Transcript Main Title - University of Massachusetts Medical School

The following presentation contains some items
that are covered by copyright and are used
under Fair Use for education and the federally
legislated TEACH Act. Any use for other
purposes must follow U.S. copyright rules.
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The contents of this module are accurate at the
timeMaster
of publication.
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subtitle style
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
1. I prefer to avoid all interactions with pharmaceutical representatives.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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2. I don’t mind talking with pharmaceutical representatives.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
3. Pharmaceutical representatives can be a useful resource.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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4. I get useful information from pharmaceutical representatives.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
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Pharmaceutical Marketing
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UMASS MEDICAL SCHOOL
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Objectives
Prescribers will be able to:
• Demonstrate understanding that
pharmaceutical
representative
are
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titlevisits
style
part of a highly structured marketing
campaign with the goal of increasing
product
Click
tosales.
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• Recognize the marketing techniques used
by pharmaceutical representatives and
their impact on prescribing.
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MEYERS PRIMARY CARE INSTITUTE
Case
It is noon-time in your busy clinic
Curious
and
hungry
you head
to
the door
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to
edit
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title
style
and see the rep from GBU
pharmaceuticals
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You are having a busy day and your
stomach starts to grumble...
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MEYERS PRIMARY CARE INSTITUTE
What would you do?
(Please choose an answer below)
A. Try to slip into the room and get some food without
talking to anyone?
B. Go into the room to get some lunch, and listen to the
pharmaceutical representative’s talking points?
C. Come up with a specific question about the
pharmaceutical representative’s product to ask
before
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going in to get your lunch?
D. Go to the café for lunch?
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Pharm Rep Training
Focused biomedical and
product training
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Marketing, sales and
persuasion
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Pharm Rep Job Description
“The physician is eating with a friend. You
are
eating
Click
towith
edita client.”
Master title style
-Shahram Ahari
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Fugh-Berman A, et al. PLoS Med. 2007;4(4):e150.
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Detailing
Detail - n. [di-′tāl, ′dē-tāl ] - extended
treatment
of or attention
particular
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Mastertotitle
style
items
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Detailing - v. [di-′tāl, ′dē-tāl ] - to report
minutely and distinctly
Merriam-Webster, Incorporated. “Detail." Merriam-Webster online dictionary. 2008. Available at: http://www.merriamwebster.com. Accessed January 22, 2008.
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MEYERS PRIMARY CARE INSTITUTE
Promotion of Prescription Drugs
$27.7 billion
100%
Targeting
Consumers
80%
60%
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40%
Targeting
Physicians
Over
100,000
pharma
sales reps
20%
0%
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2004
It is estimated that drug companies spent $7.3 billion dollars on sales
rep contacts (including free lunches and pens)
Springen, K. Newsweek. 2006. Available at: http://msnbc.msn.com/id/15143275/site/newsweek/. Accessed
October, 2006.
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Pharmaceutical Branding of
Resident Physicians
90%
85%
79%
80%
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55%
60%
40%
20%
31%
14%
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al
cu
la
to
r
C
am
m
H
R
ef
le
x
al
ip
er
s
er
g
Ta
e
te
th
os
co
p
S
R
ef
er
en
ce
B
P
oo
k
en
0%
C
Percentage of Residents Carrying Item with
Pharmaceutical Brand
100%
Sigworth S, et al. J Am Med Assoc. 2001;286(9):1024-1025.
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100%
83%
78%
80%
94%
83%
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60%
40%
26%
18%
20%
th
es
e
A
ny
of
Fo
od
Sp
ea
ki
ng
g
ul
tin
on
s
C
is
si
on
E
Ad
m
G
pl
es
Sa
m
ru
g
ift
s
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0%
C
D
16%
M
Percentage of Respondents
Percentage of Physicians with Physician-Industry
Relationships According to Benefit Received
Campbell E, et al. N Engl J Med. 2007;356:1742-1750.
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Average number of meeting with
industry representatives per month
18
16
14
12
10
8
6
4
2
0
16
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10
9
8
4
2
is
t
s
on
s
si
o
lo
g
rg
e
he
An
es
t
tri
di
a
Pe
Su
ci
an
s
s
is
t
og
te
In
ad
io
l
C
Fa
m
ily
M
ed
ic
in
rn
is
t
e
s
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Campbell E, et al. N Engl J Med. 2007;356:1742-1750.
UMASS MEDICAL SCHOOL
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Physicians say…
How useful is information from drug industry
representatives about diseases or treatments?
5%
2%
15%
20%
74%
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59% style
Very Useful
Somewhat useful
Not very useful
Not at all useful
No Answer
Kaiser Family Foundation. National survey of physicians. March 2002.
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MEYERS PRIMARY CARE INSTITUTE
Physicians say…
In general, how accurate is the information that drug industry
representatives provide about diseases and treatment options?
1% 4%
9%
13%
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81%
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style
72%
Very accurate
Somewhat accurate
Not very accurate
Not at all accurate
No Answer
Kaiser Family Foundation. National survey of physicians. March 2002.
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Quote from Prescriber
– “Sometimes we don’t even talk about
drugs, we just chat about the kids and it’s
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to
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good to have a relaxed and friendly lunch.”
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Fischer MA, et al. Unpublished data; Manuscript in submission.
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How does this make you feel?
(Please enter your answer below)
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Quote from Prescriber
• “I must admit that for all the years that I have
been prescribing drugs and practicing, I have
always been conflicted about that, especially
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to
edit
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when I look at … some of the perks that
some of the physicians get.”
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Fischer MA, et al. Unpublished data; Manuscript in submission.
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Detailing
Pharma industry research suggests
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to edit
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“quality”
detailing
retains itstitle
value style
in
changing prescriber behavior
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Pharmaceutical Executive, IMS Health. From message to prescription: new techniques for determining message impact.
Special Reports. Executive Summaries of IMS & Pharmaceutical Executive Webcasts. Broadcast live on November 15, 2006.
Available at: http://pharmexec.findpharma.com/pharmexec/form/formDetail.jsp?formId=440205 Accessed January 23, 2007.
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
“We
can’t
do
it
like
we
always
did,
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with a cookie-cutter approach”
-Suneet Varma
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Pharmaceutical Executive, IMS Health. From message to prescription: new techniques for determining message impact.
Special Reports. Executive Summaries of IMS & Pharmaceutical Executive Webcasts. Broadcast live on November 15, 2006.
Available at: http://pharmexec.findpharma.com/pharmexec/form/formDetail.jsp?formId=440205 Accessed January 23, 2007.
UMASS MEDICAL SCHOOL
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What do pharm reps know about
you?
Prescribing patterns
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Demographics of practice
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Personal
information
Greene JA. Ann Intern Med. 2007;146:742-748.
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
How do you feel about the fact that
pharmaceutical reps have this
information about you?
(Please enter your answer below)
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UMASS MEDICAL SCHOOL
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Physicians say…
Do drug company representatives receive information about how
often you prescribe certain drugs?
6%
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Click 34%
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60% style
Yes
No
No Answer
Kaiser Family Foundation. National survey of physicians. March 2002.
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Physicians say…
Suppose that drug company representatives do receive this information, which
of the following statements comes closest to your opinion of this practice?
4%
22%
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31%
74%
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style
43%
I have no problem with them collecting and using this info
It bothers me, but I understand why they do it
It is unacceptable for them to collect and use this information
No Answer
Kaiser Family Foundation. National survey of physicians. March 2002.
UMASS MEDICAL SCHOOL
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A Physician Survey of the Effect of Drug
Sample Availability on Physicians’
Behavior
• 131 of 154 general medicine and family physicians
(University-based clinics, 79 residents, 52
attendings) questionnaire.
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• Three hypothetical clinical scenarios: Patient with
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Master
subtitle style
uncomplicated
urinary
tract infection,
hypertension, depression.
Chew L, et al. J Gen Intern Med. 2000;15:478-483.
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A Physician Survey of the Effect of Drug
Sample Availability on Physicians’
Behavior
• 92% said they would prescribe a diuretic or bblocker as initial therapy.
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• When samples were made available, 32 of the 35
(91%) physicians who said they would give a drug
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subtitlefrom
style
sample
selected
a drug
that differed
their
preferred choice.
Chew L, et al. J Gen Intern Med. 2000;15:478-483.
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
A Physician Survey of the Effect of Drug
Sample Availability on Physicians’
Behavior
Patient now has health insurance, blood pressure
controlled on sample drug.
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69% said they would write a prescription for the
sampled medication rather than switch therapy.
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Chew L, et al. J Gen Intern Med. 2000;15:478-483.
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Types of Prescribers
(Defined by Pharma)
Independents
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Transactionals
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Seekers
Relationship Seekers
Stievater DN, et al. Pharm Exec. 2006, Sep 1.
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Independents
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For more information on practicing evidence-based
medicine, see the EBM module
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Transactionals
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For more information on this please see the ProviderPharmaceutical Representative (PR) Communication module
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Knowledge Seekers
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Relationship Seekers
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What ‘type’ of prescriber are you?
(Please choose an answer below)
Independent
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Transactional
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Relationship Seeker
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Other Types of Marketing to
Prescribers
Emails
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to
edit
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title
style
Faxes
CDs
in mail
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Thumb Drives
in the mail
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Professional Societies and
Conferences
2006 showed that pharmaceutical companies
spent up to $65 million annually on CME
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Averaged $15 million per company
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70% said they would maintain or increase that
spending in the following year
Lab Business Week (via NewsRx.com). Continuing medical education spending to increase in 2007. 2006, Sep 25. Available
at: http://www.newsrx.com/article.php?articleID=359443 Accessed March 8, 2007.
UMASS MEDICAL SCHOOL
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Peer-reviewed Journals
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Fugh-Berman A, et al. PLoS Med. 2006;3(6):e130.
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Academic Medical Centers
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Campbell E, et al. J Am Med Assoc. 2007;298:1779-1786.
UMASS MEDICAL SCHOOL
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Spending on Direct-to-Consumer Advertising
(billions of dollars)
The Development of Direct-to-Consumer
Prescription Drug Advertising
4.5
4.0
4.2
4.0
3.3
3.5
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3.0
2.5
2.7
2.6
2.5
1.8
2.0
1.5
1.0
1.1
1.3
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0.5
0.0
1997
1998
1999
2000
2001
2002
2003
2004
2005
Kessler D, et al. Ann Fam Med. 2007;5(1):4-5.
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Power of Drug
Advertising
– $236 million spent ‘03-’06
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–Click
Sales $1.2
billion Master
in ’04
title style
– Est.
10 million
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to editAmericans
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– Lamisil cures 38%
Langreth, R et al. 2006. Available at: http://www.forbes.com/forbes/2006/0508/094a. Accessed October, 2006.
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Direct to Consumer
Advertising
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Medical Marketing & Media. Available at: http://www.mmm-online.com/Exploring-alternate-media-avenues/article/24909/.
Accessed October 22, 2007.
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Patient Support Groups
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Ginsberg T. Philadelphia Inquirer. 2006, May 28;A:01; Restless Leg Syndrome (RLS) Foundation. Restless Leg Syndrome
Foundation 2007annual report. Available at: http://www.rls.org/NETCOMMUNITY/Document.Doc?&id=1282 Accessed
August 13, 2008.
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Monitoring
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Pew Foundation. Available at: http://www.pewinternet.org/index.asp.
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Academic Detailing
Presentation of data on clinical
pharmacology and cost issues
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title
style
Presented
by trained
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pharmacists or other
professionals without links to
the subtitle
pharmacy style
industry
Master
Shown to improve prescribing
decisions and reduce costs
Avorn J, et al. N Engl J Med. 1983;308(24):1457-1463.
UMASS MEDICAL SCHOOL
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Key Points
PR visits are part of a highly structured
marketing campaign with the goal of
increasing product sales
– Prescriber detailing, sponsored CME
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to
edit
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title
style
programs, professional society, conference
and academic center grant support, DTC
advertising, sponsored patient support groups
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subtitle style
areClick
all marketing
strategies
– Industry monitors prescribing patterns and
patient usage often without public knowledge
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Recommendations
– Be alert to marketing techniques
– Know yourself
– Talk to patients and office staff about the
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Master title style
involvement
of pharma
– Consider approaches to limit personal and
professional contact
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– Contact local institutions/professional
societies to learn about local academic
detailing
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Recommendations
– For more information, resources, and skills on
managing pharmaceutical marketing see our
modules on:
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title style
• Provider-Pharmaceutical
Representative
(PR)
Communication
• Communicating with Patients
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• Evidence-Based Medicine (EBM)
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MEYERS PRIMARY CARE INSTITUTE
Case
It is noon-time in your busy clinic
Curious
and
hungry
you head
to
the door
Click
to
edit
Master
title
style
and see the rep from GBU
pharmaceuticals
Click to edit Master subtitle style
You are having a busy day and your
stomach starts to grumble...
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
What would you do?
(Please choose an answer below)
A. Try to slip into the room and get some food without
talking to anyone?
B. Go into the room to get some lunch, and listen to the
pharmaceutical representative’s talking points?
C. Come up with a specific question about the
pharmaceutical representative’s product to ask
before
Click to edit Master subtitle style
going in to get your lunch?
D. Go to the café for lunch?
Click to edit Master title style
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
References

Avorn J, Soumerai SB. Improving drug-therapy decisions through educational outreach: a randomized
controlled trail of academically based “detailing”. N Engl J Med. 1983;308(24):1457-1463.

Campbell E, Gruen R, Mountford J, Miller L, Cleary P, Blumenthal D. A national survey of physician–industry
relationships. N Engl J Med. 2007;356:1742-1750.

Campbell E, Weissman J, Ehringhaus S, et al. Institutional academic–industry relationships. J Am Med
Assoc. 2007;298:1779-1786.

Chew L, O'Young T, Hazlet T, Bradley K, Maynard C, Lessler D, A physician survey of the effect of drug
sample availability on physicians' behavior. J Gen Intern Med. 2000;15:478-483.

Fischer MA, Keough ME, Baril J, Saccocio L, Mazor KM, Ladd E, Von Worley A, Gurwitz J. Attitudes of
prescribers towards pharmaceutical marketing: needs assessment and implications for training and policy.
Unpublished data; Manuscript in submission.

Fugh-Berman A, Ahari S. Following the script: how drug reps make friends and influence doctors. PLoS Med.
2007;4(4):e150.

Fugh-Berman A, Alladin K, Chow J. Advertising in medical journals: should current practices change? PLoS
Med. 2006;3(6):e130.

Ginsberg T. Donations tie drug firms and nonprofits: many patient groups reveal few, if any, details on
relationships with pharmaceutical donors. Philadelphia Inquirer. 2006, May 28;A:01.

Greene JA. Pharmaceutical marketing research and the prescribing physician. Ann Intern Med.
2007;146:742-748.

Kaiser Family Foundation. National survey of physicians. March, 2002.
Click to edit Master title style
Click to edit Master subtitle style
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
References

Kessler D, Levy D. Direct-to-consumer advertising: is it too late to manage the risks? Ann Fam Med.
2007;5:4-5.

Lab Business Week (via NewsRx.com). Continuing medical education spending to increase in 2007. 2006,
Sep 25. Available at: http://www.newsrx.com/article.php?articleID=359443 Accessed March 8, 2007.

Langreth, R., Herper, H. Pill pushers. 2006. Available at: http://www.forbes.com/forbes/2006/0508/094a.
Accessed October, 2006.

Medical Marketing & Media. Available at: http://www.mmm-online.com/Exploring-alternate-mediaavenues/article/24909/. Accessed October 22, 2007.

Merriam-Webster, Incorporated. “Detail”. Merriam-Webster online dictionary. 2008. Available at:
http://www.merriam-webster.com. Accessed January 22, 2008.

Pew Foundation. Available at: http://www.pewinternet.org/index.asp.

Pharmaceutical Executive, IMS Health. From message to prescription: new techniques for determining
message impact. Special Reports. Executive Summaries of IMS & Pharmaceutical Executive Webcasts.
Broadcast live on November 15, 2006. Available at:
http://pharmexec.findpharma.com/pharmexec/form/formDetail.jsp?formId=440205 Accessed January 23,
2007.
Click to edit Master title style
Click to edit Master subtitle style

Restless Leg Syndrome (RLS) Foundation. Restless Leg Syndrome Foundation 2007annual report. Available
at: http://www.rls.org/NETCOMMUNITY/Document.Doc?&id=1282 Accessed August 13, 2008.

Sigworth S, Nettleman M, Cohen G. Pharmaceutical branding of resident physicians. J Am Med Assoc.
2001;286:1024-1025.

Springen, K. Saying no to big pharma. Newsweek. 2006. Available at:
http://msnbc.msn.com/id/15143275/site/newsweek/. Accessed October, 2006.

Stievater DN, Petersen A, Bhatia R. Sewing up new sales. Pharmaceutical Exec. 2006, Sep 1.
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Resources
•
•
Consumer Reports Best Buy Drugs
http://www.consumerreports.org/health/best-buy-drugs/index.htm
•
•
Journal Watch
http://www.jwatch.org/
•
•
Medical Letter
http://www.medicalletter.org/
•
•
Medline (through the U.S. National Library of Medicine)
http://www.ncbi.nlm.nih.gov/sites/entrez?db=pubmed
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Attorney General Consumer and Prescriber Education Grant Program Initiated Resources
http://www.rxfacts.org/
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subtitle style
•
Brigham & Women's Hospital
•
Georgetown University
http://www.pharmedout.org/
•
MGH Institute of Health Professionals
http://www.perxinfo.org/perx.html
•
University of Kentucky
http://www.cecentral.com/
•
University of North Carolina, Chapel Hill
http://harryguess.unc.edu/
•
University of Massachusetts Medical School/
Meyers Primary Care Institute
http://www.umassmed.edu/meyers/index.aspx
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Resources
Additional Learning Modules in This Series
 Communicating with Patients
 Evidence-Based Medicine (EBM)
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 Organizational Influences on Prescribing
 Pharmaceutical Development and Regulation
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subtitle style (PR)
 Provider-Pharmaceutical
Communication
 Links to Web-Access and Downloadable Versions Available at:
http://www.umassmed.edu/meyers/index.aspx
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Questions
1. A 2002 Kaiser Family Foundation survey found that MOST physicians
believe that the information from drug companies is at least somewhat
accurate.
A. True
B. False
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Answer
1. A: True.
This 2002 Kaiser Family Foundation survey found that 74% of doctors report
that the information provided by drug companies is at least somewhat useful,
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and an even larger margin, 84% feel that it is at least somewhat accurate.
This may be one reason that so many prescribers rely on information from
pharmaceutical companies to maintain and add to their knowledge of
medications.Click
Our module
questions
whethersubtitle
that is an effective
to edit
Master
styleapproach.
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Questions
2. Medline is funded by the pharmaceutical industry.
A. True
B. False
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Answer
2. B: False.
Medline is a service of the National Library of Medicine, and is freely
available to all (prescribers or patients) over the internet.
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Questions
3. The bulk of the money that the pharmaceutical industry spends on
promoting prescription drugs is spent on promoting drugs to prescribers.
A. True
B. False
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Answer
3. A: True.
As reported in Newsweek in 2006, approximately 80% of the nearly $28
billion spent on promoting prescription drugs in the year 2004 targeted
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prescribers (this includes medical journal advertising, detailing and
sampling).
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Questions
4. Free samples influence prescribing.
A. True
B. False
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Answer
4. A: True.
A study of hypothetical cases published in the Journal of General Internal
Medicine in 2000 reported that the availability of sample drugs changed the
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initial prescribing choices of 91% of physicians from guideline concordant to
sample medication when treating hypertension in patients without insurance.
The study also determined that if those same patients later acquired health
insurance 69%
of physicians
would
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the sampledstyle
medication rather
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than switch to a guideline concordant treatment.
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
5. More than half of the promotional funds for prescription drugs are spent on
samples.
A. True
B. False
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Answer
5. A: True.
The same Newsweek article mentioned above reported that the majority of
the nearly $28 billion spent on promoting prescription drugs is spent on
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samples.
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UMASS MEDICAL SCHOOL
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Questions
6. Pharmaceutical companies purchase detailed information on physicians’
prescribing practices.
A. True
B. False
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Answer
6. A: True.
Although some states have limited these practices, pharmaceutical
companies can purchase information regarding physician prescribing
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practices. They can then use this information to target detailing to change
these practices, and follow prescribing data to determine if their detailing is
effective.
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
7. The major journals, such as JAMA, NEJM, and BMJ refuse drug
advertisements that could be misleading.
A. True
B. False
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UMASS MEDICAL SCHOOL
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Answer
7. B: False.
Most journals would refuse drug advertisements that were overtly incorrect,
however one objective of advertising is to highlight benefits of a drug, and as
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such many are misleading. Our module on Evidence-Based Medicine (EBM)
offers several examples of misleading advertisements.
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UMASS MEDICAL SCHOOL
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Questions
8. At least some pharmaceutical companies “type” prescribers in order to
tailor their approach to the prescriber.
A. True
B. False
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Answer
8. A: True.
The types that have been described in pharmaceutical marketing trade
magazines include Independent, Transactional, Knowledge Seeker,
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Relationship Seeker. Identifying the type that fits you most may help you to
respond better to detailing and resist undue influence on your prescribing.
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
9. The information on Consumer Reports BestBuy website on drugs has been
shown to be biased.
A. True
B. False
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Answer
9. B: False.
Consumer Reports BestBuy drugs website relies on independent and
unbiased analysis of published drug efficacy data and is thus an excellent
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resource for clinicians and patients to learn about medications.
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UMASS MEDICAL SCHOOL
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Questions
10. The term “academic detailing” refers to a special type of training session
that is ONLY available to academic physicians.
A. True
B. False
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Answer
10. B: False.
Academic detailing involves presenting objective data on clinical
pharmacology and cost issues to prescribers. It differs significantly from
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pharmaceutical company detailing because it draws from a broad research
base and material is presented by trained pharmacists or other professionals
without links to the pharmacy industry. Academic detailing has been shown
to improve prescribing
and reduce subtitle
costs while improving
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therapy utilization.
UMASS MEDICAL SCHOOL
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Questions
11. I prefer to avoid all interactions with pharmaceutical representatives.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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12. I don’t mind talking with pharmaceutical representatives.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
13. Pharmaceutical representatives can be a useful resource.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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14. I get useful information from pharmaceutical representatives.
A. Strongly Agree
B. Agree
C. Disagree
D. Strongly Disagree
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UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
15. Did completing this module help you to understand that pharmaceutical
representative visits are part of a highly structured marketing campaign with
the goal of increasing product sales?
A. Yes, definitely
B. Yes, probably
C. Probably not
D. Definitely not
E. Not sure
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16. Would you recommend this training module to a colleague?
A. Yes, definitely
B. Yes, probably
C. Probably not
D. Definitely not
E. Not sure
UMASS MEDICAL SCHOOL
MEYERS PRIMARY CARE INSTITUTE
Questions
17. Will you do anything differently in your practice as a result of this training
module?
A. Yes, definitely
B. Yes, probably
C. Probably not
D. Definitely not
E. Not sure
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18. Please tell us about any changes you are considering or planning:
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