Supporting the prescribing of juior doctors:a 360deg approach

摘要

In 2007 a newspaper proclaimed that 'Junior doctors "risk Lives with prescriptions'". Clearly, concerns about the prescribing of junior doctors are no longer restricted to professional reports or journals. These and our own concerns were the trigger for our project.Safe prescribing requires both technical (e.g. in the choice of drug) and non-technical (e.g. communication and anticipating risk) skills. Any instrument looking at prescribing performance must address both aspects. The 360deg approach is regularly used to assess both the generic and clinical skills of doctors,through gathering feedback from colleagues. We considered that a 360deg approach could be useful for supporting junior doctors. The aim was to develop a tool that could identify specific prescribing shortcomings in performance and aLlow appropriate targeted support.