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Utilizing VA information technology to develop psychiatric resident prescription profiles
Robert Rohrbaugh1, Daniel G Federman, Lydia Borysiuk
1Yale School of Medicine, Department of Psychiatry, 300 George St., Suite 901, Room 24, New Haven, CT 06511, USA. Robert.rohrbaugh@yale.edu
Psychiatry educators can now efficiently assess resident prescribing habits using U.S. Department of Veterans Affairs pharmacy data. Prescription profiles reveal limited experience with antipsychotic medications, guiding targeted educational improvements.
Area of Science:
- Psychiatry
- Medical Education
- Health Informatics
Background:
- Psychiatry resident education requires broad prescribing experience.
- Practice-based learning initiatives benefit from feedback on prescription practices.
- Efficient methods are needed to construct resident prescription profiles.
Purpose of the Study:
- To report a procedure for constructing comprehensive individual psychiatric resident prescription practice profiles.
- To utilize U.S. Department of Veterans Affairs (VA) computerized pharmacy records for this purpose.
- To demonstrate the utility of these profiles in assessing resident experience with antipsychotic medications.
Main Methods:
- A methodology was provided by VA information technology to construct individual and aggregate resident prescription profiles, including cost data.
- Individual and aggregate antipsychotic medication prescription profiles were created for nine residents in a VA psychotic disorders clinic.
- The process of developing these profiles required approximately 5 hours.
Main Results:
- Prescription profiles revealed a restricted range of experience among residents prescribing antipsychotic medications.
- Some residents had not prescribed all major atypical agents, and many prescribed a limited number of typical agents.
- The profiles highlighted significant cost differences among atypical antipsychotic medications and between typical and atypical agents.
Conclusions:
- Prescription profiles effectively facilitate resident education by showing the range of antipsychotic medications prescribed.
- Psychiatric residency programs can use these profiles to enhance resident competency and practice-based learning.
- This method offers an efficient way to provide valuable feedback on prescribing practices.
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