I shadowed an internal medicine specialist last week, and as I was trailing behind him like a lost puppy (ah…the joys of being a clueless medical student) someone who appeared to be his buddy joined us as we reviewed charts and examined some imaging studies that had been ordered. The doctor and his buddy (who I presumed to be another doctor given that he was wearing a pair of blue scrubs) talked about their plans for the weekend, what topics should be presented at an upcoming conference, and then started discussing the pros/cons of various procedures and new techniques that might be helpful.
It was at this point that I got a closer look at the “buddy”, and noticed something inscribed on his scrubs that was neither his name nor the name of the hospital…it was the name of a drug company! Eek! I had been fooled! He was handsome, charming, and seemed to know the medical lingo (perhaps his good looks and perfect hair should have been the first clue?). He followed this doc around for a good 3 hours (maybe even more since I had to leave), including being present for a procedure on a patient, which seemed entirely unnecessary given that there was no “product” being used on this particular person. Drug reps definitely know which doctors respond to their attention, so the doc I was shadowing must have been a huge fan of their products.
It was weird to see the close relationship the two had, but did the patients know the physician was getting followed around all day like that? That he was getting paid to speak at conferences on behalf of this company? I don’t have a problem with drug reps per se…I understand products need to be marketed and sold, and I’m all in favor of competition…but if you publish a paper in a journal, you have to disclose all of your financial ties to show any potential bias you might have. Shouldn’t you do the same for your patients?
I’ve set a goal for myself for next year (my 3rd year of medical school, when I start rotations in the different specialties) – I’m going to see how long I can last without taking a single thing from a drug rep. No pens, no free lunches, no little gadgets…nothing. It’s mostly because I want to force myself to be aware of all the different ways the drug companies woo doctors/nurses/students…and because I like a good challenge. If I last a week, I’ll be proud…if I last a month, I’ll be amazed (free food is really hard to pass up when you’re poor and in a hurry). I’ll try and update the blog with all of the cool stuff I’m passing up, as well as how long it takes before I succumb to peer pressure. It’ll be fun! 😉