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Läkemedelsarbete behöver vara integrerat i klinisk utbildning [Preparing for the licence to prescribe in medical school - a questionnaire study on medical students professional confidence in the art of prescribing]
Institutionen för medicin Göteborg, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Diagnostics, Department of Clinical Pharmacology.ORCID iD: 0000-0002-3364-5767
Sahlgrenska akademin, Göteborg.
Linköping University, Department of Medical and Health Sciences, Division of Drug Research. Linköping University, Faculty of Medicine and Health Sciences. Region Skåne, Sweden.ORCID iD: 0000-0002-6041-0744
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2019 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 116Article in journal (Refereed) Published
Abstract [en]

A prerequisite for rational use of medicines is adequate prescribing skills; drug treatment is a complex task requiring diagnostic competence combined with pharmacologic knowledge and patient communication skills. Acquiring professional confidence in the art of prescribing is essential during medical training. The results of this questionnaire study, conducted in four medical schools in Sweden after the course in internal medicine (252 respondents; response rate: 74%; median age: 24 years, 61% female), show that 45% and 62% were confident in performing medication reviews and writing medication summary reports, respectively, i.e. the basics of prescribing. The confidence increased by the number of reviews and reports performed, i.e. the extent of practice (correlation coefficients: 0.41 and 0.38, respectively, both pamp;lt;0.0001), as did the extent of the students reflection on important aspects of drug treatment such as adherence, adverse reactions, renal function, dosing, and drug interactions. In multivariate regression analyses, major predictors for confidence in performing medication reviews were extent of practice and extent of clinical supervision. The results suggest that these factors are keys to acquiring professional confidence in the art of prescribing.

Abstract [sv]

Att behandla med läkemedel är en kärnuppgift för läkare; grundutbildningen behöver ge studenterna förutsättningar att klara detta.

Enkätresultat från fyra lärosäten visade att 45 procent av studenterna efter sin invärtesmedicinska placering kände sig trygga med att göra läkemedelsgenomgångar och 62 procent med att skriva läkemedelsberättelser.

Studenter som gör många läkemedelsgenomgångar/läkemedelsberättelser känner större trygghet och reflekterar mer över patientens behandling.

Klinisk handledning gör skillnad.

När kursplaner revideras vid införandet av en sexårig läkarutbildning, med förskrivningsrätt direkt efter examen, behöver klinisk träning i läkemedelsarbete inklusive handledning tydliggöras.

Place, publisher, year, edition, pages
Stockholm, Sweden: Sveriges Läkarförbund , 2019. Vol. 116
National Category
Social and Clinical Pharmacy
Identifiers
URN: urn:nbn:se:liu:diva-164792PubMedID: 31192436OAI: oai:DiVA.org:liu-164792DiVA, id: diva2:1421086
Available from: 2020-04-01 Created: 2020-04-01 Last updated: 2020-05-01Bibliographically approved

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Böttiger, YlvaReis, Margareta

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Division of Drug ResearchFaculty of Medicine and Health SciencesDepartment of Clinical Pharmacology
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