#MDchat

Healthcare Hashtag Twitter Transcript
From: To: Tue May 17 18:00:00 PDT 2011 Tue May 17 19:00:00 PDT 2011 Customize transcript dates and layout

Learn more about #MDchat at The Healthcare Hashtag Project

MD_chat

Welcome to the MDChat Twitter chat! For the next hour, weʼll be talking family medicine and patient-centered care #MDChat
Tue May 17 18:00:12 PDT 2011

PracticalWisdom

Full Disclosure: 4 2nights Topic. My parents R Founders @FieldsMfg 5-star supplierpromotional products. No Pens. #MDchat
Tue May 17 18:00:39 PDT 2011

MeredithGould

@rawarrior May lurk #MDChat
Tue May 17 18:00:45 PDT 2011

MD_chat

For the next hour, we assume that all tweets to #MDChat are your opinions (and not your employersʼ) unless otherwise stated.
Tue May 17 18:01:00 PDT 2011

PhilBaumann

Hi all - wishing @RichmondDoc the best on leading #MDchat tonight. Thank you for helping out the cause!
Tue May 17 18:02:10 PDT 2011

NateOsit

Hey all, Nate here, scrappy health IT pro, ready to swim in a sea of knowledge! :) #MDchat
Tue May 17 18:03:22 PDT 2011

RichmondDoc

Mark, family doc in #RVA, standing in to give @PhilBaumann a break, moderating this week w/ official permission. :) #mdchat
Tue May 17 18:03:29 PDT 2011

PracticalWisdom

@philbaumann @RichmondDoc You both do a swell job. Swell- June Clever word from the Rascal! ; < ) #MDchat
Tue May 17 18:03:31 PDT 2011

peds_id_doc

#mdchat hey all, Nick Bennett from Upstate NY - Peds ID Fellow.
Tue May 17 18:03:36 PDT 2011

EinsteinMed

David Flores, social media manager for Albert Einstein College of Medicine. Glad t be

back. #mdchat
Tue May 17 18:04:08 PDT 2011

PracticalWisdom

@NateOsit: Nate=http://gary2idaho.files.wordpress.com/2007/05/popeye.jpg #MDchat
Tue May 17 18:04:30 PDT 2011

PracticalWisdom

Waving to David.RT @EinsteinMed: David Flores, social media manager for Albert Einstein College of Medicine. Glad t be back. #MDchat
Tue May 17 18:04:51 PDT 2011

PracticalWisdom

Lisa Professional Speaker: Leadership/MBTI/SoMe/Commun. Morph the ho-hum into compelling. Rascal. #MDchat
Tue May 17 18:05:34 PDT 2011

NateOsit

LOL! :D RT @PracticalWisdom: @NateOsit: Nate=http://gary2idaho.files.wordpress.com/2007/05/popeye.jpg #MDchat
Tue May 17 18:05:41 PDT 2011

PracticalWisdom

@MD_Chat @jsonyoung @NateOsit @EinsteinMed. Thanks HI Back. #MDchat
Tue May 17 18:06:10 PDT 2011

kenyasaidso

Hello! Looking forward to another #mdchat!
Tue May 17 18:06:16 PDT 2011

EinsteinMed

Thanks! Waving back. @PracticalWisdom @EinsteinMed #mdchat
Tue May 17 18:06:58 PDT 2011

PracticalWisdom

@peds_id_doc: Hey back. Hey thought was southern Talk? Welcome. #MDchat
Tue May 17 18:07:00 PDT 2011

sarasteinmd

Hi all - Sara Stein, Obesity doc, Cleveland in the rain - I actually made it on time tonight! #mdchat
Tue May 17 18:07:12 PDT 2011

cartooninperson

Hi everyone, Ashley here. @RichmondDoc, loved blog post. Doc told me I need Tiazac, not generic. Noticed "Tiazac" pen in office. #MDchat
Tue May 17 18:07:33 PDT 2011

EinsteinMed

You too! RT @MD_Chat: @jsonyoung @NateOsit @EinsteinMed @PracticalWisdom Hi! Good to see yall #mdchat
Tue May 17 18:07:36 PDT 2011

PracticalWisdom

Come Play @nateOsit says water is Great! RT @MeredithGould: @rawarrior May lurk #MDchat
Tue May 17 18:07:37 PDT 2011

MD_chat

@sarasteinmd @kenyasaidso Good you have you both here. #MDChat
Tue May 17 18:07:51 PDT 2011

MD_chat

First question coming up. Please add Q1, Q2, etc to your replies to help follow the conversations. #MDChat
Tue May 17 18:08:04 PDT 2011

jsonyoung

@PracticalWisdom Your tweets are as entertaining as enlightening Lisa, good to "see" you #MDChat
Tue May 17 18:08:37 PDT 2011

MD_chat

@cartooninperson Welcome. #MDChat
Tue May 17 18:08:39 PDT 2011

sarasteinmd

@MD_Chat have my anti-hijack gear on tonite!! #mdchat
Tue May 17 18:08:48 PDT 2011

PracticalWisdom

No T1, T2?RT @MD_Chat: First question coming up. Please add Q1, Q2, etc to your replies to help follow the conversations. #MDchat
Tue May 17 18:09:02 PDT 2011

MD_chat

Q1 will start off from this article: http://cot.ag/ktVp56 #MDChat
Tue May 17 18:09:23 PDT 2011

MeredithGould

<--sociologist, the other kind of doc (PhD), keen on communicating health & bldg community. Also on Twitter as @HealthFaith #MDchat
Tue May 17 18:09:53 PDT 2011

MD_chat

What is your opinion about physiciansʼ interactions with the pharmaceutical and medical device industry? Good/bad? Why? #MDChat
Tue May 17 18:10:00 PDT 2011

jsonyoung

@NateOsit Hi Nate; Thanks for following my Friendfeed #MDChat
Tue May 17 18:10:30 PDT 2011

PracticalWisdom

Groovy, Glad you came. RT @hrana: @PracticalWisdom Im here. I hope I dont need to introduce myself! :) #MDChat
Tue May 17 18:11:19 PDT 2011

MD_chat

Is it good that physicians have industry connections? Is it bad? Something in between? #MDChat
Tue May 17 18:11:44 PDT 2011

NateOsit

@jsonyoung Hey Jason! Still getting into friendfeed, happy to see a friendly face! #MDchat
Tue May 17 18:12:12 PDT 2011

PracticalWisdom

G8 ?RT @MeredithGould: T1 Im curious to know how many docs are now dealing w/esampling/detailing & skipping reps altogether. #MDChat
Tue May 17 18:13:08 PDT 2011

peds_id_doc

T1 SOME industry contact is helpful I think, but on our terms. You must be aware that the goal is to influence you. #Mdchat
Tue May 17 18:13:10 PDT 2011

RichmondDoc

@sarasteinmd Samples are an interesting issue...are they really a good value? #mdchat
Tue May 17 18:13:27 PDT 2011

sarasteinmd

I dont think accepting samples and "industry connections" are the same. Going to fake dinners and getting paid for it is a joke #mdchat
Tue May 17 18:14:02 PDT 2011

sarasteinmd

@RichmondDoc samples are often all we have for the un- and under-insured. Pharma says rely on mcaid. Mcaid is broke in Ohio. #mdchat
Tue May 17 18:14:43 PDT 2011

jsonyoung

@MeredithGould Many rural docs say they are often getting as much comm. from EHR firms as pharm reps these days #MDChat
Tue May 17 18:15:02 PDT 2011

NateOsit

T1 I think samples are only helpful b/c drugs are so expensive, though. Give with one hand... #MDchat
Tue May 17 18:15:24 PDT 2011

peds_id_doc

T1 even in UK drug reps still visited - pretty young lady assured me it was worth the money, even under the NHS. #Mdchat
Tue May 17 18:15:57 PDT 2011

sarasteinmd

@MD_Chat The author should sit with me for a day and figure out how to get HTN and DM meds to someone in the shelter #mdchat
Tue May 17 18:15:57 PDT 2011

PracticalWisdom

Tipping the Odds Implant MakerMe Too! RT @peds_id_doc: T1 I have # contact w/ pharm cos through drug studies than a sales pitch. #MDChat
Tue May 17 18:16:01 PDT 2011

ePatientDave

@PracticalWisdom Q1 vs T1? Heh, Q is prob the Latin abbreviation for T. :-) #MDchat
Tue May 17 18:16:10 PDT 2011

RichmondDoc

@ePatientDave @PracticalWisdom Comes from my spending time on #hcsmLA: in Spanish, Q1 is more familiar, and I overlapped... #mdchat
Tue May 17 18:17:00 PDT 2011

nursefriendly

Hello Everyone, Andrew Lopez, RN from New Jersey, lurking mostly tonight. #mdchat
Tue May 17 18:17:14 PDT 2011

cartooninperson

@peds_id_doc Pharma paying for medical studies on drugs needs to stop. #MDChat
Tue May 17 18:17:32 PDT 2011

peds_id_doc

@hrana agreed - but at our hospital here, Dept chair has banned all drug sponsored events! #Mdchat
Tue May 17 18:17:42 PDT 2011

MeredithGould

@cartooninperson And who else is going to pay for them? #MDchat
Tue May 17 18:18:04 PDT 2011

RichmondDoc

@sarasteinmd Working to make low-cost generics more broadly available for those situations could make a difference. #mdchat
Tue May 17 18:18:12 PDT 2011

peds_id_doc

@cartooninperson pharma HAS to pay for them, who else? They have to do the

research to get FDA approval to sell. #Mdchat
Tue May 17 18:18:38 PDT 2011

RichmondDoc

Q1 there is suggestion that *any* contact w/ PhRMA (even samples) can affect the way that docs interpret information and write Rx. #mdchat
Tue May 17 18:18:43 PDT 2011

sarasteinmd

@RichmondDoc Agree, low cost and free generics would help, still some will need samples. I dont think samples are the ethical issue #mdchat
Tue May 17 18:19:09 PDT 2011

hrana

@cartooninperson Pharma studies or not... the buck stops with the FDA panels. @MeredithGould @peds_id_doc #mdchat
Tue May 17 18:19:43 PDT 2011

MeredithGould

T1 The suggestion that *any* contact taints decision making is insulting to medical professions (docs, PA, RNs, et al.) #MDchat
Tue May 17 18:19:47 PDT 2011

MD_chat

To tweak Q1/T1 a bit: How much industry contact with individual doctors is acceptable? What level would be excessive? #MDchat
Tue May 17 18:19:48 PDT 2011

hrana

@RichmondDoc Agree... there is a funding problem. Do Americans want to allocate more tax money for drug research? @cartooninperson #mdchat
Tue May 17 18:20:28 PDT 2011

RichmondDoc

@MeredithGould Social science research at least suggests that any level of contact (esp if gifts involved) affect prescribing. #mdchat
Tue May 17 18:20:47 PDT 2011

peds_id_doc

@MeredithGould T1 insulting it may be, especially personally, but unfortunately it seems to be the case overall :-/ sad. #Mdchat
Tue May 17 18:20:51 PDT 2011

sarasteinmd

@NateOsit @RichmondDoc I wonder how much influence Pharm reps actually have with individual docs. Who has time to listen! #mdchat
Tue May 17 18:20:57 PDT 2011

MeredithGould

@RichmondDoc Well, I are a social scientist & can tell you that even our research can be suspect! #MDchat
Tue May 17 18:21:48 PDT 2011

sarasteinmd

@PracticalWisdom LOL!! Jenny Craig sponsored which diet is the best and consumer reports fell for it!! LOL #mdchat
Tue May 17 18:22:07 PDT 2011

peds_id_doc

MT @RichmondDoc: T1 Its also worth noting: "free samples" arent free. We are all paying for them, so we are simply shifting costs. #Mdchat
Tue May 17 18:22:17 PDT 2011

HumpbacksRule

@PracticalWisdom @sarasteinmd @RichmondDocT1 f Pharma Sponsors research is it really Science.<< Depends on the protocol. #MDChat
Tue May 17 18:22:30 PDT 2011

RichmondDoc

@MeredithGould :) #mdchat

Tue May 17 18:22:34 PDT 2011

peds_id_doc

@PracticalWisdom @sarasteinmd @RichmondDoc T1 different kind of science. Industry always interested in limited answers. #Mdchat
Tue May 17 18:23:08 PDT 2011

invisiblejules

Recent grad taking a gap year before applying to med school here. Listening in on my first #MDChat. Just want to say this is v. interesting!
Tue May 17 18:23:31 PDT 2011

sarasteinmd

@MeredithGould LOLOLOL!! #mdchat
Tue May 17 18:23:31 PDT 2011

MD_chat

Q1a What can we do to minimize the influence such industry contact would have on physicians? #MDChat
Tue May 17 18:23:38 PDT 2011

MeredithGould

@MD_Chat "Limits of industry contact"...defined as what & by whom? No petting below the waist? #MDchat
Tue May 17 18:23:44 PDT 2011

peds_id_doc

@invisiblejules Welcome! #Mdchat
Tue May 17 18:24:01 PDT 2011

hrana

@PracticalWisdom It happens quite often. MDs do the pharma company "teaching." I sat through an Abilify lunch 2 weeks ago. #mdchat
Tue May 17 18:24:11 PDT 2011

PracticalWisdom

You bet me: Good for you. RT @MeredithGould: @sarasteinmd Wait...Jenny Craig isnt the best? J/k #MDChat
Tue May 17 18:24:13 PDT 2011

peds_id_doc

@cartooninperson @RichmondDoc @MeredithGould @peds_id_doc Not just Govt funded - need independent investigators/protocols! T1 #Mdchat
Tue May 17 18:24:35 PDT 2011

MeredithGould

Q1a: Educate medical students about the hermeneutic of suspicison #MDchat
Tue May 17 18:24:40 PDT 2011

MeredithGould

suspicion... #MDchat
Tue May 17 18:24:55 PDT 2011

peds_id_doc

@MeredithGould @MD_Chat LOL! #Mdchat
Tue May 17 18:24:59 PDT 2011

NateOsit

Maybe advertising course requirements? RT @MeredithGould: Q1a: Educate medical students about the hermeneutic of suspicison #MDchat
Tue May 17 18:25:39 PDT 2011

sarasteinmd

@hrana did they tell you 1/3 of patients develop a combined anxiety/akathisia/agitation side effect within the first month? Bet not! #mdchat
Tue May 17 18:25:45 PDT 2011

MeredithGould

Really think the issue is both broader & deeper; one about ethics and beliefs #MDchat
Tue May 17 18:25:57 PDT 2011

cartooninperson

@JoshGriffin Shows the state of healthcare system if you need to rely on samples to get drug access. #MDChat
Tue May 17 18:26:10 PDT 2011

sarasteinmd

@MeredithGould I think pharma is trying to sell, and providers are trying to treat/heal. Different intentions cause problems #mdchat
Tue May 17 18:26:59 PDT 2011

MD_chat

Q1b How transparent should physicians be regarding industry contacts? And how best to communicate those contacts? #MDChat
Tue May 17 18:27:15 PDT 2011

RichmondDoc

@drval There are many non-industry-sponsored resources out there...but many are subscription only b/c no PhRMA $. #mdchat
Tue May 17 18:27:51 PDT 2011

PracticalWisdom

@jsonyoung @hrana Very aware & Agree. How 2 Win MD & Influ Scrips http://www.npr.org/templates/story/story.php?storyId=130730104 #MDChat
Tue May 17 18:28:29 PDT 2011

sarasteinmd

@hrana I always nod my head incessantly when the food is good! Fortunately I turn my ears off!! #mdchat
Tue May 17 18:28:29 PDT 2011

richmeyer

#mdchat I had the best response when new biotech firm replaced sales people with information people who had med degrees
Tue May 17 18:28:30 PDT 2011

peds_id_doc

@drval t1 agreed, but have to be aware of potential for info bias/omission. #Mdchat
Tue May 17 18:28:34 PDT 2011

RichmondDoc

@hrana @sarasteinmd I remember the Ketek rep addressing liver failure risk: "one was a drinker" wink, wink. Now black box warning. #mdchat
Tue May 17 18:28:39 PDT 2011

MD_chat

@MeredithGould Communicate to patients/caregivers, for sure. #MDchat
Tue May 17 18:29:10 PDT 2011

NateOsit

@MD_Chat Q1b Have every rep that comes in displayed on a board in the front of the office. Full transparancy! :) #MDchat
Tue May 17 18:29:37 PDT 2011

PracticalWisdom

@MD_Chat Q1B: As Transparents as Possible. When I sign Contract 2 Speak Breastfeeding Conf. Disclose to ties to Pharma Formula Folks #MDChat
Tue May 17 18:29:50 PDT 2011

MeredithGould

But what does "transparency" mean? How is that operationalized? Pts already see branded crap all over the office. #MDchat
Tue May 17 18:30:03 PDT 2011

richmeyer

Problem is most drug sales people are programmed and not able to have a peer to peer conversation with docs #mdchat
Tue May 17 18:30:27 PDT 2011

RichmondDoc

@NateOsit Maybe also have a listing of who you accept direct $ from? #mdchat
Tue May 17 18:30:30 PDT 2011

MD_chat

Great discussion on Q1...Q2 coming up in a moment. #MDchat
Tue May 17 18:30:48 PDT 2011

MeredithGould

@RichmondDoc Switching gears? As a pt, I want to know that the med might work & have access to the data you have. Also, a notepad. #MDchat
Tue May 17 18:31:02 PDT 2011

MD_chat

Q2 Is going to be based on this article: http://cot.ag/iyOlvk #MDchat
Tue May 17 18:31:15 PDT 2011

PracticalWisdom

@MD_Chat Q1B WIC will not allow conflict of interest Pharma 2 Sponsor Breastfeeding Conf. #MDChat
Tue May 17 18:31:20 PDT 2011

nursefriendly

@RichmondDoc Have to agree, contact with pharmaceutical reps is almost unavoidable, however all contact is suspect. #mdchat
Tue May 17 18:31:29 PDT 2011

MD_chat

What about your thoughts regarding medical specialty societiesʼ interactions with industry? #MDchat
Tue May 17 18:32:33 PDT 2011

richmeyer

@sarasteinmd I dont believe that any doc would sell out at expense of patients #mdchat
Tue May 17 18:33:18 PDT 2011

PracticalWisdom

@hrana @peds_id_doc: Think I just found out Medical Journal is run by Medical Publishing Company. #MDChat
Tue May 17 18:33:56 PDT 2011

RichmondDoc

Q2 I think that increased industry $ is going to societies as there are limits on contacts w/ individual docs. #mdchat
Tue May 17 18:34:05 PDT 2011

peds_id_doc

@richmeyer @sarasteinmd some would...some will without even realizing it. Power of suggestion. #Mdchat
Tue May 17 18:34:40 PDT 2011

apjonas

Spec soc perfectly reflect majority of doc position on industry$. Slimy & ignorant & pathetic at present #mdchat
Tue May 17 18:35:18 PDT 2011

richmeyer

@peds_id_doc Maybe for some main stream drugs but not for others #Mdchat
Tue May 17 18:35:34 PDT 2011

MD_chat MeredithGould

@hrana Sorry: http://cot.ag/kvXqNY #MDChat
Tue May 17 18:35:35 PDT 2011

Having renounced TV for 10+ yrs, I was shocked to see the number of pharma ads these days. #MDchat
Tue May 17 18:35:37 PDT 2011

cartooninperson

@MeredithGould Nice point about drug brand influencing patients. #MDchat
Tue May 17 18:35:58 PDT 2011

richmeyer

@MeredithGould And the pharma ads are having LITTLE effect on driving Rx conversion #MDchat
Tue May 17 18:36:20 PDT 2011

TheNerdyNurse

@meredithgould oh my. How did you go 10 years without TV? #MDchat
Tue May 17 18:36:28 PDT 2011

drval

#mdchat I agree with @meredithgould The bigger problem is DTC advertising and creating new disease/syndrome language that drives demand
Tue May 17 18:36:29 PDT 2011

PracticalWisdom

@MeredithGould: Got rid of my Boom Tube in 2000. #MDChat
Tue May 17 18:36:35 PDT 2011

charlesornstein

Eager for your thoughts on our latest story #mdchat Cardiac Society Draws Bulk of Funding From Stent Makers http://t.co/yuJOmdi
Tue May 17 18:36:37 PDT 2011

richmeyer

@MeredithGould Research shows that DTC TV ads are having less of an impact #MDchat
Tue May 17 18:37:10 PDT 2011

MeredithGould

@sarasteinmd The Bachelor. Online. #MDchat
Tue May 17 18:37:10 PDT 2011

NateOsit

T2 I wonder if industry influence on specialty societies is contributing to the PCP shortages? More glitz & glam seen there #MDchat
Tue May 17 18:37:10 PDT 2011

KatieBe_NC

Not sure most patients care how doc learns about Rx as long as they work. #mdchat
Tue May 17 18:37:16 PDT 2011

MeredithGould

@richmeyer I find all that research highly suspect. #MDchat
Tue May 17 18:37:34 PDT 2011

nursefriendly

@charlesornstein So the question is, what does that funding entitle them to at the event? #mdchat
Tue May 17 18:37:35 PDT 2011

richmeyer

@MeredithGould What I am really worried about is that patients are making self diagnosis via info on the web and not seeing doc #MDchat
Tue May 17 18:37:39 PDT 2011

PracticalWisdom

I sure as (fill in the Blank) CARE.RT @KatieBe_NC: Not sure most patients care how doc learns about Rx as long as they work. #MDChat
Tue May 17 18:37:55 PDT 2011

richmeyer

@MeredithGould http://bit.ly/ijgsIh #MDchat
Tue May 17 18:37:58 PDT 2011

MeredithGould

@richmeyer I know, lots of worries among docs about competition from Dr. Google! #MDchat
Tue May 17 18:38:19 PDT 2011

drval

There are pharma insiders who wish DTC never happened. #mdchat Over medicalizing everything is costly and unhelpful.
Tue May 17 18:38:28 PDT 2011

RichmondDoc

The influence on societies bothers me more in some cases b/c they help write clinical guidelines that affect many other docs. #mdchat
Tue May 17 18:38:37 PDT 2011

sarasteinmd

@apjonas that makes me sad. I hope underneath we still believe we help people, not market for some huge conglomerate #mdchat
Tue May 17 18:38:42 PDT 2011

nursefriendly

@charlesornstein Does that give them carte blanche to pitch their products at focus sessions, special events and "sponsor" lectures? #mdchat
Tue May 17 18:38:48 PDT 2011

richmeyer

@MeredithGould I dont. What is happening is that people see an ad on TV than go online to see what others say about it #MDchat
Tue May 17 18:38:50 PDT 2011

EinsteinMed

Lots of interest in the subject. Google "Financial Ties Bind Medical Societies" & get several pages of results from many sites. #mdchat
Tue May 17 18:38:52 PDT 2011

TheNerdyNurse

@richmeyer pts need to be informed, but need to go to the MD with questions based upon research, not set in stone opinions/requests #MDchat
Tue May 17 18:39:09 PDT 2011

richmeyer

@MeredithGould There is less than a 20% ROI for TV ads in general today #MDchat
Tue May 17 18:39:15 PDT 2011

sarasteinmd

@charlesornstein (I went to Penn too! what year?) #mdchat
Tue May 17 18:40:12 PDT 2011

ShrinkRapRoy

Hi. Just joining in. First mdchat, but longtime #hcsm user. #Mdchat
Tue May 17 18:40:17 PDT 2011

cartooninperson

@KatieBe_NC Not always clear if drug works, especially if efficacy is determined by patient testimony. Could just be placebo effect. #MDChat
Tue May 17 18:40:35 PDT 2011

MD_chat

Q2a Similar to the previous questions, what can we do to minimize industry influence on physicians via medical societies? #MDChat
Tue May 17 18:40:44 PDT 2011

richmeyer

@MeredithGould Ah but research also shows that less than 20% of patients get drug they ask for #MDchat
Tue May 17 18:40:52 PDT 2011

sarasteinmd

And by the way device manufacturers are just as guilty as Pharma in influence peddling IMHO #mdchat
Tue May 17 18:40:57 PDT 2011

apjonas

@shrinkraproy Welcome. You will like this one, too. #mdchat
Tue May 17 18:41:11 PDT 2011

MD_chat

Are unrestricted grants OK? Disclosure on conference materials sufficient? #MDchat
Tue May 17 18:41:16 PDT 2011

TheNerdyNurse

Funding for CEs has to come from somewhere. If they eliminate Pharma where will it come from? @richmonddoc: #mdchat
Tue May 17 18:41:32 PDT 2011

MeredithGould

@richmeyer Yes...and so? #MDchat
Tue May 17 18:41:49 PDT 2011

nursefriendly

@thenerdynurse @richmonddoc God forbid we pay for CEUs out of our own pockets. . . . #mdchat
Tue May 17 18:42:21 PDT 2011

PracticalWisdom

@sarasteinmd: Exactly: Makes me Sick!Tipping the Odds for an Implant Maker http://www.nytimes.com/2011/04/03/business/03implant.html #MDChat
Tue May 17 18:42:25 PDT 2011

RichmondDoc

@thenerdynurse I would argue that there can be other funding...or maybe look to improve on-demand, web-based CEs. #mdchat
Tue May 17 18:42:25 PDT 2011

apjonas

@thenerdynurse @richmonddoc Professionals should pay for their own Cont Ed. Good investment #mdchat
Tue May 17 18:42:49 PDT 2011

charlesornstein

@nursefriendly All societies say the $$ does not influence positions. Even w/o quid pro quo, some statements leave out risks. #mdchat
Tue May 17 18:42:52 PDT 2011

richmeyer

@MeredithGould So DTC has limited ROI at a time when marketing dollars are hard to come by #MDchat
Tue May 17 18:43:04 PDT 2011

TheNerdyNurse

@richmonddoc who will fund the web-based CEs? or the research? #MDchat
Tue May 17 18:43:07 PDT 2011

RichmondDoc

@nursefriendly @thenerdynurse Agree on my part. Docs who complain about CME costs, in this economy... #mdchat
Tue May 17 18:43:12 PDT 2011

nursefriendly

There will always be a "sponsor" willing to pay for the privilege of access. RT @thenerdynurse: Funding for CEs has @richmonddoc: #mdchat
Tue May 17 18:43:15 PDT 2011

MeredithGould

@sarasteinmd @richmeyer Me? I rely on pharmacists, preferably PharmD to give me accurate info #MDchat
Tue May 17 18:43:16 PDT 2011

RichmondDoc

@thenerdynurse The professional societies themselves? Public orgs (like CDC, NIH, etc). #mdchat
Tue May 17 18:43:41 PDT 2011

ShrinkRapRoy

Umm, the docs? RT @thenerdynurse: If they eliminate Pharma where will it come from? @richmonddoc: #Mdchat
Tue May 17 18:43:50 PDT 2011

richmeyer

You can fund societies but they have to remain independent if they are to be successful #MDchat
Tue May 17 18:44:07 PDT 2011

PracticalWisdom

@EinsteinMed @RichmondDoc @thenerdynurse: Where does AHEC get money? They pay fair wages for speakers but no advertising/Sponsors. #MDChat
Tue May 17 18:44:17 PDT 2011

sarasteinmd

@thenerdynurse I know I know!! RAISES HAND...CME from SOCIAL MEDIA!!! WOOT!! (Dr Stein does the slam dunk dance) #mdchat
Tue May 17 18:44:28 PDT 2011

ShrinkRapRoy

Drug reps pay visits to pharmDs, too. #Mdchat
Tue May 17 18:44:35 PDT 2011

TheNerdyNurse

I suppose you are right @nursefrienIdly but who would sponsor them? @cocacola ? @mcdonalds ? #MDchat
Tue May 17 18:44:47 PDT 2011

RichmondDoc

@PracticalWisdom @EinsteinMed @thenerdynurse AHECs are publicly funded. #mdchat
Tue May 17 18:44:48 PDT 2011

charlesornstein

As context, @ProPublica does not take position on whether funding from industry is good or bad. We do support transparency. #mdchat
Tue May 17 18:44:51 PDT 2011

neel_shah

problematic-ACOG lobbies against expensive drug that limits access while also advertising it in their journal http://bit.ly/kbBwGA #mdchat
Tue May 17 18:44:54 PDT 2011

MeredithGould

@sarasteinmd You rock. #MDchat
Tue May 17 18:45:04 PDT 2011

richmeyer

@sarasteinmd But what is happening more and more is that patients mistrust pharma and check other sources of info #mdchat
Tue May 17 18:45:05 PDT 2011

ShrinkRapRoy

+1 RT @sarasteinmd: @thenerdynurse I know I know!! RAISES HAND...CME from SOCIAL MEDIA!!! WOOT!! (Dr Stein does the slam dunk dance) #Mdchat
Tue May 17 18:45:13 PDT 2011

TheNerdyNurse

In the tough economic times when you have to choose between CEs and dinner on the table, dinner wins @practicalwisdom #MDchat
Tue May 17 18:45:29 PDT 2011

richmeyer

@MeredithGould @sarasteinmd Yes my wife is a Pharn D at Amgen #MDchat
Tue May 17 18:45:33 PDT 2011

RichmondDoc

@neel_shah Nice catch there. Ugh. #mdchat
Tue May 17 18:45:35 PDT 2011

MeredithGould

@shrinkraproy Yes, but in my experience, PharmDs at least know the biochemistry involved. #MDchat
Tue May 17 18:45:48 PDT 2011

PracticalWisdom

@sarasteinmd @thenerdynurse: or Matt Dance around the country: http://www.youtube.com/watch?v=zlfKdbWwruY #MDChat
Tue May 17 18:46:05 PDT 2011

MD_chat

Going to try and sneak in a quick Q3: do patients care about doc/industry connections? Would they care if they knew more about it? #MDChat
Tue May 17 18:46:19 PDT 2011

MeredithGould

@richmeyer So YOU have no worries! ;-) #MDchat
Tue May 17 18:46:24 PDT 2011

richmeyer

@sarasteinmd #mdchat The bad news is that there is a lot of bad health information online
Tue May 17 18:46:29 PDT 2011

apjonas

@thenerdynurse @practicalwisdom Might want to increase fees or negotiate higher salary to fully fund prof life #mdchat
Tue May 17 18:46:58 PDT 2011

richmeyer

@MeredithGould I wish she is up against the ol boys sales network #MDchat
Tue May 17 18:47:03 PDT 2011

TheNerdyNurse

The government is already broke #MDchat @apjonas @PracticalWisdom @EinsteinMed @RichmondDoc
Tue May 17 18:47:06 PDT 2011

NateOsit

Are different research models utilized in other countries? It seems like pharma has more influence in US vs. other countries #MDchat
Tue May 17 18:47:13 PDT 2011

ShrinkRapRoy

@MeredithGould Docs used to know, but more time since med school, it fades if not used. #Mdchat
Tue May 17 18:47:13 PDT 2011

nursefriendly

@nursefriendly @charlesornstein the influence they can exert by just being there in inevitable. Pens, special opportunities they #mdchat
Tue May 17 18:47:28 PDT 2011

MeredithGould

@ShrinkRapRoy I know...sad but true. #Mdchat
Tue May 17 18:47:30 PDT 2011

ShrinkRapRoy

YES! RT @drval: My CME idea: docs answer pt ques for free, attach great articles/lit that theyve read, get credit from non-profit. #Mdchat
Tue May 17 18:47:54 PDT 2011

PracticalWisdom

Q3: Please remember the Stats from Pew Research Gen. Public even the ones in spicy years R getting Savvy Med education on the Web. #MDChat
Tue May 17 18:48:27 PDT 2011

sarasteinmd

@shrinkraproy Perfect. Until the industry gets to the reporters!! OY #mdchat
Tue May 17 18:48:54 PDT 2011

richmeyer

@MeredithGould right but from a patients standpoint its all confusing #MDchat
Tue May 17 18:48:55 PDT 2011

NicholasMagers

@ShrinkRapRoy Reps try 2 impact their product market - as the physician offices close expect more DTC & reach to ancillary providers #MDChat
Tue May 17 18:49:08 PDT 2011

sarasteinmd

@MeredithGould @richmeyer I take pride in my confusion! #mdchat
Tue May 17 18:49:56 PDT 2011

RichmondDoc

T3 I think pts would want to know who their doc gets $ from: http://projects.propublica.org/docdollars/ #mdchat
Tue May 17 18:50:07 PDT 2011

richmeyer

@MeredithGould Which is why their is an opp to replace sales person with med trained info person to help cut through BS #MDchat
Tue May 17 18:50:17 PDT 2011

drval

@EinsteinMed @ShrinkRapRoy I pitched that CME idea many times over the years... Maybe just need right ears to hear? Need platform. #mdchat
Tue May 17 18:50:22 PDT 2011

charlesornstein

Patients do care. See what our partners at Consumer Reports found. http://t.co/XAM5ssv #mdchat
Tue May 17 18:50:27 PDT 2011

ShrinkRapRoy

In our recent Shrin Rap poll, folks voted 3:1 to disallow DTC. #Mdchat
Tue May 17 18:50:39 PDT 2011

RichmondDoc

T3 Looked up docs I know in thatn listing: I found some getting over $57k for working w/ industry. Does that impact their practice? #mdchat

Tue May 17 18:50:41 PDT 2011

apjonas

@MeredithGould @richmeyer Good point. Docs are marginalized/stunned w/current mandates. Powerlessness abounds. Get out the 12 steps #mdchat
Tue May 17 18:50:49 PDT 2011

nursefriendly

Can picture the scene, a rep chatting up a doctor on an article or presentation they made. Next step, invite them to consult on a #mdchat
Tue May 17 18:51:00 PDT 2011

MeredithGould

@apjonas Really. #mdchat
Tue May 17 18:51:05 PDT 2011

sarasteinmd

@charlesornstein Uh Charles, consumer reports has completely discredited themselves with the Jenny Craig buy an advertorial fiasco #mdchat
Tue May 17 18:51:29 PDT 2011

EinsteinMed

Pro Public article on ConsumerReports research about patients worries over doctors and pharma industry. http://bit.ly/mgYdqe #mdchat
Tue May 17 18:51:36 PDT 2011

mojonimbus

@richmonddoc #mdchat if all education including CEU/CME were publicly funded would be better & if healthcare was too , that problem gone
Tue May 17 18:51:36 PDT 2011

MeredithGould

@sarasteinmd Gee, you and Jenny Craig. Sounds like you two need an intervention. #MDchat
Tue May 17 18:52:05 PDT 2011

richmeyer

@apjonas And they need to learn to become marketers now because patients are consumers of healthcare #mdchat
Tue May 17 18:52:10 PDT 2011

RichmondDoc

MT @mojonimbus: #mdchat if all education including CEU/CME were publicly funded would be better & if healthcare was too #mdchat
Tue May 17 18:52:10 PDT 2011

sarasteinmd

@RichmondDoc You know I need to rethink this food as medicine paradigm. My neighborhood farmers market is not kicking back to me #mdchat
Tue May 17 18:52:15 PDT 2011

nursefriendly

Consult on a project-in small incremental planned steps, they rope you into giving lectures which ultimately let them pitch drugs #mdchat
Tue May 17 18:52:17 PDT 2011

ShrinkRapRoy

@NicholasMagers Good point. I agree. #Mdchat
Tue May 17 18:52:42 PDT 2011

RichmondDoc

@PracticalWisdom T3 I think pts are able to take that info into account...but they need to have the info. #mdchat
Tue May 17 18:52:50 PDT 2011

richmeyer

@PracticalWisdom Remember that average reading level of health info should be 7th grade #MDChat

Tue May 17 18:52:50 PDT 2011

RichmondDoc

@sarasteinmd Maybe demand they give you a pen? :) #mdchat
Tue May 17 18:53:02 PDT 2011

EinsteinMed

@charlesornstein You beat me to that. :) Interesting article though. #mdchat
Tue May 17 18:53:08 PDT 2011

chemosabe

...they r just doin wot they need 2, to keep their jobs...take ur issue to the pharma, not the rep pls #mdchat
Tue May 17 18:53:15 PDT 2011

PracticalWisdom

Not TransRT @nursefriendly: Consult on project-in small increm. planned steps, they rope U in2 giving lectures let them pitch drugs #MDChat
Tue May 17 18:53:39 PDT 2011

sarasteinmd

@thenerdynurse @chemosabe We dont hate the reps - we hate the lies that they are instructed to tell #mdchat
Tue May 17 18:54:04 PDT 2011

richmeyer

@MeredithGould Exactly docs told me in research make it 6th grade #MDchat
Tue May 17 18:54:19 PDT 2011

PracticalWisdom

Agree RT @RichmondDoc: @PracticalWisdom T3 I think pts are able to take that info into account...but they need to have the info. #MDChat
Tue May 17 18:54:20 PDT 2011

MD_chat

Coming to the end of the hour, here. Time to wrap up and give us any parting thoughts. #MDChat
Tue May 17 18:54:24 PDT 2011

TheNerdyNurse

Thats why social media is so important in healthcare. Easy access to info and quick @practicalwisdom @sarasteinmd @charlesornstein #MDchat
Tue May 17 18:54:24 PDT 2011

MeredithGould

@RichmondDoc EXactly..which is why I harp on it being a bigger issue. #MDchat
Tue May 17 18:54:39 PDT 2011

ShrinkRapRoy

(This chat is much more ... manageable ... Than #hcsm.) #Mdchat
Tue May 17 18:55:04 PDT 2011

PracticalWisdom

G8 way 2 explainRT @sarasteinmd: @thenerdynurse @chemosabe We dont hate the reps - we hate the lies that they are instructed to tell #MDChat
Tue May 17 18:55:07 PDT 2011

docmarkgreene

There are pharma insiders who wish DTC never happened. #mdchat Over medicalizing everything is costly and unhelpful.
Tue May 17 18:55:25 PDT 2011

RichmondDoc

@charlesornstein @ProPublica Looking forward to the update. Lots of interesting info already has developed out of your work. #mdchat
Tue May 17 18:56:22 PDT 2011

chemosabe

not sure how it works up there, but down here, buy us food 4 meeting, get maybe 5 mins 4 pitch. think we do alright out of it really #mdchat
Tue May 17 18:56:41 PDT 2011

drval

#mdchat Final thts: pharma makes some great products & some redundant/not so great prods.They are for-profit, but not evil.Transparency key
Tue May 17 18:57:13 PDT 2011

NateOsit

Final thoughts: Transparency is needed to create doctor/patient relationships based on trust and respect. #MDchat
Tue May 17 18:57:17 PDT 2011

apjonas

@drval @EinsteinMed @ShrinkRapRoy Those ideas have been considered by AAFP COCME. Pt focused CME credit exists in many forms. #mdchat
Tue May 17 18:57:20 PDT 2011

PracticalWisdom

Rock On! RT @NateOsit: Final thoughts: Transparency is needed to create doctor/patient relationships based on trust and respect. #MDChat
Tue May 17 18:57:57 PDT 2011

sarasteinmd

@chemosabe I think they tried to kill us with all that pizza. #mdchat
Tue May 17 18:58:09 PDT 2011

charlesornstein

MT @drval: #mdchat pharma makes some great products & some redundant/not so great prods.They are for-profit, but not evil.Transparency key
Tue May 17 18:58:22 PDT 2011

MD_chat

Thanks, everyone, for a great hour. Appreciate the views. Have a great week until the next #MDChat
Tue May 17 18:58:34 PDT 2011

nursefriendly

T3: Was very tempted to ask a doctor if he or his "professional" association had been getting funding from the maker of a prescribe #mdchat
Tue May 17 18:58:49 PDT 2011

apjonas

Final: Human side of docs, pharma, hosp, industry could be upgraded to serve better and misdirect $ less #mdchat
Tue May 17 18:58:59 PDT 2011

nursefriendly

t3 From the maker of a new drug I was being prescribed, when lots of generic alternatives were on the market. #mdchat
Tue May 17 18:59:22 PDT 2011

sarasteinmd

Final thoughts MDs & Pharma are a love-hate bad marriage. It only works if we focus on the patients. #mdchat
Tue May 17 18:59:24 PDT 2011

DrJonathan

Never underestimate the power of a quality doctor-patient relationship. Never overestimate the opposite. #mdchat
Tue May 17 18:59:56 PDT 2011

EinsteinMed

Transparent plug: If you have a chance, check us out on Facebook and LIKE us at http://www.facebook.com/EinsteinCollegeofMedicine #mdchat
Tue May 17 18:59:59 PDT 2011