Gu Namyi, Kim Kyong-Jee, Lim Chi-Yeon, Lee Jun Kyu, Rhee Moo-Yong, Shin Kwang-Hee, Lee Seung-Hwan, Ahn Sangzin
Department of Clinical Pharmacology and Therapeutics, Dongguk University College of Medicine and Ilsan Hospital, Goyang 10326, Korea.
Department of Medical Education, Dongguk University College of Medicine, Goyang 10326, Korea.
Transl Clin Pharmacol. 2018 Sep;26(3):128-133. doi: 10.12793/tcp.2018.26.3.128. Epub 2018 Sep 14.
Appropriate prescription writing is one of the critical medical processes affecting the quality of public health care. However, this is a complex task for newly qualified intern doctors because of its complex characteristics requiring sufficient knowledge of medications and principles of clinical pharmacology, skills of diagnosis and communication, and critical judgment. This study aims to gather data on the current status of undergraduate prescribing education in South Korea. Two surveys were administered in this study: survey A to 26 medical schools in South Korea to gather information on the status of undergraduate education in clinical pharmacology; and survey B to 244 intern doctors in large hospitals to gather their opinions regarding prescribing education and ability. In survey A, half of the responding institutions provided prescribing education via various formats of classes over two curriculums including lecture, applied practice, group discussions, computer-utilized training, and workshops. In survey B, we found that intern doctors have the least confidence when prescribing drugs for special patient populations, especially pregnant women. These intern doctors believed that a case-based practical training or group discussion class would be an effective approach to supplement their prescribing education concurrently or after the clerkship in medical schools or right before starting intern training with a core drug list. The results of the present study may help instructors in charge of prescribing education when communicating and cooperating with each other to improve undergraduate prescribing education and the quality of national medical care.
恰当的处方书写是影响公共卫生保健质量的关键医疗流程之一。然而,对于刚获得资格的实习医生来说,这是一项复杂的任务,因为其具有复杂的特性,需要具备足够的药物知识和临床药理学原理、诊断和沟通技巧以及批判性判断力。本研究旨在收集韩国本科阶段处方教育现状的数据。本研究进行了两项调查:对韩国26所医学院校进行调查A,以收集本科临床药理学教育状况的信息;对大型医院的244名实习医生进行调查B,以收集他们对处方教育和能力的看法。在调查A中,一半的回应机构通过包括讲座、应用实践、小组讨论、计算机辅助培训和研讨会在内的两种课程的各种形式的课程提供处方教育。在调查B中,我们发现实习医生在为特殊患者群体(尤其是孕妇)开处方时信心最低。这些实习医生认为,基于案例的实践培训或小组讨论课程将是一种有效的方法,可以在医学院校实习期间或之后,或者在开始实习培训前使用核心药物清单时,同时补充他们的处方教育。本研究的结果可能有助于负责处方教育的教师在相互沟通与合作时,改进本科处方教育和国家医疗保健质量。