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Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns

OBJECTIVES: To find out the impact of teaching clinical pharmacology and rational therapeutics (CPT) to medical undergraduates (UGs) and interns. MATERIALS AND METHODS: This cross-sectional, prospective study was conducted on three UGs batches and interns using two pretested validated structured que...

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Autores principales: Desai, Mira K, Panchal, Jigar R, Shah, Samdih, Iyer, Geetha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979305/
https://www.ncbi.nlm.nih.gov/pubmed/27563589
http://dx.doi.org/10.4103/2229-516X.186967
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author Desai, Mira K
Panchal, Jigar R
Shah, Samdih
Iyer, Geetha
author_facet Desai, Mira K
Panchal, Jigar R
Shah, Samdih
Iyer, Geetha
author_sort Desai, Mira K
collection PubMed
description OBJECTIVES: To find out the impact of teaching clinical pharmacology and rational therapeutics (CPT) to medical undergraduates (UGs) and interns. MATERIALS AND METHODS: This cross-sectional, prospective study was conducted on three UGs batches and interns using two pretested validated structured questionnaires, modified from the work of Tobaiqy et al. The study was approved by the Institutional Ethics Committee. ANOVA and Chi-square test were used for statistical analysis. The value of P < 0.05 was considered statistically significant. RESULTS: A total of 379 UGs and 96 interns participated in this study. Mean knowledge score of interns was significantly reduced as compared to UGs (P < 0.0001). A significant increase in confidence for unsupervised prescribing of nonsteroidal anti-inflammatory drugs (99%), oral rehydration salt, iron salts was perceived among interns as compared to UGs (P < 0.05). However, 63.5% confessed problems in selection of drugs, drug–drug interactions, prescribing in special patient population. Although they were confident prescribing fixed dose combination for adult patients (89.5%), majority were hesitant to prescribe opioids (77%), steroids (76%), vaccines (75%), and antihypertensives (62%). CONCLUSION: The theoretical CPT teaching transfers knowledge to UGs; however, it is not retained in internship and does not adequately prepare interns to prescribe safe and rational drugs.
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spelling pubmed-49793052016-08-25 Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns Desai, Mira K Panchal, Jigar R Shah, Samdih Iyer, Geetha Int J Appl Basic Med Res Original Article OBJECTIVES: To find out the impact of teaching clinical pharmacology and rational therapeutics (CPT) to medical undergraduates (UGs) and interns. MATERIALS AND METHODS: This cross-sectional, prospective study was conducted on three UGs batches and interns using two pretested validated structured questionnaires, modified from the work of Tobaiqy et al. The study was approved by the Institutional Ethics Committee. ANOVA and Chi-square test were used for statistical analysis. The value of P < 0.05 was considered statistically significant. RESULTS: A total of 379 UGs and 96 interns participated in this study. Mean knowledge score of interns was significantly reduced as compared to UGs (P < 0.0001). A significant increase in confidence for unsupervised prescribing of nonsteroidal anti-inflammatory drugs (99%), oral rehydration salt, iron salts was perceived among interns as compared to UGs (P < 0.05). However, 63.5% confessed problems in selection of drugs, drug–drug interactions, prescribing in special patient population. Although they were confident prescribing fixed dose combination for adult patients (89.5%), majority were hesitant to prescribe opioids (77%), steroids (76%), vaccines (75%), and antihypertensives (62%). CONCLUSION: The theoretical CPT teaching transfers knowledge to UGs; however, it is not retained in internship and does not adequately prepare interns to prescribe safe and rational drugs. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4979305/ /pubmed/27563589 http://dx.doi.org/10.4103/2229-516X.186967 Text en Copyright: © 2016 International Journal of Applied and Basic Medical Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Desai, Mira K
Panchal, Jigar R
Shah, Samdih
Iyer, Geetha
Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns
title Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns
title_full Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns
title_fullStr Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns
title_full_unstemmed Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns
title_short Evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns
title_sort evaluation of impact of teaching clinical pharmacology and rational therapeutics to medical undergraduates and interns
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979305/
https://www.ncbi.nlm.nih.gov/pubmed/27563589
http://dx.doi.org/10.4103/2229-516X.186967
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