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Transcript of A PRESCRIBING CURRICULUM FOR AUSTRALIAN MEDICAL STUDENTS Smith AJ, Hill SR,Tasioulas T,Cockayne NL....
![Page 1: A PRESCRIBING CURRICULUM FOR AUSTRALIAN MEDICAL STUDENTS Smith AJ, Hill SR,Tasioulas T,Cockayne NL. National Prescribing Service, Sydney & Clinical Pharmacology.](https://reader036.fdocuments.in/reader036/viewer/2022062715/56649da75503460f94a92cc8/html5/thumbnails/1.jpg)
A PRESCRIBING CURRICULUM FOR AUSTRALIAN MEDICAL
STUDENTS
Smith AJ, Hill SR,Tasioulas T,Cockayne NL.National Prescribing Service, Sydney &
Clinical Pharmacology Unit, University of Newcastle, Australia
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Background
• The Australian National Prescribing Service (NPS) not-for-profit, independent organisation
• Activities aim to improve the overall quality of use of medicines in Australia
• Development of curriculum as a response to: – Documented sub-optimal prescribing by doctors– A perceived deficit in prescribing education for
senior students in medical schools - despite good programs in pharmacology/clinical pharmacology
![Page 3: A PRESCRIBING CURRICULUM FOR AUSTRALIAN MEDICAL STUDENTS Smith AJ, Hill SR,Tasioulas T,Cockayne NL. National Prescribing Service, Sydney & Clinical Pharmacology.](https://reader036.fdocuments.in/reader036/viewer/2022062715/56649da75503460f94a92cc8/html5/thumbnails/3.jpg)
Objectives
• To design, field-test, implement and evaluate the impact of a modular, problem-based web-interactive prescribing curriculum based on the WHO “Guide to Good Prescribing”
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Methods (1)
Design• Jointly sponsored by NPS and the Australasian
Society for Clinical and Experimental Pharmacologists and Toxicologists (ASCEPT)
• Collaboration with teachers from each of the Australian medical schools
• Clinical conditions were selected from those that interns claimed were common and raised prescribing issues
• The 12 written cases were converted to web-based interactive form by Knowledge South and the University of South Australia
![Page 5: A PRESCRIBING CURRICULUM FOR AUSTRALIAN MEDICAL STUDENTS Smith AJ, Hill SR,Tasioulas T,Cockayne NL. National Prescribing Service, Sydney & Clinical Pharmacology.](https://reader036.fdocuments.in/reader036/viewer/2022062715/56649da75503460f94a92cc8/html5/thumbnails/5.jpg)
Methods (2)
Field-testing and implementation• The 12 modules were field-tested for ease of
navigation and for content by medical students and staff
• The curriculum could not be mandated and uptake was dependent on NPS advocacy and the influence of the teachers who had helped construct the program
• The completed modules were made available to each of the 11 Australian medical schools in January, 2002
![Page 6: A PRESCRIBING CURRICULUM FOR AUSTRALIAN MEDICAL STUDENTS Smith AJ, Hill SR,Tasioulas T,Cockayne NL. National Prescribing Service, Sydney & Clinical Pharmacology.](https://reader036.fdocuments.in/reader036/viewer/2022062715/56649da75503460f94a92cc8/html5/thumbnails/6.jpg)
Methods (3)
Evaluation• Measurement of ‘hits’ on the website by each
medical school• Structured interviews with 15 teachers from 9
medical schools and online survey of 121 medical students from 5 medical schools
• An assessment of students’ ability to select drugs for four common conditions: – before using the curriculum– after one year’s voluntary use– after a further one year’s compulsory use
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Results (1)
Annual 'Hits' to web site by each Medical School*
0
20000
40000
60000
80000
100000
120000
1 2 3 4 5 6 7 8 9
2002 2003
*Medical Schools have been de-identified
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Results (2)Qualitative feedback: In-depth interviews with
teaching staff• All used it as a tool for individual self-directed
learning tool – five with added case-discussions
• Five schools made the curriculum assessable in final examinations
• Issues/problems: – Technical aspects e.g. navigation and browser capability– “Need to engage more teaching staff within faculty”
• Generally, “an excellent, practical resource”
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Results (3)
Qualitative feedback: student online survey • 97/107 (91%) therapeutic content appropriate to
needs
• 92/107 (86%) felt better able to prescribe after using the curriculum
• 57 (54%) had developed their own personal formulary – a major goal of the program
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Results (4)
Improvements in selecting appropriate drugs in each condition were significant (2=37, p=0.01)
Student Assessment of Ability to Select Appropriate Drugs in
Four Conditions (Pre and Post Testing)
0
20
40
60
80
100
Condition 1 Condition 2 Condition 3 Condition 4
% C
orr
ect Res
ponse
Start Year 4 (Curriculum voluntary, n= 54) Start Year 5 (Curriculum compulsory, n=58) End Year 5 (Curriculum compulsory, n=24)
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Conclusions
• The program has proved very popular with students and staff
• Uptake in the first two years has been better than predicted but the program needs more ‘marketing’
• The modules have now been revised and plans are in place for more thorough evaluation in 2004
• Website URL: http://nps.unisa.edu.au