An assessment of the prescribing skills among second year MBBS students in a tertiary care teaching hospital
Keywords:Prescription writing, Medical errors, Medical curriculum, Undergraduate training
Background: The medical undergraduate curriculum includes training in prescription writing from second year under Pharmacology. This study assesses the prescription writing skills of second year MBBS students in Sree Mookambika institute of medical sciences. The study can promote awareness among the medical students about the rational application of drug prescribing skills.
Methods: After ethical clearance from the Institutional research committee, the cross-sectional study was conducted among 115, second year MBBS students who were above 18 years of age. Parameters like patient and doctor information, drug information and legibility of the prescription was assessed.
Results: Of the 115 students who participated in the study, only 86 (74.7%) students got a score 4/4 for patient-related information and no student got 5/5 with respect to doctor related information. 98 students (85.2%) got 6/6 with regards to drug information. The most lacking information was the qualification of the doctor, followed by the total quantity of the drug prescribed. The legibility of the prescriptions was also not up to the mark with only 22 students (19.1%) who got a 4/4.
Conclusions: The prescription writing skills among second year undergraduate students are suboptimal. Periodic assessment of the students must be done to evaluate their knowledge on prescription writing and the training clinicians must help to fill the knowledge-practice gap. WHO recommended six step prescription writing model must be followed and emphasized among students.
Akram A, Mohamad N, Salam A, Abdullah D, ZamzamR. Perception of final year dental students on pattern of medication for pulpitis. Dentistry. 2012;159.
Maxwell S, Walley T. Teaching safe and effective prescribing in UK medical schools: A core curriculum for tomorrow’s doctors. Br J Clin Pharmacol. 2003;55:496-503.
De vries TPG, Henning RH , Hogerzeil HV, Fresle DA. Guide to good prescribing: a practical manual, World Health Organization, action programme on essential drugs. Available at: https://apps.who. int/iris/handle/10665/590011994. Accessed on 15 October 2020.
Jain A, Gupta D, Singh D, Garg Y, Saxena A, Chaudhary H et al. Knowledge regarding prescription of drugs among dental students - a descriptive study. J Basic Clin Pharma. 2016;7:12-6.
Likic R, Maxwell SR. Prevention of medication errors: teaching and training. Br J Clin Pharmacol. 2009;67:656-61.
Shahroom NSB, Lakshmi T, Roy A. Knowledge of drug prescription among dental and medical students in India-an online survey. J Adv Pharm Edu Res. 2017;7(2):76-81.
Akram A, Mohamad N, Meerah TSM, ZamZam R, Abdullah D. A pilot study-an action research to acquire clinical skill. Procedia Soc Behav Sci. 2012;60:236-40.
Dean B, Schachter M, Vincent C, Barber N. Causes of prescribing errors in hospital inpatients: a prospective study. Lancet Lond Engl. 2002;359 (9315):1373-8.
Al Khaja KAJ, James H, Sequeira RP. Effectiveness of an educational intervention on prescription writing skill of preclerkship medical students in a problembased learning curriculum. J Clin Pharmacol. 2013;53(5):483-90.
Vollebregt JA, Metz JCM, de Haan M, Richir MC, Hugtenburg JG, de Vries TPG. Curriculum development in pharmacotherapy: testing the ability of preclinical medical students to learn therapeutic problem solving in a randomized controlled trial. Br J Clin Pharmacol. 2006;61(3):345-51.
de Vries TPG, Henning RH, Hogerzeil HV, Fresle DA. Guide to good prescribing - a practical mannual. Available at: http://apps.who.int/medicinedocs/ pdf/whozip23e/who zip23e.pdf. Accessed on 15 October 2020.
Sudha MJ, Remya VS. Assessment of prescription writing skills among undergraduate medical students. Int J Basic Clin Pharmacol. 2016;5(4):1586-91.
Winslow EH, Nestor VA, Davidoff SK, Thompson PG, Borum JC. Legibility and completeness of physicians’ handwritten medication orders. Heart Lung J Crit Care. 1997;26(2):158-64.
Boehringer PA, Rylander J, Dizon DT, Peterson MW. Improving the quality of the order-writing process for inpatient orders in a teaching hospital. Qual Manag Health Care. 2007;16(3):215-8.
Kumar J, Shaik M, Kathi M, Chetty M, Deka A. Appraisal of prescription writing skills of preclinical undergraduate students in a medical institute of Nepal. J Coll Med Sci. 2012;6(4):7-30.