Prepare for 40 Internal Medicine Residency interview questions covering clinical reasoning, patient care philosophy, and program fit.
Question 23 of 40
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Ryan Brown created and launched MockQuestions in 2008.
Medical students are generally dismissive of the interactions between physicians and pharmaceutical companies, but as an Internal Medicine Resident, you will prescribe medications and work with reps from various companies. Your interviewers will want to hear that you can see the positives in your relationships with the pharma industry.

Ryan Brown created and launched MockQuestions in 2008.
"While I recognize that financial incentives provided by pharmaceutical companies are not acceptable and should be restricted, I see value in pharmaceutical sales representatives as useful sources for information about a new drug, including data from clinical trials, samples for my future patients, and information about the manufacturer's program. This can make their drugs more affordable for patients who struggle financially, particularly those who don't have health insurance."

Ryan Brunner has over ten years of experience recruiting, interviewing, and hiring candidates in the healthcare, public service, and private manufacturing/distribution industries.
Due to the tendencies of these companies to financially reward physicians for using or prescribing their products, it is important to realize that sales representatives of pharmaceutical companies are an important ally for physicians and provide essential information. Assure your interviewers that you aree open to listening to the reps and learning about new medicines for your patients.
"Physicians should utilize their knowledge and training to provide their patients the best treatments possible. Oftentimes this requires physicians to interface with the pharmaceutical industry to provide the best care for their patients. Ultimately, a physician needs to be guided by what is in the best interest of their patients and not what is in the best interest of a pharmaceutical company."

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I think there are definite benefits and access to new treatments that would be helpful to patients for whom established treatments may not work. The drug reps are very knowledgeable about the drugs, indications, side effects, etc. Now that companies are limited in the incentives (no kickbacks) they can offer to a physician to prescribe their own products, the relationship is much more beneficial to the patient. Free samples are also very helpful to patients who can’t afford meds.
Marcie's Feedback
Nice! You've done a good job of explaining several of the ways patients might benefit when physicians establish working relationships with pharmaceutical sales reps. It's positive that you also mention that kickbacks and incentives are detrimental to the process since the interviewer will want assurance that you understand both sides of this topic. Good job!
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Written by Ryan Brunner
40 Questions & Answers • Internal Medicine Residency

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