Studies on the concept, knowledge and attitude of the rational use of medicines among the sixth semester 2nd MBBS student of Jawaharlal Nehru Institute of Medical Sciences, Porompat, Imphal, Manipur, India
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20163210Keywords:
Rational use of medicine (RUM), Medical student, Adverse drug reactions (ADRs), World Health Organisation (WHO)Abstract
Background: The present study was designed to accesses the concept, knowledge and attitude of rational use of medicine among the sixth semester 2nd MBBS students with the aim to install rational use of medicine amongst the prescriber right from the grass root level.
Methods: The study has been conducted in Jawaharlal Nehru Institute of Medical Sciences Porompat, Imphal, Manipur during 2015-2016 session. The studies has been organised in accordance with World Health Organisation (WHO) Good Prescribing Guide. The students were subjected to presented questionnaire on concept, knowledge and attitude on the rational use of medicine. The design of the study is simple cross sectional study. Percentage, proportions and means are used for descriptive statistics while the associations are calculated using corresponding tests for the associations.
Results: The majority of the students have a clear cut concept in the present studies (96.7%); integration with other subject (80.3%); usefulness in the future practice (98.3%); initiative and willingness (91.0%); learning the topic in the MBBS course (95.0%); out of the total questionnaire of 61, only 7 questions on concept, knowledge and attitude have been selected for further analysis. 3.2% do not have the knowledge of RUMs; 13.1% do not feel necessary to integrate with other subjects; 8.1% are indecisive, 4.91% do not feel necessary to learn RUMs; 16.3% do not have any idea about the role of evaluation.
Conclusions: The present study will enlightened the young energetic medical students to practice rational use of medicine and improves WHO Good prescribing method and rational pharmacotherapy skills in the future.
References
Ie-Grand A, Hogerzeil HV, Haaijer-Ruskamp FM. Intervention research in rational use of drugs: A review. Health policy Plan. 1999;14:89-102.
KD Tripathi. Aspects of pharmacotherapy: Essentials of medical pharmacology 7th ed. New Delhi: Jaypee Brothers medical Publishers Ltd; 2013: 61-73.
Akici A, Kalaca S, Goren MZ, Akkan AG, Karaalpa A. Demir D, et al. Comparison of rational pharmacotherapy decision-making competence of general practitioners with intern doctors. Eur J Clin Pharmacol. 2004;60:72-82.
Bennet PN, Brown MJ. Drug therapy the therapeutic situation; clinical pharmacology. 10th ed. New York: Churchill living stone International; 2008: 5-12.
Seth SD, Seth V. Rational use of Medicine. In: Text book of pharmacology, 3rd ed. Noida. Reed Elsevier India private Ltd; 2009: 23-25.
Kutyabami P. Rational Drug Use as a Public Health Concept (In developing world). Available from: http://www.cwru.edu/med/epid
bio/mph439/Rational%20Drug%20Use.htm Accessed on 2012 June 18.
Maxwell SR, Cascorbi I, Orme M, Webb DJ. Joint BPS/EACPT Working Group on Safe Prescribing. Educating European (junior) doctors for safe prescribing. Basic Clin Pharmacol Toxicol. 2007;101:395-400.
De-Vries TP, Henning RH, Hogerzeil HV, Bapna JS, Beno L, Kafle K K, et al: Impact of a short course in pharmacotherapy for undergraduate medical students: An international randomized controlled study. Lancet. 1995;346:1454-7.
Scobie SD, Lawson M, Cavell G, Taylor K, Jacson SH, Roberts TE. Prescribing and administering medicines safely: Teaching and assessment. Med Educ. 2003;5:434-7.
Sandilands EA. Reid K, Shaw L, Bateman DN, Webb DJ, Dhaun N, et al. Impact of a focussed teaching programme on practical prescribing skills among final year medical students. Br J Clin Pharmacol. 2011;71:29-33.
Heaton A, Webb DJ, Maxwell SR. Undergraduate preparation for prescribing: The views of 2413 UK medical students and recent graduates. Br J Clin Phar. 2008;66:128-34.
Rothwell C, Burford B, Morrison J, Morrow G, Allen M, Davis C, et al. Junior doctors prescribing: enhancing their learning in practice. Br J Clin Pharmacol. 2012;73:194-202.
Dean B, Schachter M, Vincent C, Barber N. Prescribing errors in hospital in patients: Their incidence and clinical significance. Qual Saf Health Care. 2002;11:340-4.
Bland M. An introduction to medical statistic. 3rd ed. New York, Oxford Medical Publications; 2000:1-4.
Newsletter of PvPI. April 8, Vol-14: Better Geriatric health with safe medicine and drug Safety information and Occurrence, Indian Pharmacopoeia commission.
Patricio KP, Borges Alves NA, Arenales NG, Queluz TT. Teaching the rational use of medicines to medical students: a qualitative research. BMC Medical Education. 2012;12:56.
Maxwell S, Walley T, Ferner RE. Using drugs safely. BMJ. 2002;324(7343):930-1.
