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Article
April 27, 1984

Counter-Detailing

Author Affiliations

Good Samaritan Hospital and Medical Center Portland, Ore

JAMA. 1984;251(16):2084. doi:10.1001/jama.1984.03340400020012

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Abstract

To the Editor.—  Physicians and medical residents are constantly approached by pharmaceutical representatives who are skilled in marketing their company's products. Some residency programs do not allow the pharmaceutical detailers access to their trainees. The faculty of medicine at our hospital developed a plan that not only allows such an interaction but simultaneously improves the trainee's knowledge of drug therapeutics.Good Samaritan Hospital and Medical Center is a 539-bed community hospital in Portland, Ore, with a fully accredited internal medicine training program. Pharmacy residents schedule participating drug representatives and the product they wish to detail. Each morning, the medical residents attend a half-hour teaching conference to discuss interesting patient problems. During the last five minutes of this morning report, the pharmacy resident discusses the pharmacokinetics, therapeutic usefulness, and side effects of the drug of the day. A comparison of efficacy, toxicity, and cost of other available drugs in the same

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