Conflict of interest

Question 1

reasoning for skeptical approach by health care provider to pharmaceutical based evidence and research

Answer 1

• assumptions made by companies
• single favorable trial vs systematic review
• self-funded, lack peer review
• rarely give unfavorable details

Question 2

methods pharmaceutical companies practice when attempting to influence the prescribing habits of healthcare providers

Answer 2

gifting

Question 3

how do various medical offices integrate pharmaceutical representatives into the daily work flow?

Answer 3

• provider discussion
• no gifts of monetary value
• no food unless a CME event
• no promotional items
• all reps must have an appointment, confine activities to a certain area, and abide by PhARMA code for interactions with health professionals
• lectures permitted if speaker discloses financial interests and uses EBM

Question 4

how do national healthcare organizations use policy to help practitioners manage pharmaceutical influences?

Answer 4

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Question 5

what is the sunshine act? what should physicians learn from it?

Answer 5

• requires industry to report any “payment or other transfer of value” to physicians or teaching hospitals
• gifts are designed to modify behavior