An interprofessional collaboration between medicine and pharmacy schools: Designing and evaluating a teaching program on practical prescribing

Javadi, Mohammad Reza; Khezrian, Mina; Sadeghi, Anahita; Hajimiri, Seyed Hossein; Eslami, Kaveh

doi:10.4103/jrpp.jrpp_17_16

Cited by 4 publications

(9 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The apparent decrease in skills in the control group (NTG) was concerning and potentially a result of inconsistent prescribing-specific experiential teaching and learning. Previous studies have demonstrated that instilling poor skills and habits amongst medical students early in their clinical development is avoidable with appropriate training by informed educators ( 18 , 19 ).…”

Section: Discussionmentioning

confidence: 99%

“…Comparing educators was not the purpose of this study. However, a number of articles have demonstrated pharmacists have a positive influence on prescribing behaviours of prescribers ( 18 , 19 , 21 , 22 ). Given that all students, except one, received this education from a prescribing physician it is unlikely to represent a confounder to our findings.…”

Section: Discussionmentioning

confidence: 99%

“…Further, given that we observed superior prescribing skillset performance only amongst the group randomised to receive pharmacist-led education, we conclude the pharmacist-led education on script writing was effective in an additive compared to the alternative model of physician education. It has previously been observed that physicians in the role of educators may at times overlook some required knowledge and skills ( 18 , 19 ). We hypothesise that students potentially felt more comfortable asking a pharmacist questions rather than a senior colleague to spare criticism or judgement given the traditionally hierarchical nature of medical workforce structures.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pharmacist-Led Education for Final Year Medical Students: A Pilot Study

et al. 2021

View full text Add to dashboard Cite

Background: Prescribing is a core skillset for medical officers. Prescribing errors or deficiencies can lead to patient harm and increased healthcare costs. There is an undefined role for pharmacist-led education to final year medical students to improve prescribing skills.Aim: Assess if pharmacist-led education on prescription writing improves the quality and safety of final year medical students' prescribing skills.Method: Participants and Intervention: Final year medical students were randomised into tutorial (TG) or non-tutorial groups (NTG) and assessed pre- and post- intervention. TG received education by a clinical pharmacist and pharmacy educator using case-based learning. NTG received no additional training as per usual practice. Following the pre-test, all students completed a 3-week tertiary hospital medical ward placement. Students completed the post-test following placement and after the TG participated in the intervention.Student Assessment: Assessment included writing Schedule 4 (S4, prescription only), Schedule 8 (S8, controlled drug), S4 streamline (S4SL), and Mixed case (S4 and S8) prescriptions.Results: At baseline, there were no significant differences between TG and NTG for overall scores or proportion of passes. Post intervention scores significantly improved in TG (p = 0.012) whereas scores significantly decreased in the NTG (p = 0.004). The overall proportion of passes was significantly higher in the TG than NTG (p < 0.001).Conclusion: Education by a clinical pharmacist improved short-term prescribing skills of final year medical students in this study. Students learning primarily experientially from peers and rotational supervisors showed decreased prescribing skills. We propose pharmacist-led education on prescription writing should be further evaluated in larger studies across more student cohorts and for longer periods of follow up time to clarify whether such an educational model could be included in future medical school curricula.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pharmacist-Led Education for Final Year Medical Students: A Pilot Study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…There was a mix of study designs, including eight randomised controlled trials [20][21][22][23][24][25][26][27], nine comparative studies [28][29][30][31][32][33][34][35][36], six prospective studies [37][38][39][40][41][42], 12 before and after studies [43][44][45][46][47][48][49][50][51][52][53][54], five mixed-method evaluation studies [55][56][57][58][59], five crossover studies [60][61][62][63][64], five quasiexperimental studies [65][66][67][68][69] and four cross-sec...…”

Section: Study Characteristicsmentioning

confidence: 99%

Educational Interventions for Medical Students to Improve Pharmacological Knowledge and Prescribing Skills: A Scoping Review

Shi,

Qin,

Vaughan

et al. 2023

Perspect Med Educ

View full text Add to dashboard Cite

Introduction: Medication-related errors place a heavy financial burden on healthcare systems worldwide, and mistakes are most likely to occur at the stage of prescribing. Junior doctors are more likely to make prescribing errors, and medical graduates also lack confidence and preparedness towards prescribing. Thus, this review aimed to evaluate the existing educational approaches to improve pharmacological knowledge and prescribing skills among medical students. Methods: CENTRAL, CINAHL, ERIC, Ovid Embase, Ovid MEDLINE, Ovid PsycINFO, and Scopus were searched with keywords related to “pharmacological knowledge”, “prescribing skills”, “educational interventions” for articles published since 2016. Results: 3595 records were identified, and 115 full-text articles were assessed for eligibility. Eighty full-text articles were eligible and included in this review. Thirty-seven studies focused on improving prescribing skills, whilst 43 targeted pharmacological knowledge. A broad range of interventions was implemented, including e-learning, case-based, interprofessional, and experiential learning. Pharmacological knowledge and prescribing skills were measured in various ways, and all studies reported one or more positive findings at Kirkpatrick level 1 or 2. No study reported outcomes at Kirkpatrick levels 3 and 4. Discussion: The World Health Organisation’s Good Guide to Prescribing was the foundation of the development of prescribing educational interventions. Emerging interventions such as experiential and interprofessional learning should be incorporated into the prescribing curriculum. Innovative approaches such as game-based learning can be considered for clinical pharmacology teaching. However, there was a lack of outcomes at Kirkpatrick levels 3 and 4. Robust methodology and reliable outcome measures are also needed in future studies.

show abstract

“…Regardless, both statistics identify illiteracy as a major obstacle for the delivery of self-management coaching to older adults. This obstacle could explain the dearth of educational interventions; there was only one interventional study that suggested the effectiveness of an educational program on reducing insulin-pen medical errors (Javadi, Khezrian, Sadeghi, Hajimiri, & Eslami, 2017).…”

Section: Interactive Educational Programs That Improve Self-managemenmentioning

confidence: 99%

Chronic Disease Self-Management Among Iranian Older Adults: A Scoping Review

2019

View full text Add to dashboard Cite

Background: Implementing care models that emphasize chronic disease self-management (CDSM) strategies may be an effective approach to the growing prevalence of chronic conditions in Iran. We, therefore, conducted a scoping review on CDSM among older Iranians to identify existing gaps and opportunities to improve chronic disease care. Method: We conducted a search in CINAHL, EMBASE, MEDLINE/PubMed, and Cochrane library. Selected articles were charted based on year of publication, language, objectives, methods, target chronic disease(s), sample demographics, self-management type, and key findings. Results: We selected 73 articles. The main components of CDSM addressed were social support, education, physical activity, nutrition, self-monitoring, spirituality, and financial support. Older Iranians reported low levels of physical activity. Conclusion: Enhancing the quality of CDSM research and provision of coaching to enhance older adults’ social and mental health are among the main strategies to enhance CDSM among the Iranian older population.

show abstract

An interprofessional collaboration between medicine and pharmacy schools: Designing and evaluating a teaching program on practical prescribing

Cited by 4 publications

References 8 publications

Pharmacist-Led Education for Final Year Medical Students: A Pilot Study

Pharmacist-Led Education for Final Year Medical Students: A Pilot Study

Educational Interventions for Medical Students to Improve Pharmacological Knowledge and Prescribing Skills: A Scoping Review

Chronic Disease Self-Management Among Iranian Older Adults: A Scoping Review

Contact Info

Product

Resources

About