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Relationships Between Drug Company Representatives and Medical Students:Medical School Policies and Attitudes of Student Affairs Deans and Third-Year Medical Students

Received October 6, 2007; revised February 15, 2007; accepted April 10, 2008. Dr. Sierles is affiliated with Psychiatry and Behavioral Sciences at Rosalind Franklin University of Medicine and Science/The Chicago Medical School in North Chicago; Dr. Brodkey is affiliated with the University of Pennsylvania School of Medicine in Philadelphia; Dr. Cleary is affiliated with Internal Medicine at State University at New York Upstate Medical University in Syracuse, N.Y.; Dr. McCurdy is affiliated with Pediatrics at Texas Tech University School of Medicine in Amarillo, Tex.; Dr. Mintz is affiliated with Internal Medicine at George Washington University School of Medicine in Washington, D.C.; Dr. Frank is affiliated with Psychiatry at George Washington University School of Medicine; Dr. Lynn is affiliated with Neurology at Ohio State University School of Medicine in Columbus, Ohio; Dr. Chao is affiliated with Family Medicine at Case Western Reserve University School of Medicine in Cleveland; Dr. Morgenstern is affiliated with Pediatrics at the Mayo Clinic College of Medicine in Rochester, Minn.; Dr. Shore is affiliated with Family Medicine at University of California at San Francisco School of Medicine in San Francisco; Dr. Woodard is affiliated with Psychology at Wayne State University School of Medicine in Detroit. Address correspondence to Frederick S. Sierles, M.D., Rosalind Franklin University of Medicine and Science/The Chicago Medical School, Psychiatry and Behavioral Sciences, 3333 Green Bay Rd., North Chicago, IL 60064; frederick.sierles{at}rosalindfranklin.edu (e-mail).

OBJECTIVES: The authors sought to ascertain the details of medical school policies about relationships between drug companies and medical students as well as student affairs deans’ attitudes about these interactions. METHODS: In 2005, the authors surveyed deans and student affairs deans at all U.S. medical schools and asked whether their schools had a policy about relationships between drug companies and medical students. They asked deans at schools with policies to summarize them, queried student affairs deans regarding their attitudes about gifts, and compared their attitudes with those of students who were studied previously. RESULTS: Independently of each other, 114 out of 126 deans (90.5%) and 114 out of 126 student affairs deans (90.5%) responded (identical numbers are not misprints). Ten schools had a policy regarding relationships between medical students and drug company representatives. Student affairs deans were much more likely than students to perceive that gifts were inappropriate. CONCLUSION: These 2005 policies show trends meriting review by current medical schools in considering how to comply with the 2008 Association of American Medical Colleges recommendations about relationships between drug companies and medical students or physicians.

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