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A senior resident attends a medical conference. at which a table sponsored by a drug

company offers free flash drives for attendees. The resident needs a new flash drive for
presentations and asks a friend whether it is appropriate to take one. The friend
responds, "I think it is okay. It is not an expensive item and it won't affect how you
prescribe." According to professional ethical guidelines, which of the following is the
most appropriate course of action?

A. Do not take the flash drive as it is unethical to accept any gifts from
0 pharmaceutical companies

B. Do not take the flash drive as only small gifts that directly benefit patients are
0 acceptable

0 C. Take the flash drive as the gift costs less than $50, which is acceptable
0 D. Take the flash drive as this gift will not influence patient care
0 E. Take the flash drive, but only for personal and not professional use

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Item: ~'?Mark ~ f> 6t ~ ~ , GJIIA)
0. ld : 11911 Prevoous Next Lab Values Notes Calculator Reverse Color Text Zoom

A senior resident attends a medical conference at which a table sponsored by a drug

company offers free flash drives for attendees. The resident needs a new flash drive for
presentations and asks a friend whether it is appropriate to take one. The friend
responds, "I think it is okay. It is not an expensive item and it won't affect how you
prescribe." According to professional ethical guidelines, which of the following is the
most appropriate course of action?

A. Do not take the flash drive as it is unethical to accept any gifts from
pharmaceutical companies [32%)
B. Do not take the flash drive as only small gifts that directly benefit patients are
acceptable [27%)
C. Take the flash drive as the gift costs less than $50, which is acceptable [23%)
D. Take the flash drive as this gift will not influence patient care [1 4%)
E. Take the flash drive, but only for personal and not professional use [4%)

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Explanation: User ld
Physicians should exercise caution when accepting gifts from external parties, such as
pharmaceutical and medical device companies, that have a direct interest in a medical
practice. These gifts can influence a physician's prescriptions or practices, even on a
subconscious level.
To safeguard patients and preserve the reputation of doctors, the American Medical
Association (AMA) guidelines (Opinion 8.061 - Gifts to Physicians from Industry) suggest
accepting nonmonetary gifts from interested parties only if the gifts directly benefit
patient care and are of small monetary value (eg, unbiased educational materials,
drug samples). No gifts of cash or high value, or with implied reciprocity, should be
accepted. The flash drive, although not of high monetary value (Choice C), does not
directly benefit patient care and should not be accepted.
(Choice A) According to AMA guidelines, nonmonetary gifts may be accepted if they
directly benefit patients and are not of high value. Some physicians have decided that
accepting any gift from the pharmaceutical industry, regardless of monetary value or
alleged purpose, is against their personal ethics.
(Choice 0) Even when physicians do not consciously believe they are being unduly
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Explanation: User
Physicians should exercise caution when accepting gifts from external parties, such as
pharmaceutical and medical device companies, that have a direct interest in a medical
practice. These gifts can influence a physician's prescriptions or practices, even on a
subconscious level.
To safeguard patients and preserve the reputation of doctors, the American Medical
Association (AMA) guidelines (Opinion 8.061 - Gifts to Physicians from Industry) suggest
accepting nonmonetary gifts from interested parties only if the gifts directly benefit
patient care and are of small monetary value (eg, unbiased educational materials,
drug samples). No gifts of cash or high value, or with implied reciprocity, should be
accepted. The flash drive, although not of high monetary value (Choice C), does not
directly benefit patient care and should not be accepted.
(Choice A) According to AMA guidelines, nonmonetary gifts may be accepted if they
directly benefit patients and are not of high value. Some physicians have decided that
accepting any gift from the pharmaceutical industry, regardless of monetary value or
alleged purpose, is against their personal ethics.
(Choice 0 ) Even when physicians do not consciously believe they are being unduly
influenced, a gift can affect self-judgment in subtle or subconscious ways and may
inadvertently cause harm to patients. Acceptance of any gift should be considered with
caution.
(Choice E) Even if the flash drive is for only personal use, it may still influence practice
and it does not directly penefit patient care. Displaying the drive may also promote
pharmaceutical marketing.
Educational objective:
Accepting gifts from interested third parties can influence a physician's practice in subtle
or subconscious ways. Only nonmonetary gifts that are of minimal value and that directly
benefit the patient, such as unbiased educational material or drug samples, should be
considered.

Reference.s:
1. Changing interactions between physician trainees and the
pharmaceutical industry: a national survey.
2. Co gifts from the pharmaceutical industry affect trust in physicians?

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