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Odysseus - in my practice we banned drug reps over a decade ago and, at a recent two day education event, I stayed out of the one lecture sponsored by a pharmaceutical company. And I do not use drug company pens, post-its or whatever. In addition, I never prescribe by brand name except when clinically relevant (e.g. cetain anticonvulsants). As doctors we do not have to have any direct involvement with "the trough" - those that do choose to and some of us choose not to.
Posted by skyesteve