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Educational Initiatives for Medical and Pharmacy Students about Drug Promotion: An International Cross-Sectional Survey - EDM Research Series No. 036
(2005; 61 pages) View the PDF document
Table of Contents
View the documentAcknowledgements
Open this folder and view contentsExecutive summary
View the documentIntroduction
View the documentMethods
Open this folder and view contentsResults
View the documentDiscussion
View the documentConclusions
View the documentReferences
View the documentAppendix 1: Sample questionnaire
View the documentAppendix 2: Country breakdown in total
 

Appendix 1: Sample questionnaire

World Health Organization

 

Education about drug promotion

Please take a few minutes to fill in this questionnaire on education about drug promotion for medical and pharmacy students. We are interested in finding out what is being taught about all aspects of drug promotion, including the role of advertisements, samples, gifts and the use of opinion leaders on medical and pharmacy practice, research, ethical issues, regulation, and how to evaluate marketing materials in order to make the right decisions for patient care.

The information from this survey will be included in a manual we intend to publish for medical and pharmacy schools. Survey participants will receive a free copy of the manual.

When you have completed this questionnaire, please return it as an e-mail attachment to sonja@haiweb.org, with the subject line ‘Drug Promotion questionnaire’. You can also send it by fax to Health Action International at: + 31 20 685 5002.

1A Is education about drug promotion part of the required curriculum for all medical students at your institution?

YES

NO - If NO, go to question 1B

1AA How many hours are spent discussing drug promotion within the required curriculum?

1 to 2

3 to 4

5 to 7

8 to 9

10 or more

1AN Name of course or courses:

_____________________________________________________________________________

1B Is education about drug promotion included within an elective course for medical students that is not part of the required curriculum taken by all students?

YES

NO - if NO, go to question 1C

1BA What proportion of students take an elective that includes education on drug promotion?

Under 10%

10-25%

25-50%

more than 50%

1BB How many hours are spent on education about drug promotion in elective courses?

1 to 2

3 to 4

5 to 7

8 to 9

10 or more

1BN Name of course or courses:

_____________________________________________________________________________

1C Is education about drug promotion included within residency or specialty training?

YES

NO or NOT KNOWN- if NO or NOT KNOWN, go to question 1D

1CA Which specialty/specialties:

_____________________________________________________________________________

1CB How many hours are spent on drug promotion within this residency or specialty training?

1 to 2

3 to 4

5 to 7

8 to 9

10 or more

1CN Name of course or courses:

_____________________________________________________________________________

1D Do you or your institution teach students about drug promotion in any other ways than those mentioned above?

NO - if NO, go to question 1E

YES, please explain

_____________________________________________________________________________

1DA How many hours are spent teaching about drug promotion in these other ways?

1 to 2

3 to 4

5 to 7

8 to 9

10 or more

1E If you answered NO to questions 1A, 1B, 1C, and 1D (ALL of the questions above), please go directly to question 13 on page 5. Otherwise, please continue with question 2.

2 What types of promotion do you or your institution cover in education about drug promotion? (Please check all that apply)

Advertisements for medicines (a)

Sales representatives/drug detailers (b)

Free samples (c)

Use of ‘opinion leaders’ (d)

Sponsored conferences and seminars (e)

Promotional ‘research’ funded by companies to stimulate sales (f)

Gifts (g)

Response to patient requests for advertised medicines (h)

Use of the Internet to promote medicines (i)

Industry-funded medical or scientific journals (j)

Industry-funded research published in peer-reviewed journals (k)

Other, please explain (l)

_____________________________________________________________________________
_____________________________________________________________________________

3 Are the regulation and/or ethics of drug promotion covered?

YES

NO - if NO, go to question 4

3A Which of the following issues are covered? (Please check all that apply)

National government regulation of drug promotion (aa)

Professional codes governing interactions with the pharmaceutical industry (ab)

Industry self-regulatory codes (ac)

WHO (World Health Organization) Ethical Criteria for Medicinal Drug Promotion (ad)

IFPMA (International Federation of Pharmaceutical Manufacturers Associations) Code of Marketing Practices (ae)

Ethical issues associated with interactions with the pharmaceutical industry (af)

Other, please explain (ag)

_____________________________________________________________________________
_____________________________________________________________________________

4 What teaching techniques do you or your institution use in education about drug promotion? (Please check all that apply)

Lectures (a)

Small group discussions in tutorials or workshops (b)

Role playing (c)

Critical analysis of sample advertisements (d)

Response to case scenarios (e)

Other, please explain (f)

_____________________________________________________________________________
_____________________________________________________________________________

5 Do you or your institution involve pharmaceutical sales representatives in teaching about promotion?

NO

YES - if YES, how?

_____________________________________________________________________________

6 What are your or your institution’s main objectives for education about drug promotion? (Please check all that apply)

To teach skills in critical appraisal of drug promotion (a)

To expose students to different perspectives (b)

To change students’ attitudes towards drug promotion (c)

To improve prescribing behaviours after graduation (d)

To improve behaviour related to gifts and sponsorship (e)

To increase students’ ability to extract beneficial information from drug promotion (f)

To increase students’ use of independent information sources (g)

To increase students’ use of drug promotion (h)

To decrease students’ use of drug promotion (i)

Other, please explain (j)

_____________________________________________________________________________
_____________________________________________________________________________

7 Are questions about drug promotion included in student examinations (either written or oral tests)?

YES

NO

8 Are you or is your institution carrying out any evaluations of the effectiveness of education on drug promotion? (by evaluation, we mean assessment of whether the educational programme on promotion is meeting its goals.)

YES

NO - if NO, go to question 9

8A Does this evaluation involve any of the following? (Please check all that apply)

Written or oral appraisals of the course (for example participant evaluation forms) (aa)

Comparisons of students before and after they attend educational sessions on drug promotion (ab)

Comparisons of students at your institution who did and did not attend education on promotion (ac)

Comparisons of students at your institution with students at another institution (ad)

Measurements of numbers of students attending education about drug promotion (ae)

Measurement of effects on students after graduation (af)

Time series measurements at several future time points (ag)

Other, please explain (ah)

_____________________________________________________________________________
_____________________________________________________________________________

8B What outcome or outcomes are being evaluated? (Please check all that apply)

Students’ opinions of the educational session or sessions on drug promotion (ba)

Effects on knowledge (bb)

Effects on attitudes (bc)

Effects on skills in critical evaluation of promotional materials (bd)

Effects on skills for interacting with drug representatives (be)

Effects on prescribing behaviour (bf)

Effects on financial relationships with the pharmaceutical industry (bg)

Effects on acceptance of gifts (bh)

Effects on frequency of use of drug company information sources (bi)

Other, please explain (bj)

_____________________________________________________________________________
_____________________________________________________________________________

8C Please briefly describe how this evaluation is carried out:

_____________________________________________________________________________
_____________________________________________________________________________

9 How successful do you believe the educational programme on drug promotion at your institution is in meeting its objectives?

Very successful

Somewhat successful

Somewhat unsuccessful

Not at all successful

Unknown/ no comment

9A Any additional comments:

_____________________________________________________________________________
_____________________________________________________________________________

10 What do you see as the main barriers to success (Please check all that apply)

Lack of interest from other university faculty or staff (a)

Lack of integration of education about drug promotion into the curriculum (b)

Previous student exposure to pharmaceutical promotion (c)

Pharmaceutical industry financing of student activities at your institution (d)

Perceived irrelevance to students’ work after they graduate (e)

Inadequate time allocation in the curriculum (f)

Lack of continuation during students’ clinical training (g)

Students’ overconfidence in their abilities (h)

Students’ desire to receive gifts from drug companies (i)

Other, please explain (j)

_____________________________________________________________________________
_____________________________________________________________________________

11 What materials have been developed for education about drug promotion? (Please check all that apply)

Course syllabus (a)

Course readings and article reprints (b)

Course notes (c)

PowerPoint presentations or equivalent (computer files) (d)

Printed overheads or presentation slides (no computer file) (e)

Case scenarios (f)

Individual or small group assignments (g)

Audio-visual materials (h)

Evaluation materials (i)

Other, please explain (j)

_____________________________________________________________________________
_____________________________________________________________________________

11AA Are these materials publicly available on a website?

NO

YES - please state web address (url)

_____________________________________________________________________________
_____________________________________________________________________________

12 Have you, or colleagues you are teaching with, published any articles or reports describing educational initiatives about drug promotion?

NO

YES - please list published articles or reports below:

_____________________________________________________________________________
_____________________________________________________________________________

13 Would you like a copy of the manual on education about drug promotion that we intend to produce at the end of this research project?

YES

NO

14 Please fill in the following. All personal information will be kept confidential; we will not release the information below to anyone outside our survey team.

Your name: _____________________________________________________________
Institution _______________________________________________________________
Mailing address ___________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Office phone ________________ Mobile phone __________________________________
E-mail address _________________ Fax ________________________________________

15 We may need to contact you for additional information. How may we best reach you?

E-mail Phone Fax

Other, please specify

_____________________________________________________________________________
_____________________________________________________________________________

16 Can you suggest anyone else that we should contact, who is also teaching medical or pharmacy students about drug promotion?

Name ___________________________________________________________________
Institution ________________________________________________________________
E-mail ___________________________________________________________________

17 If you have any additional comments about any of the issues covered on this questionnaire or suggestions for the manual on education about drug promotion, please let us know:

Comments:

 

 

When you have completed this questionnaire, please send as an e-mail attachment to <sonja@haiweb.org> with ‘Drug Promotion Questionnaire’ in the subject line. In case of difficulties with e-mail, you can also fax it to Health Action International:

+31 20 685 5002
or send by mail:
Health Action International
Jacob van Lennepkade 334T,
1053 NJ Amsterdam, the Netherlands

Thank you very much for your help!

 

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