Likic Robert, Vitezic Dinko, Maxwell Simon, Polasek Ozren, Francetic Igor
Department of Internal Medicine, Unit of Clinical Pharmacology, University of Zagreb School of Medicine, University Hospital Rebro, Kispaticeva 12, 10000 Zagreb, Croatia.
Eur J Clin Pharmacol. 2009 Mar;65(3):231-7. doi: 10.1007/s00228-008-0592-5. Epub 2008 Dec 16.
Young doctors write prescriptions regularly from their first day of practice. We investigated final-semester students' perceptions of their training in relation to prescribing in two Croatian medical schools with different clinical pharmacology (CPT) teaching styles (Zagreb: problem-based and Rijeka: lecture-based course).
A total of 315 students (220 in Zagreb, 95 in Rijeka) underwent a 4-week-long course in CPT in the academic year 2006/2007. We compared the impact of different educational methods on student performance using an MCQ assessment. After the training, students completed a paper questionnaire on prescribing skills and knowledge of pharmacotherapy.
Students in Rijeka were significantly more satisfied with their traditional lecture-based course. Only 56% of Zagreb students and 54% of students from Rijeka felt confident about their prescription-writing skills. Only 8% of Zagreb and none of Rijeka students had written more than six prescriptions during their entire medical curriculum. There was no difference in the participants' levels of factual knowledge of rational pharmacotherapy.
The style of learning about medicines did not affect students' factual knowledge. Only half of the student cohort felt confident about their ability to prescribe medicines, and few had practiced this skill during their medical training.
年轻医生从执业第一天起就经常开具处方。我们调查了克罗地亚两所临床药理学（CPT）教学风格不同的医学院校（萨格勒布：基于问题的教学法；里耶卡：基于讲座的课程）最后一学期学生对其处方开具培训的看法。
2006/2007学年，共有315名学生（萨格勒布220名，里耶卡95名）参加了为期4周的CPT课程。我们使用多项选择题评估比较了不同教育方法对学生表现的影响。培训结束后，学生完成了一份关于处方开具技能和药物治疗知识的纸质问卷。
里耶卡的学生对其传统的基于讲座的课程明显更满意。萨格勒布只有56%的学生和里耶卡54%的学生对自己的处方书写技能有信心。在整个医学课程中，萨格勒布只有8%的学生、里耶卡没有学生开具过超过6张处方。参与者在合理药物治疗的事实性知识水平上没有差异。
药物学习方式并未影响学生的事实性知识。只有一半的学生群体对自己开具药物的能力有信心，而且很少有人在医学培训期间练习过这项技能。
