Upadhyaya Prerna, Seth Vikas, Sharma Monika, Ahmed Mushtaq, Moghe Vijay Vasant, Khan Zafar Yab, Gupta Vinay Kumar, Jain Shipra Vikram, Soni Utkarsh, Bhatia Manohar, Abhijit Kumar, Goyal Jaswant
Department of Pharmacology, Mahatma Gandhi Medical College, Jaipur.
Adv Med Educ Pract. 2012 Jun 5;3:47-53. doi: 10.2147/AMEP.S31726. Print 2012.
The study aimed to review the prescribing knowledge of first-year postgraduate doctors in a medical college in India, using the principles of good prescribing, to suggest strategies to improve rational prescribing, and to recommend what curriculum planners can do to accomplish this objective.
Fifty first-year postgraduate doctors were asked to fill in a structured questionnaire that sought information regarding their undergraduate training in clinical pharmacology and therapeutics, prescribing habits, and commonly consulted drug information sources. Also, the questionnaire assessed any perceived deficiencies in their undergraduate clinical pharmacology teaching and sought feedback regarding improvement in the teaching.
Eighty-eight percent of residents said that they were taught prescription writing in undergraduate pharmacology teaching; 48% of residents rated their prescribing knowledge at graduation as average, 28% good, 4% excellent, 14% poor, and 4% very poor; 58% felt that their undergraduate training did not prepare them to prescribe safely, and 62% felt that their training did not prepare them to prescribe rationally. Fifty-eight percent of residents felt that they had some specific problems with writing a prescription during their internship training, while 92% thought that undergraduate teaching should be improved. Their suggestions for improving teaching methods were recorded.
This study concludes that efforts are needed to develop a curriculum that encompasses important aspects of clinical pharmacology and therapeutics along with incorporation of the useful suggestions given by the residents.
本研究旨在运用合理处方原则，回顾印度一所医学院校一年级研究生医生的处方知识，提出改善合理处方的策略，并建议课程规划者为实现这一目标可采取的措施。
邀请50名一年级研究生医生填写一份结构化问卷，问卷内容涉及他们在临床药理学和治疗学方面的本科培训、处方习惯以及常用的药物信息来源。此外，问卷还评估了他们认为本科临床药理学教学中存在的不足之处，并征求了关于教学改进的反馈意见。
88%的住院医生表示在本科药理学教学中学习过处方书写；48%的住院医生将毕业时的处方知识评为中等，28%为良好，4%为优秀，14%为较差，4%为非常差；58%的人认为本科培训没有让他们做好安全处方的准备，62%的人认为培训没有让他们做好合理处方的准备。58%的住院医生觉得他们在实习培训期间写处方存在一些具体问题，而92%的人认为本科教学应该改进。记录了他们对改进教学方法的建议。
本研究得出结论，需要努力制定一门涵盖临床药理学和治疗学重要方面的课程，并纳入住院医生给出的有用建议。
