Chapagain K, Paranjape B D, Lama G
Department of Clinical Pharmacology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal.
District Public Health Office, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2016 Oct-Dec;55(204):72-75.
To ensure safe, effective and rational prescribing by tomorrow's doctors it is important to assess the prescribing skills of today's medical students. The aim of this study was to assess the prescribing skills of MBBS preclinical students of a Teaching Hospital.
First and second year medical students were given different sets of common clinical scenarios and asked to write a prescription for these. The physician and drug related components were analyzed following the WHO guidelines. The data were statistically analyzed using Chi-square test for 99% and 99.99% Confidence Intervals. P values < 0.01 and < 0.0001 were considered significant respectively.
MBBS first year student scored 123 (82%) and 94 (62.66%) in physician and drug related component respectively. MBBS second year students scored 139 (92.66%) and 111 (73.33%) in physician and drug related components respectively. Results obtained from the element prescriber's address and telephone number, date of prescription and patient's address on the prescription of first year and second year medical students were highly significant (p<0.0001).
Prescribing skill of first and second year MBBS students is not satisfactory. Prescribing deficiencies were found on both the physician and drug related components which emphasizes the need of adequate prescribing knowledge in order to minimize the prescription errors and irrational prescribing. Based on this study, we suggest all the undergraduate medical students should be regularly trained and evaluated to further help minimize the prescribing errors.
为确保未来医生安全、有效且合理地开具处方，评估当今医学生的处方技能很重要。本研究的目的是评估一家教学医院MBBS临床前学生的处方技能。
给大一和大二医学生提供不同组常见临床病例，并要求他们为此开具处方。按照世界卫生组织指南分析医生和药物相关成分。使用卡方检验对数据进行统计分析，得出99%和99.99%的置信区间。P值<0.01和<0.0001分别被认为具有显著性。
MBBS一年级学生在医生相关成分和药物相关成分上的得分分别为123分（82%）和94分（62.66%）。MBBS二年级学生在医生相关成分和药物相关成分上的得分分别为139分（92.66%）和111分（73.33%）。从一年级和二年级医学生处方上的开具者地址和电话号码、处方日期以及患者地址等要素得出的结果具有高度显著性（p<0.0001）。
MBBS一年级和二年级学生的处方技能不尽人意。在医生和药物相关成分上均发现了处方缺陷，这强调了需要具备足够的处方知识以尽量减少处方错误和不合理处方。基于本研究，我们建议对所有本科医学生进行定期培训和评估，以进一步帮助减少处方错误。
