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To the Editor: The relationship between physicians and the pharmaceutical industry has recently gained increasing attention. For instance, some have questioned the customary practice of physicians accepting gifts in exchange for listening to a promotional message.¹ There appears to be a correlation between this type of pharmaceutical detailing and physicians' prescribing behavior,^1-3 which may account for the pharmaceutical industry's tremendous budget devoted to detailing activities.

The generosity of these representatives, in terms of these materials, is established early in medical training. During residency, the white coat often becomes the repository for these materials. It is known that the contents of the white coat can vary depending on level of training,⁴ but the pervasiveness of products donated by pharmaceutical companies is unknown.

Methods

We conducted a survey of primary care residents at the Medical College of Virginia Hospitals from May to June 2000. All participants were approached in their clinical setting. They . . . [Full Text of this Article]

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