Clinical Skills Center, School of Medicine, Wayne State University, 320 E Canfield St, Suite 206, Detroit, MI, 48201, USA.
Department of Pharmacy Practice, Eugene Applebaum College of Pharmacy and Health Sciences, Wayne State University, 259 Mack Ave, Suite 2190, Detroit, MI, 48201, USA.
BMC Med Educ. 2024 Apr 10;24(1):394. doi: 10.1186/s12909-024-05326-0.
Prescription writing skills are essential for physician practice. This study describes the development and implementation of a curricular intervention focused on improving the knowledge and confidence of preclerkship medical students' prescription writing practices utilizing an interprofessional education model, with a focus on electronic prescribing.
Medicine and Pharmacy Faculty from a large, urban university collaborated to develop the content of the workshop and a simulation platform was used for the e-prescribing activity. Second-year medical students attended a mandatory in-person workshop facilitated by fourth-year pharmacy students. A pre and post knowledge test and confidence survey were used to assess students' knowledge, confidence, and satisfaction. Outcomes from the knowledge test were evaluated with paired-samples proportions tests, and confidence survey data was evaluated with paired t-tests and Wilcoxon signed-rank tests in a pre-post study design.
Students demonstrated a significant increase in prescription writing knowledge and confidence after completing the workshop. On the pre-test, 7% of students (21/284) completed the electronic prescribing assessment correctly and 51% of students (149/295) completed it correctly on the post-test. All items on the confidence survey showed a significant increase in pre- versus post-survey comparisons (p < 0.001).
This interprofessional prescription writing workshop facilitated by pharmacy students shows promise for improving the knowledge and confidence of prescription writing and electronic prescribing practices in preclerkship medical students.
处方书写技能对于医生的实践至关重要。本研究描述了一种课程干预的开发和实施,该干预侧重于利用跨专业教育模式提高医预阶段学生的处方书写实践知识和信心,重点是电子处方。
来自一所大型城市大学的医学和药学教师合作开发了该研讨会的内容,并使用模拟平台开展电子处方活动。二年级医学生参加了由四年级药学学生主持的强制性实地研讨会。通过预先和之后的知识测试和信心调查来评估学生的知识、信心和满意度。通过配对样本比例检验评估知识测试的结果,通过配对 t 检验和 Wilcoxon 符号秩检验在预 - 后研究设计中评估信心调查数据。
学生在完成研讨会后,在处方书写知识和信心方面有显著提高。在预测试中,只有 7%的学生(21/284)正确完成了电子处方评估,而在测试后,有 51%的学生(149/295)正确完成了电子处方评估。信心调查的所有项目在预调查与后调查比较中均显示出显著增加(p<0.001)。
由药学学生主持的这种跨专业处方书写研讨会有望提高医预阶段学生的处方书写和电子处方实践知识和信心。