Academic Unit of Medical Education, The Medical School, University of Sheffield, Sheffield, UK.
Med Teach. 2020 Oct;42(10):1134-1139. doi: 10.1080/0142159X.2020.1726309. Epub 2020 Feb 17.
Prescribing is a complex clinical skill requiring mastery by the end of basic medical training. Prescribing errors are common in newly qualified doctors, aligned with expressed anxiety about prescribing, particularly with high-risk medications. Learning about prescribing needs to start early in medical training, underpinned by regular opportunities for reflective practice. Authentic learning within the clinical work environment is more effective than lecture based learning and allows potential immediate feedback. Educational strategies should support prescribing learning underpinned by appropriate formative and summative assessments. Students should routinely be expected to use resources including an online formulary, sustained through tracking individual progress through use of their own personal formulary or 'p' drugs. Regular prescribing practice with embedded feedback during undergraduate training will help to ensure newly qualified doctors are more confident and competent prescribers.
开具处方是一项复杂的临床技能，需要在基础医学培训结束时掌握。新获得资格的医生中常见处方错误，这与他们对处方的焦虑有关，尤其是对高风险药物的处方。学习处方需要在医学培训早期开始，并定期进行反思实践。在临床工作环境中进行真实学习比基于讲座的学习更有效，并允许进行潜在的即时反馈。教育策略应支持以适当的形成性和总结性评估为基础的处方学习。应该期望学生经常使用资源，包括在线处方集，通过跟踪他们自己个人处方集或 'p' 药物的使用来持续跟踪个人进展。在本科培训期间定期进行处方实践并嵌入反馈，将有助于确保新获得资格的医生成为更有信心和能力的处方者。
