DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20162466

Transition in pharmacology: From theoretical knowledge of medicines to practice-oriented approach. Do role-plays help?

Lavanya SH, Kalpana L, Veena RM, Bharath Kumar VD

Abstract


Background: Pharmacology, a subject criticized by medicos as ‘dry and volatile’ is in a stage of constant reformation. Traditional teaching-learning in pharmacology has focused more on theoretical knowledge of medicines with little emphasis on the art and science of communicating the same to patients in actual practice. Role-play is one novel method which attracts learners to gain knowledge through concrete experience, there-by bringing in a behavioural change that persists eventually. The objective of this study was to evaluate the effectiveness of role-play as an educational tool in teaching patient education and counseling skills regarding medications prescription for ischemic heart disease (IHD).

Methods: A quantitative, randomized, interventional study with pre & post-OSPE using a pre-validated checklist (modified-Calgary-Cambridge) was conducted in 84, II-MBBS students. The scores obtained in intervention group (Lecture-IHD counseling + Role-play) were compared with the control group (Lecture) using Wilcoxon test for paired-data and Mann-Whitney test for inter-group comparisons.

Results: Paired-data analysis showed an increase in post-test mean scores in both control and intervention groups following training. However, inter-group comparisons revealed statistically significant improvement in 8 of the 13 parameters in intervention group. Students in intervention group stressed more on pharmacological aspects of medications, along with emergency measures and need for follow-up. Hence it can be said that role-plays played a significant role in improving communication skills regarding medications prescription.

Conclusions: Medical communication skills course for II-MBBS students may enable them to demonstrate better patient-doctor interactions. Role-plays are an effective tool to acquire technical and behavioural skills to deal with real-life situations through simulation.


Keywords


Communication skills, Prescription, Pharmacology, Role-play, Teaching tool

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References


Kamath A. A review of use of e-learning in pharmacology. Int J Intg Med Sci. 2015;2(9):157-62.

Joshi A, Trivedi M. Innovations in pharmacology teaching. Int J Pharmaceut Biomed Res. 2010;1(2):62-4.

Bhosale UA, Yegnanarayan R, Yadav GE. Attitude, perception and feedback of second year medical students on teaching-learning methodology and evaluation methods in pharmacology: A questionnaire-based study. Niger Med J. 2013;54(1):33-9.

Jefferies WB, McMahon KK, Rosenfeld GC, Strandhoy JW, Szarek J, Wilson-Delfosse A. Pharmacology-in the face of revisiting flexner’s view of medical education. JIAMSE (Medical Science Educator). 2010;20(3):288-92.

Garg PV, Muchandi RK. Students’ opinion on the prevailing teaching methods in pharmacology and changes recommended. Indian J Pharmacol. 2004;36(3);155-8.

Acharya S, Shukla S, Acharya N, Vagha J. Role play-an effective tool to teach clinical medicine. J Contemp Med Edu. 2014;2(2);91-6.

Nestel D, Tierney T. Role-play for medical students learning about communication: guidelines for maximising benefits. BMC Med Educ. 2007;7:3.

Kurtz SM, Silverman JD, Draper J. Teaching and learning communication. Skills in Medicine. Radcliffe Medical Press (Oxford); 1998. Available at http://www.gp-training.net/training/communication_skills/calgary/.

Silverman JD, Kurtz SM, Draper J. Skills for Communicating with Patients. Radcliffe Medical Press (Oxford); 1998. Available at http://www.gp-training.net/training/communication_skills/calgary/.

Luttenberger K, Graessel E, Simon C, Donath C. From board to bedside-training the communication competences of medical students with role plays. BMC Med Educ. 2014;14:135.

Nikendei C, Kraus B, Schrauth M, Weyrich P, Zipfel S, Herzog W, et al. Integration of role-playing into technical skills training: a randomized controlled trial. Med Teach. 2007;29(9):956-60.

Luiz Adrian JA, Zeszotarski P, Ma C. Developing pharmacy student communication skills through role-play and active learning. Am J Pharm Educ. 2015;79(3):44.

Bosse HM, Nickel M, Huwendiek S, Jünger J, Schultz JH, Nikendei C. Peer role-play and standardised patients in communication training: a comparative study on the student perspective on acceptability, realism, and perceived effect. BMC Med Educ. 2010;10:27.

Knowles MS, Holton EF, Swanson RA. The adult learner: the definitive classic in adult education and human resource development. 6th ed. USA: Elsevier; 2005. Available at file:///C:/Users/india/Downloads/the_adult_learner%20a4-2.pdf.