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Junior doctor‐led ‘near‐peer’ prescribing education for medical students

机译:由初级医生主导的“近端”处方医学教育

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AimsPrescribing errors are common and inadequate preparation of prescribers appears to contribute. A junior doctor-led prescribing tutorial programme has been developed for Edinburgh final year medical students to increase exposure to common prescribing tasks. The aim of this study was to assess the impact of these tutorials on students and tutors.MethodsOne hundred and ninety-six tutorials were delivered to 183 students during 2010–2011. Each student completed a questionnaire after tutorial attendance which explored their previous prescribing experiences and the perceived benefits of tutorial attendance. Tutors completed a questionnaire which evaluated their teaching experiences and the impact on their prescribing practice. Student tutorial attendance was compared with end-of-year examination performance using linear regression analysis.ResultsThe students reported increased confidence in their prescribing knowledge and skills after attending tutorials. Students who attended more tutorials also tended to perform better in end-of-year examinations (Drug prescribing: r = 0.16, P = 0.015; Fluid prescribing: r = 0.18, P = 0.007). Tutors considered that participation enhanced their own prescribing knowledge and skills. Although they were occasionally unable to address student uncertainties, 80% of tutors reported frequently correcting misconceptions and deficits in student knowledge. Ninety-five percent of students expressed a preference for prescribing training delivered by junior doctors over more senior doctors.ConclusionsA ‘near-peer’ junior doctor-led approach to delivering prescribing training to medical students was highly valued by both students and tutors. Although junior doctors have relatively less clinical experience of prescribing, we believe that this can be addressed by training and academic supervision and is outweighed by the benefits of these tutorials.
机译:目的开处方错误很常见,开处方者准备不足似乎是造成这种情况的原因。已为爱丁堡大学医学专业的学生开发了由医生领导的初级处方教程程序,以增加对常见处方任务的了解。这项研究的目的是评估这些教程对学生和导师的影响。方法在2010-2011年期间,向183名学生提供了96个教程。每位学生在参加辅导班之后都填写了一份问卷,以探讨他们以前的开药经验以及参加辅导班的感觉收益。老师完成了一份问卷调查表,评估了他们的教学经验以及对他们的处方实践的影响。使用线性回归分析将学生的出勤率与年终考试成绩进行比较。结果学生报告说,参加了教程后,他们对处方知识和技能的信心增强。参加了更多教程的学生在年终考试中也往往表现更好(药物处方:r = 0.16,P = 0.015;液体处方:r = 0.18,P = 0.007)。导师认为,参与可以增加他们自己的处方知识和技能。尽管他们偶尔无法解决学生的不确定性,但80%的导师报告经常纠正错误的观念和学生知识的不足。 95%的学生表示愿意接受初级医生提供的处方药培训,而不是更多的高级医生。结论结论由“近端”初级医生主导的为医学生提供处方药培训的方法受到了学生和导师的高度评价。尽管初级医生的开药经验相对较少,但我们认为可以通过培训和学术指导来解决,而这些教程的好处却远远超过了开处方。

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