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Should medical students be wary of
industry-supported education?
Stanislaw SzlufikStudents Scientific
Association of the Medical University of Warsaw
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
2
Programme
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
3
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
4
Financial Support of CME
CME providers income- 1998 889 million-
2006 2,38 billionCommercial support- 1998
302 million - 2006 1,2 billion

Steinbrook R. JAMA.
2008299(9)1060-1062
For continuing education to continue, commercial
funding must remain healthy. The future of CME
depends on it.
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
5
Financial Support of CME
Pharmaceutical companies
Medical institutionsMedical device
companies
Physicians
ATTENTION

INDUSTRY compromising
affecting
undermining of clinical
health care
reputation decision
delivery of the
profession making
Rothman DJ, et al. JAMA 20093011367-1372
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
6
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
7
Industry and young doctors
Commercial interest any entity producing,
marketing, reselling or distributing health care
goods or services consumed by, or used on,
patients
Accreditation Council for Continuing Medical
Education. ACCME policy updates.
http//www.accme.org/index.cfm/fa/news.detail/news
_id/3605f21a-302a-40d1-ab4d-3ceb88087b1a.cfm
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
8
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
9
Industry and medical students
WHICH GIFT to CHOOSE ?- Small personal item
(pen, mug)- Book or learning tool- Medical
tool, e.g. stethoscope, EKG caliper-
Dinner- Piece of clothing with drug/company
name- Drug samples
WHERE ?- hospital- university- canteen-
conference
Wilkes MS,Acad Med. 2001, 761271-1277.
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
10
Industry and medical students
VARIOUS TYPES OF PROMOTION1. Industry
sponsorship of conference program2. Gifting of
promotional items at the conference3. Satellite
symposia4. Special awards and grants5. Logo and
information about sponsor in - abstract
book, - conference materials, - identity
cards, -on website6. Exhibit hall boots
modified from Rothman DJ, et al. JAMA
20093011367-1372
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
11
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
12
Educational programmes for students
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
13
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
14
Educational programme (1)
AIMS- foster
critical thinking in students- teach students to
find relevant information about drugs in
literature- educate students about drug marketing
METHODS- 120
third-year students- pre- and post-program
questionnaire- one-hour training- pharmacist
course director
2001,University of California, Los Angeles
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
15
Educational programme (1)
OBJECTIVES- understand
reasons for detailing drugs- understand and
of pharm-medical interactions- understand
impact of drug promotion on health care
costs- discuss and of gifts from
pharmaceutical companies- understand accuracy
and honesty of information given to physicians
by firms
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
16
Educational programme (1)
RESULTS
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
17
Educational programme (1)
RESULTS
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
18
Educational programme (1)
RESULTS
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
19
Educational programme (1)
CONCLUSIONS1. Students
attitudes affected by the exercise2. Impact
Students more uncertain than adopted negative
beliefs
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
20
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
21
Educational programme (2)
AIMS- increase
students knowledge and awareness of PCR
encounter- improve students interactions with
PCR
METHODS- 75 third-year
students- pre- and post-program questionnaire-
90-minutes training- PCR course director
2005, USA
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
22
Educational programme (2)
RESULTS
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
23
Educational programme (2)
CONCLUSIONS1. Students
have early exposure to PCR2. Students perceived
information from PCR to have moderate
educational value3. Workshop intervention is
useful for students attitudes
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
24
1. Financial support of Continuing Medical
Education
2. Industry and young doctors
3. Industry and medical students
4. Educational programme for students (1)
5. Educational programme for students (2)
6. Should students be wary?
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
25
Should medical students be wary of
industry-supported education?
YES
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009
26
Thank You for attention
stasiu.szlufik_at_gmail.com
Public Trust in Science and Industry - Supported
Research and Education Benefits and Pitfalls
08.05.2009