A problem-orientated pharmacotherapy package for undergraduate medical students

Joshi, Mohan P; Jayawickramarajah, P. T.

doi:10.3109/01421599609040269

Cited by 12 publications

(16 citation statements)

References 2 publications

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“…We followed the method described by Joshi and Jayawickramarajah in which four criteria -efficacy, safety, cost and convenience were considered while selecting a P-drug. 6 Students agreed that P-drug concept had imparted a clear concept while choosing drug for prescription writing and given different reasons that the process of P-drug selection is interactive and interesting way of learning (Table 2, question no 3). This concept had enabled them to discriminate between different drugs while prescribing ( Table 2, question no 1 and 2).…”

Section: Discussionmentioning

confidence: 99%

Students’ attitudes on personal drug selection exercise in writing prescription

Kumar

Mohan

Mishra

et al. 2017

Int J Basic Clin Pharmacol

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INTRODUCTIONPharmacology, the study of drugs, is mainly taught to 3 rd , 4 th and 5 th semester medical students in India. The traditional pharmacology teaching mainly takes place through didactic lectures, in which passive transfer and memorizing of information of drug class and individual compounds occurs. Whereas practical curriculum mainly includes pharmacy practical, animal experimentations, prescription writing and problem based learning (PBL) which has been criticized. So, there is a need to evaluate practical curriculum. [1][2][3] Rational use of drugs (RUD) entails that patients should receive medications appropriate to their specific clinical needs, proper dose and duration, with the lowest cost to them and their community. Safe and effective prescribing is based on a sound knowledge of the disciplines of pharmacology which is a major challenge encountered by students. 4 The above requirements will be fulfilled by the WHO Guide to Good Prescribing which gives medical students a normative model for therapeutic reasoning and prescribing and provides a six-step guide to the process of rational prescribing. 5 ABSTRACTBackground: This study was developed to know the students' views regarding personal drug (P-drug) concept in rational prescription of drugs and also giving them training of creating and using personal drug concept. Methods: 40 medical students (5 th semester) divided in four groups were involved voluntarily in a three phase, questionnaire based and prospective study. In first and second phase students were taught and asked to derive P-drug using different standard text books and Current Index of Medical Specialties (CIMS) by analyzing efficacy, safety, cost and convenience of drugs used for type II diabetes mellitus. Third phase was designed to know the students' perception regarding the exercise and difficulties faced in the process of P-drug selection. It contained demographic and 12 questions with answer using Likert scale. Results: Students selected biguanide (metformin) as a P-drug in terms of efficacy, safety, cost and convenience. 95% (36 out of 40) responded in the questionnaire, out of which 92% (33 out of 36) had given answer with mean score ≥4. Overall median score was 4 and Interquartile Range was 4-5. 89% (32) strongly agreed that P-dug selection teaching helped them to understand pharmacology better. Majority (83% or 30) were in favour of introducing P-drug selection exercises in undergraduate pharmacology curriculum. Conclusions: P-drug selection exercise helped students to understand the differences among various drugs used for the treatment of type II diabetes mellitus and given them a strong foundation for developing rational use of the medicine in their future career as a doctor.

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Section: Discussionmentioning

confidence: 99%

Students’ attitudes on personal drug selection exercise in writing prescription

Kumar

Mohan

Mishra

et al. 2017

Int J Basic Clin Pharmacol

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“…There has been little focus on the process of prescribing which involves choosing correct medications and individualizing it for patients. Orienting undergraduate medical students to the concept of rational prescribing is an important strategy to improve drug use (Joshi & Jayawickramarajah, 1996). The revised curriculum of Kathmandu university emphasizes the process of rational prescribing.…”

Section: Discussionmentioning

confidence: 99%

Educational sessions on assessing rationality of prescriptions: Student feedback

Shankar

Upadhyay

et al. 2006

Pharmacy Education

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Introduction: Sessions on rational use of medicines are being conducted at the Manipal College of Medical Sciences, Pokhara, Nepal. Recently, sessions on analyzing rationality of prescriptions have been introduced. The present study was carried out to obtain information on the attitudes of preclinical medical students towards the sessions and note association, if any, of the attitudes with the respondents' characteristics.Methods: Student feedback was collected using an anonymous, self-administered questionnaire. The student attitudes were measured using a modified Likert-type scale. The median total score was calculated and association was determined using appropriate statistical tests.Results: The overall response rate was 73.5% (164 of the 223 students). Indians and Nepalese were the common nationalities and majority of respondents were urban and self-financing. No association was observed of the score with demographic characteristics.Conclusion: The overall student response was positive and the sessions should be continued and strengthened.

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“…1 In this article the authors described a system of giving fractional weights between zero and one for the four P-drug selection criteria of efficacy, safety, cost and suitability. The weight depended on their importance in the disease condition.…”

Section: Initial Steps At the Manipal College Of Medical Sciencesmentioning

confidence: 99%

Seven years’ experience of P-drug selection

Shankar¹

2011

AMJ

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Personal or P-drug selection teaches students to use impartial, objective information to make prescribing decisions. It is an important exercise recommended to reduce irrational prescribing and improve the prescribing behaviour of healthcare professionals. The exercise of P-drug selection has not been widely implemented in health professions schools in South Asia. This article describes the author's personal experiences of P-drug selection teaching, learning and assessment in two Nepalese medical schools, Manipal College of Medical Sciences, Pokhara and KIST Medical College, Lalitpur.

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A problem-orientated pharmacotherapy package for undergraduate medical students

Cited by 12 publications

References 2 publications

Students’ attitudes on personal drug selection exercise in writing prescription

Students’ attitudes on personal drug selection exercise in writing prescription

Educational sessions on assessing rationality of prescriptions: Student feedback

Seven years’ experience of P-drug selection

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