What do we know about docs and pharma?

Last week I had the privilege of speaking at the Oregon Rural Practice Based Research Network (ORPRN) meeting as part of the Oregon Academy of Family Physicians (OAFP) annual assembly.  I was one of several speakers in an afternoon devoted to the Physician-Pharmaceutical Industry relationship and presented a recent paper about my pharm free office.
There were two things that struck me in the questions and answer session that followed the talk.  First, a number of people commented that their offices were also pharm free but they did not write about it in any medical literature.   Surveys show that about 94% of doctors interact in some way with drug reps.  I wonder how many practices out there are pharm-free if nobody is reporting them?
Second, many doctors at the meeting commented that they have tried to take their practices pharm-free but have not been successful for a variety of reasons.
So to all of you reading this post I ask this:

  1. How do you and your practice or hospital interact with pharma?  Are you pharm free?
  2. If you have tried to get your practice or hospital to become pharm-free but have not been successful, what are the barriers?

Let me say how proud I am to be a part of the NPA and the OAFP – two organizations that do not accept pharma money.  And in the spirit of the dialogue that was started at last week’s OAFP meeting please let us know what your practice or hospital is doing with respect to the Physician-Pharmaceutical Industry relationship.