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Updated: Jun 8, 2026

The Dyspepsia Educational Tool As a Novel Aid in Dyspepsia Management
Published on: June 29, 2019
Improving quality of NSAID prescribing by internal medicine trainees with an educational intervention
Bruce J Naughton1, Ranjit Singh, Angela M Wisniewski
1Department of Medicine, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, New York, USA. bnaughto@buffalo.edu
Background:
Prescribing nonsteroidal anti-inflammatory drugs (NSAIDs) for older adults is a safety concern. Education innovations in postgraduate training designed to improve patient safety should comply with the Accreditation Council for Graduate Medical Education (ACGME).
Purpose:
The objective is to evaluate a seven-component education program for internal medicine trainees designed to change prescribing practices while addressing ACGME competencies.
Methods:
Pretest, posttest data collection.
Results:
The baseline chart review found that 28.7% (79/275) patients age 70 or older were prescribed NSAIDs. Approximately 1 year later, the proportion of patients prescribed NSAIDs had declined to 16.4% (30/183; p= .002). The proportion of patients prescribed NSAIDs in conjunction with a diuretic similarly declined from 13.6% (38/278) to 7% (13/187; p= .024).
Conclusion:
A systematically applied education program targeted to a specific prescribing pattern produced significant improvement among internal medicine trainees. This model may assist training programs in reducing polypharmacy, or in other areas of trainee practice.
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