Article Gold Open Access 2020

“It’s helpful to get the time and opportunity to discuss drug treatment; that’s what I think is the most important thing.”—A qualitative study on prescribing education in junior physicians

European Journal of Clinical Pharmacology
Journal · Vol. 76 · Issue 2 · pp. 249-255
Abstract

Background: As prescribing skills are a prerequisite for rational use of medicines, and education and training are important in acquiring these skills, we aimed to explore what aspects junior physicians find important when being taught the art of prescribing. Methods: Written feedback from 34 interns after participating in an educational session as part of a randomized controlled study at a university hospital formed the qualitative data in this study. Manifest content analysis was performed, guided by the research question “Educating junior physicians in the art of prescribing: what aspects do they find important?” Meaning units were extracted and categorized, and emergent themes were identified. Results: Five themes emerged. The first, clinical relevance, was exemplified by the categories valuable for health care; perceived relevance for one’s own work; and translating theory into practice while the second, applicable content, included categories such as clinical advice; practical tips on using the electronic medical record system; and tools that facilitate. The third and fourth themes, reality-based teaching and creative discussions, were exemplified by the categories patient cases and feedback; and discussion-based teaching; wide-ranging discussions and a permissive and open atmosphere, respectively. In the last theme, effective structure, we identified the categories clear structure; small group teaching; allocated time for discussion; well-organized administration; and home assignment for practice. Conclusion: Creative discussions, effectively structured in small group sessions, with clinically relevant, reality-based content built on case studies and feedback, are aspects which junior physicians find important when educated in the art of prescribing. © 2019, The Author(s).

Keywords

Author Keywords

Internship qualitative education teaching Prescribing

Index Keywords

adult clinical competence female human male medical education procedures Humans Internship and Residency Article Vocational education qualitative research education case study controlled study physician postgraduate education clinical practice middle aged feedback system randomized controlled trial Content analysis prescription Practice Patterns, Physicians' university hospital Hospitals, University medical staff Medical Staff, Hospital priority journal electronic medical record system
Author Affiliations
Department of Pharmacology, Sahlgrenska Akademin, Gothenburg, Vastra Gotaland, Sweden, Department of Medicine, Sahlgrenska Universitetssjukhuset, Gothenburg, Vastra Gotaland, Sweden
Department of Pharmacology, Sahlgrenska Akademin, Gothenburg, Vastra Gotaland, Sweden, HTA Centre, Sahlgrenska Universitetssjukhuset, Gothenburg, Vastra Gotaland, Sweden
Funding & Acknowledgements
Grant: VGFOUREG-392071, VGFOUREG-476621
Funding text 1: This study was supported by the Health and Medical Care Committee of Region Västra Götaland (grant numbers VGFOUREG-392071, VGFOUREG-476621). The funding source did not influence the design or conduct of the study, nor the collection, management, analysis and interpretation of the data, or preparation, review and approval of the manuscript. Acknowledgements; Funding text 2: Open access funding provided by University of Gothenburg. We are grateful to all interns who participated in the study. We also want to thank the former internship heads of Sahlgrenska University Hospital, Caterina Finizia and Paulin Andréll, who allowed us to perform the original study within the interns’ working hours.
Sahlgrenska Universitetssjukhuset, SU
Funding text 1: This study was supported by the Health and Medical Care Committee of Region Västra Götaland (grant numbers VGFOUREG-392071, VGFOUREG-476621). The funding source did not influence the design or conduct of the study, nor the collection, management, analysis and interpretation of the data, or preparation, review and approval of the manuscript. Acknowledgements; Funding text 2: Open access funding provided by University of Gothenburg. We are grateful to all interns who participated in the study. We also want to thank the former internship heads of Sahlgrenska University Hospital, Caterina Finizia and Paulin Andréll, who allowed us to perform the original study within the interns’ working hours.
Göteborgs Universitet
Funding text 1: This study was supported by the Health and Medical Care Committee of Region Västra Götaland (grant numbers VGFOUREG-392071, VGFOUREG-476621). The funding source did not influence the design or conduct of the study, nor the collection, management, analysis and interpretation of the data, or preparation, review and approval of the manuscript. Acknowledgements; Funding text 2: Open access funding provided by University of Gothenburg. We are grateful to all interns who participated in the study. We also want to thank the former internship heads of Sahlgrenska University Hospital, Caterina Finizia and Paulin Andréll, who allowed us to perform the original study within the interns’ working hours.
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