 (21%) |
3 (10%) |
1 (5%) |
3 (15%) |
2 (22%) |
Not at all successful |
4 (4%) |
0 |
1 (3%) |
0 |
0 |
0 |
Unknown/no comment |
11 (12%) |
8 (14%) |
7 (23%) |
4 (20%) |
6 (30%) |
2 (22%) |
Table 10b: Comments on success of programme
Africa |
Pharmacy |
We do admit that the course needs to be strengthened |
Medical |
We only introduced this topic 2 years ago - haven’t had time to evaluate
In public hospitals, medical representatives have limited access to doctors and pharmacists
This training programme is coupled with other interventions and is not university-based we address some issues as indicated; we would like to stress that it was never part of our planning to specifically address drug promotion as separate topic
Drug promoters take advantage of drug shortages in our country to sell their products |
Americas |
Pharmacy |
Successful in the sense that teaching about drug promotion occurs alongside other topics - outcomes are evaluated accordingly
Solo lo realizamos con los internos de medicina y farmacia cuando estan rotando por los servicios de medicina interna, y esto dura solo tres meses. En el caso del curso optativo de marketin farmaceutico este dura solo 4 meses
Se requiere de un programa con visión holística sobre la relación “Laboratorio farmacéutico-medicamento-farmacéutico-médico-paciente”, que no está considerado en el pensum. Un programa así requiere inversión que no cuenta con auspiciante independiente |
Medical |
Lectures have directly caused several institutional changes: drug reps are not allowed to feed internal med. students; drug reps are banned from hospital formulary committee; free samples and meals are banned from student health services |
South-East Asia |
Pharmacy |
Not much positive attitude achieved
Even among lecturers they have a different standing point on this issue |
Medical |
Students are in general very enthusiastic to evaluate real drug advertisements
Our educational programme on drug promotion covers only superficial knowledge
Need more time in pharmacology courses to provide more learning experience to students and achieve more objectives |
Europe |
Pharmacy |
The students find the course interesting and important for their future work. They especially find the critical review of research articles important
For success, all doctors must be consenting |
Medical |
We’ve performed earlier evaluations of our education and generally scored high
We have just evaluated the degree of interest of the students on this seminar
Very limited teaching on this subject
This is just one lecture about this reality, just a starting point, year five in medical school
Some students comment on our teaching of the matter
Me gustaría mejorar la formación que se da a los alumnos de medicina sobre promoción de medicamentos
I would like to synchronize education on this subject between the different student categories we teach but this has proven difficult.
Effectiveness minimized as students too young
Case studies encourage participants to reflect conflict of interests and the role of scientists in the promotion of drugs. It demonstrated the risks of public-private partnerships in publicly underfunded research institutions |
Western Pacific |
Pharmacy |
We do a joint project with medical students - difficulty in getting groups to “gel”
Need evaluation on the effectiveness of the course
Lack of practical component to be able to evaluate the outcome |
Medical |
Very wide range of responses from students; some are very aware of the issue, while others are uninterested and just can’t wait to get to the freebies
There is too much influence from the pharmaceutical industry in terms of monetary benefits to graduate students. Because of local economic conditions, it is difficult for most to say no.
Staff who facilitate 3rd year tutorials are not always knowledgeable and/or motivated enough to make the tutorials effective
Need to do much more
More an individual than an institutional initiative
It will be more effective if the guidebook or textbook for it were given by the companies
Effectiveness has not been rigorously evaluated |
Eastern Mediterranean |
Pharmacy |
Drug promotion is neglected in the curriculum and it is less endorsed by the regulatory authorities in the country |
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