Literature DB >> 31758216

"It's helpful to get the time and opportunity to discuss drug treatment; that's what I think is the most important thing."-A qualitative study on prescribing education in junior physicians.

Johan Lönnbro1,2, Susanna M Wallerstedt3,4.   

Abstract

BACKGROUND: As prescribing skills are a prerequisite for rational use of medicines, and education and training are important in acquiring these skills, we aimed to explore what aspects junior physicians find important when being taught the art of prescribing.
METHODS: Written feedback from 34 interns after participating in an educational session as part of a randomized controlled study at a university hospital formed the qualitative data in this study. Manifest content analysis was performed, guided by the research question "Educating junior physicians in the art of prescribing: what aspects do they find important?" Meaning units were extracted and categorized, and emergent themes were identified.
RESULTS: Five themes emerged. The first, clinical relevance, was exemplified by the categories valuable for health care; perceived relevance for one's own work; and translating theory into practice while the second, applicable content, included categories such as clinical advice; practical tips on using the electronic medical record system; and tools that facilitate. The third and fourth themes, reality-based teaching and creative discussions, were exemplified by the categories patient cases and feedback; and discussion-based teaching; wide-ranging discussions and a permissive and open atmosphere, respectively. In the last theme, effective structure, we identified the categories clear structure; small group teaching; allocated time for discussion; well-organized administration; and home assignment for practice.
CONCLUSION: Creative discussions, effectively structured in small group sessions, with clinically relevant, reality-based content built on case studies and feedback, are aspects which junior physicians find important when educated in the art of prescribing.

Entities:  

Keywords:  Education; Internship; Prescribing; Qualitative; Teaching

Mesh:

Year:  2019        PMID: 31758216     DOI: 10.1007/s00228-019-02764-4

Source DB:  PubMed          Journal:  Eur J Clin Pharmacol        ISSN: 0031-6970            Impact factor:   2.953


  28 in total

Review 1.  "July effect": impact of the academic year-end changeover on patient outcomes: a systematic review.

Authors:  John Q Young; Sumant R Ranji; Robert M Wachter; Connie M Lee; Brian Niehaus; Andrew D Auerbach
Journal:  Ann Intern Med       Date:  2011-07-11       Impact factor: 25.391

2.  Physician stress and burnout: the impact of health information technology.

Authors:  Rebekah L Gardner; Emily Cooper; Jacqueline Haskell; Daniel A Harris; Sara Poplau; Philip J Kroth; Mark Linzer
Journal:  J Am Med Inform Assoc       Date:  2019-02-01       Impact factor: 4.497

3.  Characteristics and apprehensions of clinical pharmacologists in Swedish healthcare--a questionnaire study.

Authors:  Susanna M Wallerstedt; Staffan Rosenborg
Journal:  Eur J Clin Pharmacol       Date:  2013-05-03       Impact factor: 2.953

Review 4.  Educational outreach visits: effects on professional practice and health care outcomes.

Authors:  M A O'Brien; S Rogers; G Jamtvedt; A D Oxman; J Odgaard-Jensen; D T Kristoffersen; L Forsetlund; D Bainbridge; N Freemantle; D A Davis; R B Haynes; E L Harvey
Journal:  Cochrane Database Syst Rev       Date:  2007-10-17

5.  Developing confidence in basic prescribing skills during medical school: a longitudinal questionnaire study investigating the effects of a modified clinical pharmacology course.

Authors:  Anna L Eriksson; Susanna M Wallerstedt
Journal:  Eur J Clin Pharmacol       Date:  2018-06-28       Impact factor: 2.953

6.  The impact of a small-group educational intervention for allied health professionals to enhance evidence-based practice: mixed methods evaluation.

Authors:  Sharon Mickan; Joanne Hilder; Rachel Wenke; Rae Thomas
Journal:  BMC Med Educ       Date:  2019-05-06       Impact factor: 2.463

7.  Improving upon the 'July effect': a collaborative, interdisciplinary orientation for internal medicine interns.

Authors:  Mary Wright; Celina G Mankey; Beth W Miller
Journal:  Med Educ Online       Date:  2013-12-23

Review 8.  Applying established guidelines to team-based learning programs in medical schools: a systematic review.

Authors:  Annette W Burgess; Deborah M McGregor; Craig M Mellis
Journal:  Acad Med       Date:  2014-04       Impact factor: 6.893

9.  Physicians' occupational stress, depressive symptoms and work ability in relation to their working environment: a cross-sectional study of differences among medical residents with various specialties working in German hospitals.

Authors:  Monika Bernburg; Karin Vitzthum; David A Groneberg; Stefanie Mache
Journal:  BMJ Open       Date:  2016-06-15       Impact factor: 2.692

10.  A quality improvement intervention to enhance performance and perceived confidence of new internal medicine residents.

Authors:  Ahmed Otokiti; Abdelhaleem Sideeg; Paulisa Ward; Merina Dongol; Mohamed Osman; Oloruntobi Rahaman; Syed Abid
Journal:  J Community Hosp Intern Med Perspect       Date:  2018-08-23
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