J Educ Eval Health Prof.  2011;8:12.

Feedback on and knowledge, attitude, and skills at the end of pharmacology practical sessions

Affiliations
  • 1Department of Clinical Pharmacology and Therapeutics, KIST Medical College, Lalitpur, Kathmandu, Nepal. ravi.dr.shankar@gmail.com

Abstract

Concern has been raised about inadequate pharmacology teaching in medical schools and the high incidence of prescribing errors by doctors in training. Modifications in pharmacology teaching have been carried out in many countries. The present study was carried out using a semi-structured questionnaire to obtain students' perceptions of their knowledge, attitudes, and skills with regard to different subject areas related to rational prescribing at the end of two-year activity-based pharmacology practical learning sessions in a private medical school in Nepal. The effectiveness of the sessions and strengths and suggestions to further improve the sessions were also obtained. The median total knowledge, attitude, skills and overall scores were calculated and compared among different subgroups of respondents. The median effectiveness score was also calculated. Eighty of the 100 students participated; 37 were male and 43 female. The median knowledge, attitude, and skills scores were 24, 39, and 23, respectively (maximum scores being 27, 45, and 36). The median total score was 86 (maximum score being 108). The effectiveness score for most subject areas was 3 (maximum 4). The strengths were the activity-based nature of the session, use of videos and role-plays, and repeated practice. Students wanted more sessions and practice in certain areas. They also wanted more resources and an internet connection in the practical room. The skills scores were relatively low. The immediate impact of the sessions was positive. Studies may be needed to assess the long term impact. Similar programs should be considered in other medical schools in Nepal and other developing countries.

Keyword

Attitudes; Effectiveness; Impact; Knowledge; Nepal; Pharmacology; Prescribing; Skills

MeSH Terms

Surveys and Questionnaires
Developing Countries
Female
Humans
Incidence
Internet
Learning
Male
Nepal
Schools, Medical

Reference

1. Hudec R, Tisonova J, Bozekova L, Wawruch M, Kriska M, Kristova V. Modified problem-based learning in pharmacology. Bratisl Lek Listy. 2009; 110:732–5.
2. Flockhart DA, Usdin Yasuda S, Pezzullo JC, Knollmann BC. Teaching rational prescribing: a new clinical pharmacology curriculum for medical schools. Naunyn Schmiedebergs Arch Pharmacol. 2002; 366:33–43.
Article
3. Laing R, Hogerzeil H, Ross-Degnan D. Ten recommendations to improve use of medicines in developing countries. Health Policy Plan. 2001; 16:13–20.
Article
4. Gwee MC. Teaching of medical pharmacology: the need to nurture the early development of desired attitudes for safe and rational drug prescribing. Med Teach. 2009; 31:847–54.
Article
5. Maxwell S, Walley T; BPS Clinical Section Committee. Teaching safe and effective prescribing in UK medical schools: a core curriculum for tomorrow’s doctors. Br J Clin Pharmacol. 2003; 55:496–503.
Article
6. Hilmer SN, Seale JP, Le Couteur DG, Crampton R, Liddle C. Do medical courses adequately prepare interns for safe and effective prescribing in New South Wales public hospitals? Intern Med J. 2009; 39:428–34.
Article
7. Richir MC, Tichelaar J, Stanm F, Thijs A, Danner SA, Schneider AJ, de Vries TP. A context-learning pharmacotherapy program for preclinical medical students leads to more rational drug prescribing during their clinical clerkship in internal medicine. Clin Pharmacol Ther. 2008; 84:513–6.
Article
8. Tisonova J, Hudec R, Szalayova A, Bozekova L, Wawruch M, Lassanova M, Vojtko R, Jezova D, Kristova V, Kriska M. Experience with problem oriented teaching in pharmacology. Bratisl Lek Listy. 2005; 106:83–7.
9. Kingsbury MP, Lymn JS. Problem-based learning and larger student groups: mutually exclusive or compatible concepts: a pilot study. BMC Med Educ. 2008; 8:35.
Article
10. Zgheib NK, Simaan JA, Sabra R. Using team-based learning to teach clinical pharmacology in medical school: student satisfaction and improved performance. J Clin Pharmacol. 2011; 51:1101–11.
Article
11. De Vries TP, Daniels JM, Mulder CW, Groot OA, Wewerinke L, Barnes KI, Bakathir HA, Hassan NA, Van Bortel L, Kriska M, Santoso B, Sanz EJ, Thomas M, Ziganshina LE, Bezemer PD, Van Kan C, Richir MC, Hogerzeil HV. Should medical students learn to develop a personal formulary? An international, multicentre, randomised controlled study. Eur J Clin Pharmacol. 2008; 64:641–6.
12. Naritoku DK, Faingold CL. Development of a therapeutics curriculum to enhance knowledge of fourth-year medical students about clinical uses and adverse effects of drugs. Teach Learn Med. 2009; 21:148–52.
Article
13. Oshikoya KA, Bello JA, Ayorinde EO. Medical students’ view on the methods of teaching pharmacology at the Lagos State University College of Medicine, Nigeria. Nig Q J Hosp Med. 2007; 17:101–7.
Article
14. Badyal DK, Bala S, Kathuria P. Student evaluation of teaching and assessment methods in pharmacology. Indian J Pharmacol. 2010; 42:87–9.
Article
15. Rodriguez-Carranza R, Vidrio H, Campos-Sepulveda E. The teaching of pharmacology in medical schools: current status and future perspectives. Gac Med Mex. 2008; 144:463–72.
16. Das BP, Sethi A, Nutan K, Gunjan . Teaching exercise of drug utilization by medical students. JNMA J Nepal Med Assoc. 2005; 44:160–4.
17. Joshi MP, Jayawickramarajah PT. A problem-orientated pharmacotherapy package for undergraduate medical students. Med Teach. 1996; 18:75–6.
Article
18. Shankar PR, Jha N, Bajracharya O, Shrestha R, Thapa HS. Teaching pharmacology at a Nepalese medical school: the student perspective. Australas Med J. 2010; 1:14–22.
19. Hogerzeil HV, Barnes KI, Henning RH, Kocabasoglu YE, Moller H, Smith AJ, Summers RS, de Vries TP. Teachers’ guide to good prescribing. Geneva: World Health Organization;2001.
20. Shankar PR, Palaian S, Gyawali S, Mishra P, Mohan L. Personal drug selection: problem-based learning in pharmacology: experience from a medical school in Nepal. PLoS One. 2007; 2:e524.
Article
21. Shankar PR, Gurung SB, Jha N, Bajracharya O, Ansari SR, Thapa HS. Practical assessment in Pharmacology at a new Nepalese medical school. J Clin Diagn Res. 2010; 4:3314–6.
22. Shankar PR, Piryani RM, Upadhyay-Dhungel K. Student feedback on the use of paintings in Sparshanam, the Medical Humanities module at KIST Medical College, Nepal. BMC Med Educ. 2011; 11:9.
Article
23. Giri BR, Shankar PR. Learning how drug companies promote medicines in Nepal. PLoS Med. 2005; 2:e256.
Article
24. Shankar PR, Piryani RM. Medical education and medical educators in South Asia: a set of challenges. J Coll Physicians Surg Pak. 2009; 19:52–6.
25. Mintzes B. Educational initiatives for medical and pharmacy students about drug promotion: an international cross-sectional survey. World Health Organization and Health Action International;2005.
26. Mintzes B, Mangin D, Hayes L. Understanding and responding to pharmaceutical promotion: a practical guide. World Health Organization and Health Action International;2011.
27. Shankar PR. Pharmacology at the Manipal College of Medical Sciences, Pokhara, Nepal: new roles and new challenges. Internet J Pharmacol. 2006; 4(2):
Article
28. Akici A, Goren MZ, Aypak C, Terzioglu B, Oktay S. Prescription audit adjunct to rational pharmacotherapy education improves prescribing skills of medical students. Eur J Clin Pharmacol. 2005; 61:643–50.
Article
29. Myung SJ, Kang SH, Kim YS, Lee EB, Shin JS, Shin HY, Park WB. The use of standardized patients to teach medical students clinical skills in ambulatory care settings. Med Teach. 2010; 32:e467–70.
Article
30. Ryan CA, Walshe N, Gaffney R, Shanks A, Burgoyne L, Wiskin CM. Using standardized patients to assess communication skills in medical and nursing students. BMC Med Educ. 2010; 10:24.
Article
31. Shankar PR, Subish P. Designing a spontaneous adverse drug reaction reporting form: an exercise for medical students. Int J Risk Saf Med. 2006; 18:115–9.
32. Cox AR, Marriott JF, Wilson KA, Ferner RE. Adverse drug reaction teaching in UK undergraduate medical and pharmacy programmes. J Clin Pharm Ther. 2004; 29:31–5.
Article
33. Ross S, Loke YK. Do educational interventions improve prescribing by medical students and junior doctors? A systematic review. Br J Clin Pharmacol. 2009; 67:662–70.
Article
Full Text Links
  • JEEHP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr