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Pharmacist peer-led teaching significantly improved medical students' prescribing skills and confidence. This scalable, low-cost model enhances interprofessional education and addresses barriers in simulation-based training.

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Area of Science:

  • Medical Education
  • Pharmacy Education
  • Clinical Skills Training

Background:

  • Newly qualified doctors exhibit low prescribing confidence and persistent error rates.
  • Medical schools face challenges in providing high-quality, simulation-based prescribing education.
  • Peer-led, interprofessional teaching, especially by pharmacists, presents a scalable educational solution.

Purpose of the Study:

  • To evaluate a pharmacist peer-led prescribing education program for final-year medical students.
  • To assess the impact of this novel teaching model on prescribing skills, confidence, and interprofessional awareness.
  • To explore the key enablers of successful peer-led prescribing education.

Main Methods:

  • A mixed-methods framework was employed, including simulated prescribing assessments, confidence questionnaires, and semi-structured interviews.
  • Final-year medical students (n=74) with pharmacy backgrounds served as peer tutors.
  • Participants were randomly assigned to a crossover format, with teaching focused on calculations, high-risk drugs, and clinical scenarios.

Main Results:

  • Significant improvements in simulated prescribing assessment scores (p < 0.001) with large effect sizes were observed.
  • Participant confidence increased across all domains (p < 0.001), and performance on national assessments improved.
  • Thematic analysis identified specialist peer insights, interactive delivery, psychological safety, and curriculum alignment as key enablers.

Conclusions:

  • The pharmacist-led, peer-teaching model effectively enhanced medical students' prescribing skills and confidence.
  • This approach fosters interprofessional awareness and offers a transferable, low-cost framework for prescribing education.
  • The model has been adopted locally and nationally, demonstrating its scalability and effectiveness.