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Developing professional confidence in the art of prescribing-a randomized controlled study on structured collegial discussions during internship
- Source :
- European journal of clinical pharmacology. 75(5)
- Publication Year :
- 2018
-
Abstract
- To evaluate whether an educational intervention based on collegial discussions on patient cases could increase interns’ professional confidence in prescribing. In a randomized controlled study at Sahlgrenska University Hospital, Gothenburg, Sweden, 69 interns (median age: 29 years, 54% female) were allocated to an intervention or control group. The intervention consisted of two 3-h seminars based on collegial discussions of patient cases focused on performing medication reviews. This included reconciling the drug treatment and ascertaining that it is reasonable given the patient’s current health status, as well as tips on practical handling of the medical records system and integrated decision support. Self-assessed confidence in performing medication reviews was evaluated with questionnaires distributed at baseline and at 6-month follow-up. Fifty-seven (83%) interns completed the questionnaires. Although the opposite was found at baseline, intervention interns, in comparison with controls, at follow-up, were more confident in performing medication reviews (4.3 ± 0.9 vs. 3.6 ± 1.3, P = 0.034; 1 = completely disagree to 5 = completely agree). At follow-up, the intervention participants had increased their confidence in prescribing to a greater extent compared with the control participants, including performing medication reviews as well as taking responsibility for the medication list at discharge: + 1.5/+ 1 vs ± 0 on the 5-point agreement scale (all P ≤ 0.01). Among other positive outcomes, the intervention increased the interns’ awareness of adverse effects as a potential cause of symptoms and their confidence in withdrawing a medication. Structured collegial discussions on pharmacotherapy, even of a relatively short duration, can increase junior physicians’ professional confidence in prescribing medicines.
- Subjects :
- Adult
Male
medicine.medical_specialty
education
030226 pharmacology & pharmacy
Drug Prescriptions
law.invention
Hospitals, University
03 medical and health sciences
Random Allocation
0302 clinical medicine
Pharmacotherapy
Randomized controlled trial
law
Internship
Intervention (counseling)
Surveys and Questionnaires
Medicine
Humans
Pharmacology (medical)
030212 general & internal medicine
Adverse effect
Pharmacology
business.industry
Medical record
Internship and Residency
General Medicine
Family medicine
Scale (social sciences)
Education, Medical, Continuing
Female
Clinical Competence
business
Medication list
Subjects
Details
- ISSN :
- 14321041
- Volume :
- 75
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- European journal of clinical pharmacology
- Accession number :
- edsair.doi.dedup.....2fe90cabcc5f87c58d07e210eeb49fac