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To design and implement a prescription writing teaching module for second professional medical students
Parveen Kumar Sharma1, Dinesh Kumar Kansal1, Rekha Bansal2
1Department of Pharmacology, Dr. RP Government Medical College, Kangra at Tanda, Himachal Pradesh, India.
Context:
There is ample evidence to prove that medical graduates are not prescribing rationally and this can be improved by proper training.
Aims:
To design and implement a prescription writing teaching module for second professional medical students.
Subjects And Methods:
A module of 3 h duration consisting of didactic lecture, interactive audiovisual small group session, and evaluation method was framed for every disease and implemented. Completeness of the prescriptions was evaluated on a scale of 1-4. Appropriateness of the prescription, knowledge about the rationale behind the drugs used and adverse events related to the drugs used was judged in three categories, that is, appropriate and complete; appropriate but insufficient; and inappropriate.
Results:
One thousand six hundred and seven response sheets to 24 health problems were collected. Completeness score of 18% was 2, 59% was 3% and 24% was 4.41% prescriptions were appropriate and complete, 58% appropriate but insufficient and 1% inappropriate. The rationale behind the drugs used was appropriate and complete 24%, appropriate but insufficient 68%, inappropriate 8%. Documentation of adverse events was appropriate and complete 23%, appropriate but insufficient 49%, inappropriate 28%. All facilitators were satisfied with the duration, contents and conduct of the sessions.
Conclusions:
A module is an effective tool for teaching prescription writing to undergraduate students; modifications required in contents and strategy to emphasize the need of complete documentation.
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