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Teaching Prescribing: Just What the Doctor Ordered? A Thematic Analysis of the Views of Newly Qualified Doctors

机译:教学处方:医生命令的是什么?新任医生观点的主题分析

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Undergraduate medical education has been criticised for failing to adequately prepare doctors for the task of prescribing. Pharmacists have been shown to improve medication use in hospitals. This study aims to elicit the views of intern doctors on the challenges of prescribing, and to suggest changes in education to enhance prescribing practice and potential role of the pharmacist. Semi-structured, qualitative interviews were conducted with intern doctors in their first year post qualification in an Irish hospital. Data collection was conducted until no new themes emerged and thematic analysis was performed. Thirteen interviews took place. Interns described training in practical prescribing as limited and felt the curriculum failed to convey the reality of actual prescribing. Pharmacists were perceived to be a useful, but underutilised, information source in the prescribing process. They requested an earlier introduction, and repeated exposure, to prescribing, and suggested the involvement of peers and pharmacists in this teaching. Intern doctors reported difficulties in applying knowledge gained in medical school to clinical practice. New strategies are needed to enhance the clinical relevance of the medical curriculum by rethinking the learning outcomes regarding prescribing practice and the involvement of pharmacists in prescribing education.
机译:人们批评本科医学教育未能充分地为医生做好开处方的准备。药剂师已被证明可以改善医院的用药情况。这项研究旨在引起实习医生对处方挑战的观点,并建议改变教育方式以增强处方实践和药剂师的潜在作用。在爱尔兰医院接受实习后第一年的实习医生进行了半结构化,定性的访谈。进行数据收集,直到没有新主题出现并进行主题分析为止。进行了十三次采访。实习生称实用处方培训有限,并认为课程未能传达实际处方的真实性。在处方过程中,药剂师被认为是有用但未充分利用的信息源。他们要求更早地进行开处方,并反复接触开处方,并建议同行和药剂师参与此教学。实习医生报告说,很难将医学院获得的知识应用于临床实践。需要新的策略来通过重新思考有关处方实践的学习成果以及药剂师参与处方教育来增强医学课程的临床相关性。

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