Thursday, May 03, 2007

Doctors For Sale

I was just devastated after reading this article about how pharmaceutical reps target physicians for sales:

"Drug reps are selected for their presentability and outgoing natures, and are trained to be observant, personable, and helpful. They are also trained to assess physicians' personalities, practice styles, and preferences, and to relay this information back to the company. Personal information may be more important than prescribing preferences. Reps ask for and remember details about a physician's family life, professional interests, and recreational pursuits. A photo on a desk presents an opportunity to inquire about family members and memorize whatever tidbits are offered (including names, birthdays, and interests); these are usually typed into a database after the encounter. Reps scour a doctor's office for objects—a tennis racquet, Russian novels, seventies rock music, fashion magazines, travel mementos, or cultural or religious symbols—that can be used to establish a personal connection with the doctor."

The article goes on to detail how doctors are rated according to their susceptibility to sales pressure, and the methods the reps use to weaken the resolve of skeptical ones. It also mentions how when the doctor is resistant, they often go after their office staff.

In our office, we do like the drug reps and their occasional meal or two, but we have a written policy regarding such things. There is a very clear line drawn, because the outside forces to push or cross it are neverending.

Pharmaceutical reps and their companies will use false information, flattery, and the all-important drug samples to influence good doctors. Often, physicians are overworked and underappreciated, and it can be tempting to see the reps as an aide in the practice, even a friend.

I think it's extra important for office managers such as myself to keep tabs on this kind of thing. I make sure our receptionist doesn't allow any calls from pharmaceutical companies to go through, unless the doctors have made a specific request. She's very well-trained as to their tricks. Our doctors actually appreciate this due diligence, as they feel the reps are a nuisance.

Read the article and tell me what you think. There are so many things which don't contribute to the practice of good medicine. I'd say this rates pretty high on that list.

4 Comments:

At 2:26 PM, Anonymous Anonymous said...

Anne, Hi, I read your blog and have a comment and a request. First it is not just Drs, who are for sale it is all of us. Our staff of 80 receives 2 to 3 free (and expensive) lunches each month from the drug reps to buy access to our docs. I would be pleased to eliminate the practice but it is not nearly as bothersome to the MD’s and the NP’s and the RN’s and the MA’s as it is to this MBA. Hmmm, what does that tell you about the values of our system? Worse yet our system is structured to support procedure yield. There is no money in caring for patients. There are big bucks in doing things to patients, i.e injections, surgery etc. When the patient has no more procedures to harvest from their condition they are shipped off to the next specialist in line. We in pain management are at the end of that train so we see its results (and to some extent contribute to the problem). It is not Docs who are for sale, it is the system – to the detriment of all. Please feel free to post this.

 
At 2:36 PM, Anonymous Anonymous said...

Our surgeon's office receives at least one or two free meals a week from reps (not just pharm reps, but all other products, braces, instrumentation, etc). I would prefer to discontinue it, but the staff would rebel, and the doctors want to keep them happy with a free lunch. They are a nuisance to me (manager) much more than the physicians.

 
At 4:45 PM, Anonymous Anonymous said...

I'm with a primary care group and we receive lunch for our staff daily and we are scheduled to the end of the year. Now the reps who cannot get in are wanting to have Starbuck coffe breaks in the afternoon. As a manager, they are a pain but the doctors don't seem to mind. who should be policing the various groups? Isn't this illegal or at the least immoral?

 
At 1:16 PM, Anonymous Anonymous said...

I am a faculy clinical pharmacist at a Family medicine residency with 15 years experience.

This practice is here to stay! The faculty physicians actively prevent me from limiting drug rep access, lunches and gifts. Consider that these are the people training the physicians of tomorrow. The ramifications of these practices are reviewed with them routinely via journal clubs, faculty meetings and attempts at counter detailing, but I suspect that we are doomed to see the elderly and poor pay for our lunches and pens for many, many, many more years.

 

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