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OBJECTIVES: To determine the effect of training of appraisal of drug advertisement in medical students. MATERIALS & METHODS:-A pre knowledge testing of the Interns and 2 nd year MBBS students on ability to identify violations of existing guidelines was assessed using 5 promotional literatures. Training session was conducted on critical appraisal of medicinal drug promotion viz mention of Brand & Generic names, Dosage form, Ingredients causing problems, Precautions, Adverse drug reactions, Drug interactions , Address, and References. In the first session, lectures on critical appraisal methodology and the existing guidelines on medicinal drug promotion were given followed by small group discussions. This was followed by post training testing. The 2 nd year students were followed up next year (3 rd year) with pre-testing and post-testing after similar training. RESULTS: The pre-test knowledge of Interns was found to be significantly lower (p<0.05) than 2 nd year students in 8 out of 10 headings (except Brand name and therapeutic use). The post-test scores showed a statistically significant (p<0.05) improvement over the pre-test scores in both the groups. There was a statistically significant improvement in both the groups after training in criticizing promotional brochures according to WHO criteria. On follow-up, the 3 rd year students showed significantly higher (p<0.05) awareness in pre-test scores in only 5 (generic name, dosage, precaution, ADR, DI) out of 10 headings. However, in posttraining these students showed significant increase in 8 headings. CONCLUSION: Current study shows that ability of medical students and interns to critically appraise the promotional literature is not up to the mark. However the teaching and training sessions lead to significant improvement in their ability to assess the promotional literature. Such training programs should be an integral part of syllabus in all years of undergraduate medical education including their internship year. There is a need to train undergraduate medical students on critical appraisal of drug advertisement that would be useful for future rational drug use in clinical practice.

Teaching critical appraisal of drug promotional brochures on ability of medical students to identify violations of existing WHO Guidelines