Comparative study of patient-based versus case-based teaching in prescription writing skills of second year MBBS students

Authors

  • Shilpa P. Jadav Department of Pharmacology, M.P. Shah Govt. Medical College, Jamnagar, Gujarat, India
  • Nishant B. Bhansali Department of Pharmacology, M.P. Shah Govt. Medical College, Jamnagar, Gujarat, India
  • Dinesh M. Parmar Department of Pharmacology, M.P. Shah Govt. Medical College, Jamnagar, Gujarat, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20200178

Keywords:

Case-based teaching, Patient-based teaching, Prescription writing skills

Abstract

Background: Prescription writing errors can lead to deficiencies in healthcare. Although prescription writing is a part of the medical students' curriculum with traditional methods, their prescribing skills are still poor due to inadequate training. To fulfil the need for new educational interventions this study aims to compare patient-based teaching with case-based teaching in improving prescription writing skills of second year MBBS students.

Methods: This prospective comparative study was carried out after orientation of participants to prescription writing as per WHO prescribing guidelines (n=71). Group A (n=37) and group B (n=34) were given patient-based teaching and case-based teaching respectively of prescription writing for the same five common clinical conditions. The prescription writing skill was assessed by evaluating the prescriptions written by both the groups and scored by 19-point scoring system. Feedback from the group A students was also taken.

Results: Statistical analysis of mean scores of group A (15.90) and group B (13.14) was done by Mann-Whitney U test (p<0.001). Comparison of both the groups for the individual parameters was done by Chi-square test which found significant difference in writing some important parameters like doctor’s registration no., contacts of prescriber, name of the medicine, strength of drug, dosage form, dosing instructions, total quantity of medicine and duration of medication etc. Group A students’ feedback brought out the fact that patient-based teaching is a good tool for teaching and learning.

Conclusions: Patient-based teaching for prescription writing improves students’ prescription writing skills in an effective way in comparison with traditional case-based teaching.

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References

Panchbhai AS. Rationality of prescription writing. Indian J Pharm Educ. 2013;47(4):7-15.

Aronson JK. A prescription for better prescribing. Br J Clin Pharmacol. 2006;61:487-91.

Calligaris L, Panzera A, Arnoldo L, Londero C, Quattrin R, Troncon MG, et al. Errors and omissions in hospital prescriptions: A survey of prescription writing in a hospital. BMC Pharmacol Toxicol. 2009;9:9.

Garbutt JM, Highstein G, Jeffe DB, Dunagan WC, Fraser VJ. Safe medication prescribing: Training and experience of medical students and house staff at a large teaching hospital. Acad Med. 2005;80:594-9.

Han WH, Maxwell SR. Are medical students adequately trained to prescribe at the point of graduation? Views of first year foundation doctors. Scott Med J. 2006;51:27-32.

Dammers J, Spencer J, Thomas M. Using real patients in problem-based learning: Students' comments on the value of using real, as opposed to paper cases, in a problem-based learning module in general practice. Med Educ. 2001;35:27-34.

Maharashtra model medicine prescription format. Available at: https://fda.maharashtra.gov.in/ downloads/fda%2027feb2014%20final.pdf. Accessed on 2 January 2019.

Bhandari B, Mehta B, Mavai M, Singh YR, Singhal A. Jigsaw Method: An Innovative way of cooperative learning in physiology. Indian J Physiol Pharmacol. 2017;61:315-21.

Likic R, Maxwell SR. Prevention of medication errors: Teaching and training. Br J Clin Pharmacol. 2009;67:656-61.

Koh GC, Khoo HE, Wong ML, Koh D. The effects of problem-based learning during medical school on physician competency: A systemic review. CMAJ. 2008;178:34-41.

Oshikoya KA, BelloJa A, Ayorinde EO. Prescribing knowledge and skills of final year medical students in Nigeria. Indian J Pharmacol. 2008;40:251-5.

Mohammad IS, Khan HM, Akhtar N, Saqib NU, Rasool F, Ijas H. Significance of prescription elements and reasons of prescription errors in South Panjab, Pakistan. World Appl Sci J. 2015;33:668-72.

Thenrajan P, Murugan PR. Impact of patient-based teaching in improving prescription writing skills of II MBBS students. Int J Appl Basic Med Res. 2016;6:174-7.

Hester DO. Do you see what I see? Illegible handwriting can cause patient injuries. J Ky Med Assoc. 2001;99(5):187.

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Published

2020-01-24

How to Cite

Jadav, S. P., Bhansali, N. B., & Parmar, D. M. (2020). Comparative study of patient-based versus case-based teaching in prescription writing skills of second year MBBS students. International Journal of Basic & Clinical Pharmacology, 9(2), 289–295. https://doi.org/10.18203/2319-2003.ijbcp20200178

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Original Research Articles