DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20175691

Students’ attitudes on personal drug selection exercise in writing prescription

Manish Kumar, Lalit Mohan, Hitesh Mishra, Akash Chandra, Harihar Dikshit

Abstract


Background: This study was developed to know the students’ views regarding personal drug (P-drug) concept in rational prescription of drugs and also giving them training of creating and using personal drug concept.

Methods: 40 medical students (5th semester) divided in four groups were involved voluntarily in a three phase, questionnaire based and prospective study. In first and second phase students were taught and asked to derive P-drug using different standard text books and Current Index of Medical Specialties (CIMS) by analyzing efficacy, safety, cost and convenience of drugs used for type II diabetes mellitus. Third phase was designed to know the students’ perception regarding the exercise and difficulties faced in the process of P-drug selection. It contained demographic and 12 questions with answer using Likert scale.

Results: Students selected biguanide (metformin) as a P-drug in terms of efficacy, safety, cost and convenience. 95% (36 out of 40) responded in the questionnaire, out of which 92% (33 out of 36) had given answer with mean score ≥4. Overall median score was 4 and Interquartile Range was 4-5. 89% (32) strongly agreed that P-dug selection teaching helped them to understand pharmacology better. Majority (83% or 30) were in favour of introducing P-drug selection exercises in undergraduate pharmacology curriculum.

Conclusions: P-drug selection exercise helped students to understand the differences among various drugs used for the treatment of type II diabetes mellitus and given them a strong foundation for developing rational use of the medicine in their future career as a doctor.


Keywords


P-drug, Pharmacology, Prescription writing, Pharmacology curriculum

Full Text:

PDF

References


Desai M. Changing face of pharmacology practicals for medical undergraduates. Indian J Pharmacol. 2009;41:151-2.

Gitanjali B. New wine in new bottles. Indian J Pharmacol. 2004;36:63-4.

Hatiharan TS. Need For changes in the practical pharmacology curriculum of medical undergraduates. Indian J Pharmacol. 2004; 6:181.

Maxwell SRJ, Daniel S, McQueen, Ellaway R. e Drug: a dynamic interactive electronic drug formulary for medical students. Br J Clin Pharmacol. 2006;62(6):673-81.

De Vries TPGM, Daniels JA, Mulder CW, Groot OA, Wewerinke L, Barnes KI, et al. Should medical students learn to develop a personal formulary? An international, multicentre, randomised controlled study. Eur J Clin Pharmacol. 2008;64:641-6.

Joshi MP, Jayawickramarajah PT. A problem-orientated pharmacotherapy package for undergraduate medical students. Med Teach. 1996;18:75-6.

Singh NR. P-drug concept and the undergraduate teaching. Indian J Pharmacol. 2008;40:285.

Shankar PR, Palaian S, Gyawali S, Mishra P, Mohan L. Personal drug selection: Problem-based learning in pharmacology: Experience from a medical school in Nepal. PLoS One. 2007;6:e524.

Mohan L, Chogtu B, Adiga S, Shenoy S, Bairy KL. Kishore A. Undergraduate medical students’ perception regarding personal drug selection exercise. IJPCS. 2012; 1(2):61-7.

Walley T, Bligh B. The educational challenge of improving prescribing. Postgraduate Education for General Practice. 1993;4:50-4.

Ruckmani A. The role of pharmacologist; present and future, Indian J Pharmacol. 2006;l38(2):145-6.

Bapna JS. Experiences in Teaching Rational Drug Use. Indian J Pharmacol. 1993;25:2-4.

Ward F, Miolszweski K. Evaluation of the impact of pharmacist-led therapeutic tutorials on third-year medical students’ knowledge and understanding of drugs used in clinical practice. Med Teach. 2002;24:628-33.

De Vries TPGM, Henning RH, Hogerzeil HV, Fresle DF Guide to good prescribing. Geneva: World Health Organization. 1994:14.

Hogerzeil HV, Barnes KI, Henning RH, Kocabasoglu YE, Moller H, Smith AJ, et al. Teachers’ guide to good prescribing. Geneva: World Health Organization. 2001:98.

Rai J. Recommendations for Undergraduate Pharmacology Practical Curriculum (For attention of MCI). JK Practitioner. 2006;13:175-6.

Metcalfe DH, Mathrau M. Students perception of good and bad teaching: a report of a critical incident study, Med Edu. 1995;29:193-7.

Mohan L, Manish, Bairy KL, Babu M, Amberkar V, Narayanareddy M, et al. Personal formulary for anxiety disorder developed by post graduates of pharmacology. Int J of Phar Sciences Review and Research. 2011;7(1):019.

De Vries TPGM, Henning RH, Hogerzeil HV, Fresle DF. Guide to good prescribing. Geneva: World Health Organization; 1994:134.

Devi V. Teaching P-drug selection; experiences from medical school in India. Int J Pharmacol and Clin Sci. 2012;1:9-14.