Department of Medical Education, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaqaab HUKM, Kuala Lumpur 56000, Malaysia.
J Dent Educ. 2012 Nov;76(11):1527-31.
Most dental schools lack a module on prescription writing in pharmacology. This study assessed the prescription writing skills of a group of Malaysian dental students at the end of their undergraduate training program. A quantitative study of a two-group posttest experiment was designed, and thirty-seven fifth-year (final-year) dental students were divided into two groups (A [n=18] and B [n=19]). Group A received a didactic lecture on how to write a complete prescription, while Group B served as a control group. For prescription writing, three standardized dental scenarios with a diagnosis of irreversible pulpitis associated with a child and a pregnant woman and periapical pulpitis for an adult man were administered. Thus, a total of 111 prescriptions (Group A [n=54] and Group B [n=57]) were collected. Twelve elements in each prescription were assessed by frequency and a chi-square test. Improvements in eight out of the twelve elements were observed in prescriptions written by students in Group A. The significantly improved elements were provision of the symbol R(x) (39.8 percent) (p<0.001), inclusion of the prescriber's signature (75.3 percent) (p<0.001), inclusion of the date with the prescriber's signature (54.6 percent) (p<0.001), and inclusion of the prescriber's registration (30.5 percent) (p<0.001). Overall, Group A gained almost a 50 percent improvement in writing complete prescriptions due to the intervening lecture. It appeared a traditional lecture led to the more accurate writing of a complete prescription. It was suggested that a module on prescription writing be added to the school's pharmacology curriculum, so that dental graduates will be competent in prescription writing for the sake of their patients' health.
大多数牙科学院缺乏药理学处方写作模块。本研究评估了一组马来西亚牙科学员在本科培训计划结束时的处方写作技能。设计了一项具有两个群组的后测实验的定量研究,将 37 名五年级(最后一年)牙科学员分为两组(A [n=18]和 B [n=19])。A 组接受了关于如何写完整处方的理论讲座,而 B 组作为对照组。对于处方写作,我们提供了三个标准化的牙科场景,分别涉及与儿童和孕妇相关的不可复性牙髓炎以及成年男性的根尖周炎。因此,共收集了 111 张处方(A 组 [n=54] 和 B 组 [n=57])。通过频率和卡方检验评估每张处方中的 12 个要素。在 A 组学生所写的处方中,有八项中有八项得到了改善。显著改善的要素包括提供符号 R(x)(39.8%)(p<0.001),包括处方医生的签名(75.3%)(p<0.001),在处方医生签名旁包含日期(54.6%)(p<0.001)和包含处方医生的注册(30.5%)(p<0.001)。总体而言,由于干预讲座,A 组在写完整处方方面的提高了近 50%。似乎传统讲座导致了更准确的完整处方书写。建议在学校的药理学课程中增加处方写作模块,以便牙科毕业生能够胜任为患者健康着想的处方书写。