Prescribing Skills of First and Second Year MBBS Students of A Teaching Hospital

  • Kumud Chapagain Department of Clinical Pharmacology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Bhaskar Diwakar Paranjape Department of Clinical Pharmacology, Nobel Medical College Teaching Hospital, Biratnagar, Nepal
  • Ganesh Lama District Public Health Office, Kathmandu, Nepal
Keywords: Prescription, prescription errors, prescribing skill

Abstract

Introduction: To ensure safe, effective and rational prescribing by tomorrow’s doctors it is important to assess the prescribing skills of today’s medical students. The aim of this study was to assess the prescribing skills of MBBS preclinical students of a Teaching Hospital.
Methods: First and second year medical students were given different sets of common clinical scenarios and asked to write a prescription for these. The physician and drug related components were analyzed following the WHO guidelines. The data were statistically analyzed using Chi-square test for 99% and 99.99% Confidence Intervals. P values < 0.01 and < 0.0001 were considered significant respectively.
Results: MBBS first year student scored 123 (82%) and 94 (62.66%) in physician and drug related component respectively. MBBS second year students scored 139 (92.66%) and 111 (73.33%) in physician and drug related components respectively. Results obtained from the element prescriber's address and telephone number, date of prescription and patient’s address on the prescription of first year and second year medical students were highly significant (p<0.0001).
Conclusions: Prescribing skill of first and second year MBBS students is not satisfactory. Prescribing deficiencies were found on both the physician and drug related components which emphasizes the need of adequate prescribing knowledge in order to minimize the prescription errors and irrational prescribing. Based on this study, we suggest all the undergraduate medical students should be regularly trained and evaluated to further help minimize the prescribing errors.

Keywords: prescription; prescription errors; prescribing skill. PubMed

References

1. de Vries TPGM, Henning RH, Hogerzeil HV, Fresle DA. Guide to Good Prescribing: a practical manual. Geneva: World Health Organisation, Action Programme on Essential Drugs, 1994. Cited 2016 Dec 5. Available from: URL:http://apps.who.int/medicinedocs/pdf/whozip23e/whozip23e.pdf
2. Jain A, Gupta D, Singh D, Garg Y, Saxena A, Chaudhary H, et al. Knowledge regarding prescription of drugs among dental students: A descriptive study. J Basic Clin Pharma. 2016;7:12-6.
3. Kia SJ, Behravesh M, Sigaroudi AK. Evaluation of Drug Prescription Pattern among General Dental Practitioners in Rasht, Iran. Journal of Dentomaxillofacial Radiology, Pathology and Surgery. 2013;1:18-23.
4. Rauniar GP, Roy RK, Das BP, Bhandari G, Bhattacharya SK. Prescription Writing Skills of Pre-Clinical Medical and Dental Undergraduate Students. J Nepal Med Assoc. 2008;47:197-200.
5. Khaja KAJA, Handu SS, James H, et al. Assessing prescription writing skills of pre-clerkship medical students in a problem-based curriculum. Int J Clin Pharmacol Ther. 2005; 43(9): 429-35.
6. Lofholm PW, Katzung BG: Rational prescribing and prescription writing: In Katzung BG editor. Basic and Clinical Pharmacology. New York: McGraw-Hill; 2001. p.1104-113.
7. Audit Commission. A Spoonful of Sugar–[Improving Medicines Management in Hospitals.] London: Audit Commission, 2001. Cited 2016 Dec 5. Available frm: URL:http://www.auditcommission.gov.uk/reports/NATIONALREPORT.asp?CategoryID=&ProdID=E83C8921-6CEA-4b2c-83E7-F80954A80F85
8. Kumar J, Shaile MM, Kathi MC, Chetty MS, Deka A. Appraisal of prescription writing skills of preclinical undergraduate students of Nepal. J Coll Med Sc. 2010;6(4):7-13.
9. Guzman Alvarez R, Medeiros M, Reyes Lagunes LI, Campos Sepulveda AE. Knowledge of drug prescription in dentistry students. Drug, Healthcare and Patient Safety. 2012:4 55-59
10. Tobaiqy M, McLay J, Ross S. Foundation year 1 doctors and clinical pharmacology and therapeutics teaching. A retrospective view in light of experience. Br J Clin Pharmacol. 2007;64:363–72.
11. Heaton A, Webb DJ, Maxwell SR. Undergraduate preparation for prescribing: the views of 2413 UK medical students and recent graduates. Br J Clin Pharmacol. 2008;66:128–34.
12. Wall D, Bolshaw A, Carolan J. From undergraduate medical education to pre-registration house officer year: how prepared are students? Med Teach. 2006;28:435–9.
13. Illing J, Morrow G, Kergon C, Burford B, Spencer J, Peile E, et al. How prepared are medical graduates to begin practice? A comparison of three diverse UK medical schools. Final summary and conclusions for the GMC Education Committee. 15th December 2008. Cited 2016 Dec 5. Available from: URL:http://www.gmc-uk.org/FINAL How prepared are medical graduates to begin practice. September 08.pdf 29697834
14. Lechler R, Paice E, Hays R, Petty-Saphon K, Aronson J, Bramble M, et al. Outcomes of the Medical Schools Council Safe Prescribing Working Group. November 2007. Cited 2016 Dec 5. Available from: URL:http://www.medschools.ac.uk/ Publications/Pages/Safe-Prescribing-Working-GroupOutcomes.aspx
Published
2016-12-23
How to Cite
Chapagain, K., Paranjape, B., & Lama, G. (2016). Prescribing Skills of First and Second Year MBBS Students of A Teaching Hospital. Journal of Nepal Medical Association, 55(204), 72-75. https://doi.org/10.31729/jnma.2869
Section
Original Article