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1. The impact of a summative national prescribing assessment and curriculum type on the development of the prescribing competence of junior doctors

Author

Donker, Erik M., Osmani, Hayaudin, Brinkman, David J., van Rosse, Floor, Janssen, Ben, Knol, Wilma, Dumont, Glenn, Jorens, Philippe G., Dupont, Alain, Christiaens, Thierry, van Smeden, Jeroen, de Waard-Siebinga, Itte, Peeters, Laura E. J., Goorden, Ronald, Hessel, Marleen, Lissenberg-Witte, Birgit I., Richir, Milan C., van Agtmael, Michiel A., Kramers, Cornelis, and Tichelaar, Jelle

Published
2023
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2. Do we become better prescribers after graduation: A 1-year international follow-up study among junior doctors

Author

Education committee of the Dutch Society for Clinical Pharmacology and Biopharmacy, Donker, Erik M, Brinkman, David J, van Rosse, Floor, Janssen, Ben, Knol, Wilma, Dumont, Glenn, Jorens, Philippe G, Dupont, Alain, Christiaens, Thierry, van Smeden, Jeroen, de Waard-Siebinga, Itte, Peeters, Laura E J, Goorden, Ronald, Hessel, Marleen, Lissenberg-Witte, Birgit, Richir, Milan, van Agtmael, Michiel A, Kramers, Cornelis, Tichelaar, Jelle, Internal medicine, Amsterdam Gastroenterology Endocrinology Metabolism, Epidemiology and Data Science, APH - Methodology, Other Research, APH - Quality of Care, Pharmaceutical and Pharmacological Sciences, Clinical Pharmacology and Clinical Pharmacy, Farmacologie en Toxicologie, RS: Carim - H03 ECM and Wnt signaling, Dutch Society for Clinical Pharmacology and Biopharmacy, Pharmacy, Internal Medicine, Graduate School, Tytgat Institute for Liver and Intestinal Research, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, APH - Mental Health, and APH - Personalized Medicine

Subjects
Pharmacology, Pharmacology. Therapy, education, ERRORS, PERFORMANCE, Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18], PHARMACOLOGY KNOWLEDGE, Pharmacology, Toxicology and Pharmaceutics(all), pharmacotherapy, Medical Staff, Hospital, SKILLS, Humans, Pharmacology (medical), Clinical Competence, Longitudinal Studies, clinical pharmacology, graduate, Practice Patterns, Physicians', medical education, prescribing knowledge and skills, Follow-Up Studies
Abstract

Contains fulltext : 286840.pdf (Publisher’s version ) (Open Access) AIM: The aim of this study was to investigate how the prescribing knowledge and skills of junior doctors in the Netherlands and Belgium develop in the year after graduation. We also analysed differences in knowledge and skills between surgical and nonsurgical junior doctors. METHODS: This international, multicentre (n = 11), longitudinal study analysed the learning curves of junior doctors working in various specialties via three validated assessments at about the time of graduation, and 6 months and 1 year after graduation. Each assessment contained 35 multiple choice questions (MCQs) on medication safety (passing grade ≥85%) and three clinical scenarios. RESULTS: In total, 556 junior doctors participated, 326 (58.6%) of whom completed the MCQs and 325 (58.5%) the clinical case scenarios of all three assessments. Mean prescribing knowledge was stable in the year after graduation, with 69% (SD 13) correctly answering questions at assessment 1 and 71% (SD 14) at assessment 3, whereas prescribing skills decreased: 63% of treatment plans were considered adequate at assessment 1 but only 40% at assessment 3 (P

Published
2022

4. Do we become better prescribers after graduation: A 1‐year international follow‐up study among junior doctors.

Author

Donker, Erik M., Brinkman, David J., van Rosse, Floor, Janssen, Ben, Knol, Wilma, Dumont, Glenn, Jorens, Philippe G., Dupont, Alain, Christiaens, Thierry, van Smeden, Jeroen, de Waard‐Siebinga, Itte, Peeters, Laura E. J., Goorden, Ronald, Hessel, Marleen, Lissenberg‐Witte, Birgit, Richir, Milan, van Agtmael, Michiel A., Kramers, Cornelis, and Tichelaar, Jelle

Subjects
PHYSICIANS, GRADUATION (Education), MEDICATION safety, PATIENT safety
Abstract

Aim: The aim of this study was to investigate how the prescribing knowledge and skills of junior doctors in the Netherlands and Belgium develop in the year after graduation. We also analysed differences in knowledge and skills between surgical and nonsurgical junior doctors. Methods: This international, multicentre (n = 11), longitudinal study analysed the learning curves of junior doctors working in various specialties via three validated assessments at about the time of graduation, and 6 months and 1 year after graduation. Each assessment contained 35 multiple choice questions (MCQs) on medication safety (passing grade ≥85%) and three clinical scenarios. Results: In total, 556 junior doctors participated, 326 (58.6%) of whom completed the MCQs and 325 (58.5%) the clinical case scenarios of all three assessments. Mean prescribing knowledge was stable in the year after graduation, with 69% (SD 13) correctly answering questions at assessment 1 and 71% (SD 14) at assessment 3, whereas prescribing skills decreased: 63% of treatment plans were considered adequate at assessment 1 but only 40% at assessment 3 (P <.001). While nonsurgical doctors had similar learning curves for knowledge and skills as surgical doctors (P =.53 and P =.56 respectively), their overall level was higher at all three assessments (all P <.05). Conclusion: These results show that junior doctors' prescribing knowledge and skills did not improve while they were working in clinical practice. Moreover, their level was under the predefined passing grade. As this might adversely affect patient safety, educational interventions should be introduced to improve the prescribing competence of junior doctors. [ABSTRACT FROM AUTHOR]

Published
2022
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