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Assessing prescribing competence.

John Mucklow1, Lynne Bollington, Simon Maxwell

  • 1Prescribing Skills Assessment Office, British Pharmacological Society, London, UK. j.mucklow@prescribe.ac.uk

British Journal of Clinical Pharmacology
|November 26, 2011
PubMed
Summary
This summary is machine-generated.

Assessing doctors' prescribing competence is crucial for patient safety. An online Objective Structured Clinical Examination (OSCE) is proposed as a valid method to evaluate these essential skills in medical training.

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Area of Science:

  • Medical Education
  • Clinical Pharmacy
  • Patient Safety

Background:

  • Prescribing medications is a core clinical skill for physicians.
  • Recent surveys indicate a lack of confidence in prescription writing among graduating medical students.
  • Effective assessment of prescribing competence is vital for clinical governance and patient safety.

Purpose of the Study:

  • To review the challenges in assessing prescribing competence.
  • To advocate for an online Objective Structured Clinical Examination (OSCE) as a valid assessment tool.
  • To outline the requirements for developing and implementing such an assessment.

Main Methods:

  • Literature review on prescribing competence assessment.
  • Discussion of the challenges in measuring clinical prescribing performance.
  • Proposal for an online OSCE model.

Main Results:

  • Lack of confidence in prescribing skills is prevalent among junior doctors.
  • Existing assessment methods may not accurately reflect real-world prescribing ability.
  • An online OSCE is identified as a promising approach for a reliable assessment.

Conclusions:

  • A dedicated assessment for prescribing competence is needed.
  • An online OSCE offers a structured and valid method to evaluate these skills.
  • Development of a national online OSCE for UK medical undergraduates is underway.