DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20190460

Interns perception towards pharmacology during clinical postings at RIMS, Raichur, India

Neeta T. Gavimath, Vasant R. Chavan, Rohit Dixit

Abstract


Background: Every medical graduate must have the intention to prescribe rationally. It is pharmacology which teaches rational of prescribing of drug in undergraduate medical course. Therefore, many eminent medical educationists believe that pharmacology is the most essential part of the medical curriculum. Medical graduates join as interns in their respective teaching hospital immediately after graduation. Although interns work is usually under the supervision of a senior consultant but there are occasions, when they need to make their own decision. Internship is the intermediate period between under-graduation and general practice. The dexterity of health professional relies upon prescribing practices. Clinical pharmacology and therapeutics (CPT) is a crucial discipline for interns to acquire safe and rational prescription of drugs. This study was conducted with the intention to provide some light about the knowledge of pharmacology among the interns in RIMS Hospital Raichur, Karnataka.

Methods: The study was done on interns of RIMS, Raichur. It was a descriptive questionnaire-based prospective study. A structured questionnaire modified from the work of Oshikoya et al, was used in the study which included four major categories namely basic demographic information, undergraduate CPT teaching, experience of adverse drug reaction (ADR) and any deficiency in the under-graduate CPT teaching.

Results: Out of these 107 participants 54 (42%) rated pharmacology knowledge is good, while another 53(40%) had average understanding. As high as 80% (85) intern population feel that undergraduate training has prepared them to prescribe safely. 45 (41%) interns have already observed cases of adverse drug reactions in their short active clinical life.

Conclusions: The present study has identified that pharmacology and therapeutics course curriculum is not enough to produce safe prescribers.


Keywords


Clinical pharmacology and therapeutics, Interns, Medical education, MBBS, Questionnaire

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References


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

Upadhyaya P, Seth V, Sharma M, Ahmed M, Moghe VV, Khan ZY, et al. Prescribing knowledge in the light of undergraduate clinical pharmacology and therapeutics teaching in India: views of first-year postgraduate students. Adv Med Educ Pract. 2012;3:47-53.

World Health Organization: National Drug Policy and Rational Drug Use. A model curriculum (draft) DAP/85,6. Action programme on essential drugs. Geneva World Health Organization 1985. Available at: http://www.who.int/iris/handle/10665/59217.

O'Shaughnessy L, Haq I, Maxwell S, Llewelyn M. Teaching of clinical pharmacology and therapeutics in UK medical schools: Current status in 2009. Br J Clin Pharmacol. 2010;70(1):143-8.

Leape LL, Bates DW, Cullen DJ, Cooper J, Demonaco HJ, Gallivan T, et al. Systems analysis of adverse drug events. ADE prevention study group. JAMA. 1995;274(1):35-43.

Barber N, Rawlins M, Franklin BD. Reducing prescribing error: competence, control, and culture. BMJ Quality Safety. 2003 Dec 1;12(suppl 1):i29-32.

Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001 Apr 25;285(16):2114-20.

Barber N, Dean B. The incidence of medication errors and ways to reduce them. AVMA Med Legal J. 1998 Jul;4(4):103-6.

Weingart SN, Wilson RM, Gibberd RW, Harrison B. Epidemiology of medical error. BMJ. 2000;320(7237):774-7.

Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, et al. Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA. 1995 Jul 5;274(1):29-34.

Palmer NO, Martin MV, Pealing R, Ireland RS, Roy K, Smith A, et al. Antibiotic prescribing knowledge of National Health Service general dental practitioners in England and Scotland. J Antimicrob Chemotherapy. 2001 Feb 1;47(2):233-7.

Odusanya OO. Drug use indicators at a secondary health care facility in Lagos, Nigeria. J Community Med Primary Health Care. 2004;16(1):21-4.

Oshikoya KA, Chukwura HA, Ojo OI. Evaluation of outpatient paediatric drug prescriptions in a teaching hospital in Nigeria for rational prescribing. Paediatric and Perinatal Drug Therapy 2006; 7(4): 183-8.

Adebayo ET, Hussain NA. Pattern of prescription drug use in Nigerian army hospitals. Ann Afr Med 2010;9(3):152-8.

Otoom S, Culligan K, Al-Assoomi B, Al-Ansari T. Analysis of drug prescriptions in primary health care centres in Bahrain. East Mediterr Health J. 2010;16(5):511-5.

Chima IE, Obidiya OS, Abraham CVM. Evaluation of Drug Use and Patient Care Practices in a Referral Health Facility in Yenagoa, Bayelsa State, Nigeria. Continental J Pharmaceut Sci. 2012;6(1):10-6.

Goswami N, Gandhi A, Patel P, Dikshit R. An evaluation of knowledge, attitude and practices about prescribing fixed dose combinations among resident doctors. Perspect Clin Res. 2013;4(2):130-5.

Gawde SR, Shetty YC, Pawar DB. Knowledge, attitude, and practices toward ayurvedic medicine use among allopathic resident doctors: A cross-sectional study at a tertiary care hospital in India. Perspect Clin Res. 2013;4(3):175-80.

Oshikoya KA, Sebanjo IO, Amole OO. Interns’ Knowledge of clinical pharmacology and therapeutics after undergraduate and on-going internship training in Nigeria. BMC Med Educ. 2009;9:50.

Upadhyaya P, Seth V, Sharma M, Ahmed M, Moghe VV, Khan ZY. Prescribing knowledge in the light of undergraduate clinical pharmacology and therapeutics teaching in India: views of first‐year postgraduate students. Adv Med Educ Pract. 2012;3:47-53.

Oshikoya KA, Senbanjo IO, Amole OO. Interns' knowledge of clinical pharmacology and therapeutics after undergraduate and on-going internship training in Nigeria: a pilot study. BMC Medical Educ. 2009 Dec;9(1):50.

Nitya S, Mangaiarkkarasi A, Ali RM, Sawadkar SS. Intern’s knowledge of clinical pharmacology and therapeutics at Puducherry: a cross-sectional study. Int J Basic Clin Pharmacol. 2013;2(5):622-8.

Rauniar GP, Das BP, Nagarani MA. Ability to calculate drugs doses. Indian J Pharmacol. 2000 Mar 1;32(2):129.

Garg A, Rataboli PV, Muchandi K. Students' opinion on the prevailing teaching methods in pharmacology and changes recommended. Indian J Pharmacol. 2004 May 1;36(3):155.

Rehan HS, Lal P. Drug prescribing pattern of interns at a government healthcare centre in northern India. Tropical Doctor. 2002 Jan;32(1):4-7.

Sriram S, Ghasemi A, Ramasamy R, Devi M, Balasubramanian R, Ravia TK, et al. Prevalence of ADRs at a private tertiary care hospital in south India. J Res Med Sci. 2011;16(1):16-25.

Pouyanne P, Haramburu F, Imbs JL, Bégaud B. Admissions to hospital caused by adverse drug reactions: cross sectional incidence study. BMJ. 2000 Apr 15;320(7241):1036.

Pirmohamed M, James S, Meakin S, Green C, Scott AK, Walley TJ, et al. Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ. 2004 Jul 1;329(7456):15-9.

Heaton A, Webb DJ, Maxwell SR. Undergraduate preparation for prescribing: the views of 2413 UK medical students and recent graduates. Br J Clin Pharmacol. 2008 Jul;66(1):128-34.

Likic R, Maxwell SR. Prevention of medication errors: teaching and training. Br J Clin Pharmacol. 2009 Jun 1;67(6):656-61.

Franklin BD, O’Grady K, Paschalides C, Utley M, Gallivan S, Jacklin A, et al. Providing feedback to hospital doctors about prescribing errors; a pilot study. Pharmacy World Sci. 2007 Jun 1;29(3):213-20.

Jamali AN, Aqil M, Alam MS, Pillai KK, Kapur P. A pharmacovigilance study on patients of bronchial asthma in a teaching hospital. J Pharm Bioallied Sci. 2010 Oct;2(4):333-6.

Coombes ID, Stowasser DA, Coombes JA, Mitchell C. Why do interns make prescribing errors? A qualitative study. Med J Aust. 2008 Jan 21;188(2):89-94.