Rauniar G P, Roy R K, Das B P, Bhandari G, Bhattacharya S K
Department of Pharmacology, BPKIHS, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2008 Oct-Dec;47(172):197-200.
Objective of this prospective study was to assess the acquisition of prescribing skill of preclinical medical and dental undergraduate students. Prescription writing skills of 258 students of both first and second year of MBBS and BDS students were analyzed through an objective structured practical examination. MBBS student of second year scored 85.01% and 92.82% respectively in physician and drug related component whereas first year MBBS students scored 89.9% and 83.4%. BDS student of first year scored 91.96% and 86.33% in physician and drug related components which is better than second year that scored 83.33% and 77.94% respectively. This study revealed that the students of both courses acquire prescribing skills to a limited extent during preclinical phase. Prescribing errors were found both in physician and drug related components. To minimize the different form of prescribing errors vigorous training in the internship period will help to minimize prescribing errors and improve rational prescribing too.
这项前瞻性研究的目的是评估临床前医学和牙科本科学生处方技能的掌握情况。通过客观结构化实践考试，对258名医学学士（MBBS）和牙科学士（BDS）一年级和二年级学生的处方书写技能进行了分析。医学学士二年级学生在医生相关和药物相关部分的得分分别为85.01%和92.82%，而医学学士一年级学生的得分分别为89.9%和83.4%。牙科学士一年级学生在医生相关和药物相关部分的得分分别为91.96%和86.33%，高于二年级学生，二年级学生的得分分别为83.33%和77.94%。这项研究表明，两个课程的学生在临床前阶段仅在有限程度上掌握了处方技能。在医生相关和药物相关部分均发现了处方错误。为了尽量减少不同形式的处方错误，实习期间的强化培训将有助于减少处方错误并提高合理用药水平。
