Geoghegan Sheena Elizabeth, Clarke Eric, Byrne Dara, Power Dermot, Moneley Daragh, Strawbridge Judith, Williams David James
Department of Geriatric and Stroke Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
Department of Geriatric and Stroke Medicine, Beaumont Hospital, Dublin, Ireland.
Br J Clin Pharmacol. 2017 Aug;83(8):1826-1834. doi: 10.1111/bcp.13273. Epub 2017 Apr 6.
The aim of the study was to investigate the level of preparedness of newly qualified Irish-trained doctors for prescribing, and to investigate their attitudes towards prescribing and prescribing education, through a national survey.
A 29-item online survey was distributed to 686 newly qualified doctors 1 month prior to the completion of their first year of clinical practice (internship). Only graduates from Irish medical schools were included.
The response rate was 20.4% (n = 140; female : male 56%:44%). The majority of respondents felt confident in prescription writing (89%), medication history taking (81%) and accessing drug information in the hospital setting (80%). Only 58% of respondents felt confident in drug dose calculation, and 35% felt confident in preparing and administering drugs. When asked if their undergraduate medical education had prepared them for prescribing in clinical practice, 28% of respondents agreed. Confidence that their undergraduate education had prepared them was associated with receiving formal training in prescribing skills (P = 0.0045; 27% vs. 0%). Thirty-seven per cent of respondents agreed that they felt stressed about prescribing medications.
This survey of newly qualified doctors in Ireland found that only 28% of respondents agreed that their undergraduate medical education had prepared them for prescribing, which was comparable to a previous survey of UK medical students and graduates. Investigating confidence and preparedness for prescribing provides important insights for educators. Dedicated teaching of prescribing, with an emphasis on practical training and assessment, may help graduates to feel more prepared for the challenges of prescribing in the clinical setting.
本研究旨在通过一项全国性调查，调查爱尔兰新获得资格的医生在处方开具方面的准备水平，并调查他们对处方开具及处方开具教育的态度。
在新获得资格的医生完成其临床实习第一年（实习）前1个月，向686名新获得资格的医生发放了一份包含29个条目的在线调查问卷。仅纳入爱尔兰医学院校的毕业生。
回复率为20.4%（n = 140；女性:男性为56%:44%）。大多数受访者对处方书写（89%）、用药史采集（81%）以及在医院环境中获取药物信息（80%）有信心。只有58%的受访者对药物剂量计算有信心，35%的受访者对药物配制和给药有信心。当被问及他们的本科医学教育是否使他们为临床实践中的处方开具做好准备时，28%的受访者表示同意。对本科教育使他们做好准备的信心与接受过处方开具技能的正规培训相关（P = 0.0045；27%对0%）。37%的受访者同意他们对开具药物感到有压力。
这项对爱尔兰新获得资格医生的调查发现，只有28%的受访者同意他们的本科医学教育使他们为处方开具做好了准备，这与之前对英国医学生和毕业生的调查结果相当。调查处方开具的信心和准备情况为教育工作者提供了重要见解。专门的处方开具教学，重点是实践培训和评估，可能有助于毕业生对临床环境中处方开具的挑战更有准备。
