*1.

Demographic Data

Gender

 Male
 Female
*2.

Age

*3.

Race

*4.

Name of Medical School

  5.

Year of Study in the Medical School

 1st Year
 2nd Year
 3rd Year
 4th Year
 5th Year
*6.

Academic qualification before entry to medical school

  7.

Do you have any parent(s) / sibling(s) who is a medical doctor ?

 Yes
 No
  8.

Approxiamate total parental income / per month

 Below RM3000
 RM3001 - RM5000
 RM5001 - RM7000
 RM7001 = RM10000
 Above RM10000
  9.

Extent or level of exposure DOMAIN

Since beginning of medical school, how many times have you ;

Received non-educational gift eg. mug / pen from a drug company sales reps?

 None
 Once
 1-4 times
 5 or higher
  10.

Received free meal ie breakfast / lunch / dinner from a drug company sales reps?

 None
 Once
 1-4 times
 5 or higher
  11.

Obtained a drug sample from a drug company sales reps?

 None
 Once
 1-4 times
 5 or higher
  12.

Received educational gifts eg. textbooks / brochures / PDA pilot ( palm pilot ) / pocket antibiotic guidelines / journal reprint from a drug company sales reps?

 None
 Once
 1-4 times
 5 or higher
  13.

Offered partial assistance of your medical course tuition fee from a drug company sales reps ?

 None
 Once
 1-4 times
 5 or higher
  14.

Offered to attend a free seminar organized by a drug company?

 None
 Once
 1-4 times
 5 or higher
  15.

Have the drug companies sponsored any event in the medical school ?

 None
 Once
 1-4 times
 5 or higher
  16.

Attitude Domain

It is ethical for students to receive gifts from drug companies sales reps because it has low influence on students

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
  17.

*Brochures and drug company-sponsored materials are an appropriate source of medical information.

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
Please give your reasons for your OPTION / ANSWER
  18.

It is OK for drug companies to sponsor any events held in the medical faculty

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
  19.

It is OK for drug companies to offer financial assistance to students to pay their tuition fee because it will help them to focus on their studies and students have low income

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
  20.

*Receiving gifts from drug companies increases the chances that medical students will eventually prescribe the company’s drug.

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
  21.

Medical students must be AVOIDED from meeting with drug companies during their studies

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
Please give your reasons for your OPTION / ANSWER
  22.

The information regarding effectiveness of the drug provided by drug companies is always accurate & up to date.

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
  23.

Gifts given by the drug companies will affect your future prescribing behaviour & ability to practice evidence-based medicine.

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
  24.

Medical school should educate students & have a formal policy regarding the interaction with drug companies

 Strongly Agree
 Agree
 Neutral
 Disagree
 Strongly Disagree
Please give your reasons for your OPTION / ANSWER
  25.

Which of these gifts that you feel appropriate from the pharmaceutical industry? (You may choose / tick X more than one gift)

 Non-educational gifts (e.g. Mug, pen, notepads)
 Snack and food (e.g. Meal)
 Drug sample
 Pay the cost of printing notes
 Brochures
 Textbooks
 Provide funds for educational seminar and conferences
 Pay for vacations
 Any gift worth more than RM 100
 Scholarships
  26.

Open ended questions


Do you think that by having a policy regarding interaction with drug companies in your medical faculty, this will influence your belief about gifts promotion by drug companies ?
Why ?

  27.

Many medical students believe that they have not been adequately trained about interacting with pharmaceutical representatives. Why ?

  28.

Since medical students do not have the authority to prescribe yet, they may regard
themselves being free from reciprocal obligations to gift-giving pharmaceutical companies. What’s your opinion?

  29.

What are the possible influences of pharmaceutical gifts to medical students?


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