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721 – European Psychiatric Trainees and their Interactions with the Pharmaceutical Industry: Results from the EFPT-PRIRS Study

Published online by Cambridge University Press:  15 April 2020

F. Riese
Affiliation:
Psychiatric University Hospital Zurich, Zurich, Switzerland
S. Guloksuz
Affiliation:
Department of Psychiatry and Psychology, Maastricht University Medical Centre, EURON, Maastricht, The Netherlands
C. Roventa
Affiliation:
University Psychiatry Hospital Pr. Dr. Al. Obregia, Bucharest, Romania
J.D. Fair
Affiliation:
Kershaw Unit, Gartnavel Royal Hospital, Glasgow, UK
H. Haravuori
Affiliation:
Hospital District of Helsinki and Uusimaa, Kellokoski Hospital and National Institute for Health and Welfare, Helsinki, Finland
T. Rolko
Affiliation:
Psychiatric Clinic, Tartu University Hospital, Tartu, Estonia
D. Flynn
Affiliation:
Department of Psychiatry, St Lukes Hospital, Kilkenny, Ireland
D. Giacco
Affiliation:
Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK
V. Banjac
Affiliation:
Clinic for Psychiatry, University Clinical Center Banjaluka, Banjaluka, Bosnia-Herzegovina
N. Jovanovic
Affiliation:
Department of Psychiatry, University Hospital Center Zagreb, Zagreb, Croatia
N. Bayat
Affiliation:
Arkin Psychiatric Institution, Amsterdam, The Netherlands
C. Palumbo
Affiliation:
Department of Neuroscience and Sense Organ, University of Bari, Bari, Italy
M. Rusaka
Affiliation:
Riga Stradins University, Riga, Latvia
O. Kilic
Affiliation:
Department of Psychiatry Research and Geriatric Psychiatry, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey
J. Augėnaitė
Affiliation:
Vilnius University Psychiatric Clinic, Vilnius, Lithuania
A. Nawka
Affiliation:
Department of Psychiatry, First Faculty of Medicine, Charles University in Prague, Prague, Czech Republic
M. Zenger
Affiliation:
Kokkola Central Hospital, Kokkola, Finland
I. Kekin
Affiliation:
Department of Psychiatry, University Hospital Centar Zagreb, Zagreb, Croatia
P. Wuyts
Affiliation:
UPC KU Leuven, Leuven, Belgium
E. Barrett
Affiliation:
Our Lady's Hospital for Children, Crumlin, Dublin, Ireland
N. Bausch-Becker
Affiliation:
Psychiatric University Hospital Zurich, Zurich, Switzerland
J. Mikaliunas
Affiliation:
Vilnius University Psychiatric Clinic, Vilnius, Lithuania
E. del Valle
Affiliation:
University Hospital of Angers, Angers, France
K. Feffer
Affiliation:
Shalvata Mental Health Center, Hod Hashron, Israel
G.A. Lomax
Affiliation:
South West London and St George's Mental Health Trust, London, UK
J. Gama Marques
Affiliation:
Centro Hospitalar Psiquiatrico de Lisboa, Lisbon, Portugal
S. Jauhar
Affiliation:
Institute of Psychiatry, King's College, London, UK

Abstract

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The influence of pharmaceutical industry (PI) on clinical practice and research in psychiatry has been considered a serious problem. Strict rules and guidelines were developed to regulate the interactions between doctors and PI. However, there is an ongoing debate whether these were thoroughly implemented in practice and internalized by physicians. The objective of our study was to assess the attitudes and behaviors of trainees in psychiatry and child & adolescent psychiatry toward PI across Europe. Methodologically, a validated questionnaire with additional items was administered to1444 trainees in 20 European countries. The minimum response rate was set at 60%. We found a high variation across countries in number of interactions between trainees and PI representatives; Portugal and Turkey had the highest number of interactions. The majority (59.76%) agreed that interactions with PI representatives have an impact on physicians’ prescribing behavior; whereas only 29.26% and 19.79% agreed interactions with PI representatives and gifts from PI have impact on their own prescribing behavior, respectively. Most of the gifts were considered appropriate by the majority, except tickets to vacation spot and social dinner at a restaurant. Of the sample, 70.76% think they have not been given sufficient training regarding how to interact with PI representatives. Only less than 20% indicated they have guidelines at institutional or national level. In conclusion, there is substantial interaction between trainees and PI across countries. The majority feel inadequately trained regarding professional interaction with PI, and believes they are immune to the influence of PI.

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Copyright © European Psychiatric Association 2013
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