Assessment of prescription writing skills among undergraduate medical students: A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v6i12.2174Keywords:
Prescription skills, medical students, Competency in prescribingAbstract
Background:
Accurate prescription writing is a vital clinical skill introduced during the second phase of the undergraduate medical curriculum, particularly within Pharmacology and Therapeutics. Although students receive formal instruction during this period, concerns persist regarding their ability to apply these skills effectively in practice, even at this early stage of training.
Objective:
To assess the prescription writing skills of second-year undergraduate medical students and identify common deficiencies in their performance.
Methods:
A cross-sectional study was conducted among second-year MBBS students. Participants were given a clinical case scenario and instructed to write a complete prescription. Each prescription was evaluated for essential components, including patient details, drug name, dose, frequency, route of administration, and prescriber information.
Results:
Out of the total participants, 76% scored in the moderate range for overall prescription writing, while only 18% achieved high scores. Drug-related components were moderately addressed by 58% of students, but prescriber and additional components showed poorer performance. Specifically, 35% scored low in prescriber-related and 51% in additional components. These findings reveal gaps in completeness and adherence to prescription standards.
Conclusion:
Despite formal teaching in Pharmacology, second-year undergraduate medical students show considerable gaps in prescription-writing skills.
Recommendation:
These findings suggest a need for repeated practice sessions, formative assessments, and integration of clinical context to enhance competency and ensure safe prescribing habits early in medical education.
References
Akram A, Mohamad N, Meerah TSM, ZamZam R, Abdullah D. A pilot study of action research to acquire clinical skill. Procedia Soc Behav Sci. 2012;60:236-40. https://doi.org/10.1016/j.sbspro.2012.09.373
Lofholm PW, Katzung BG. Rational prescribing and prescription writing. Katzung BG, Trevor AJ, ed. Basic and Clinical Pharmacology. New York: McGraw-Hill, 2012. pp. 1139-1148.
Dean B, Schachter M, Vincent C, et al. Causes of prescribing errors in hospital inpatients: a prospective study. Lancet Lond Engl 2002;359(9315):1373-1378. https://doi.org/10.1016/S0140-6736(02)08350-2
Coombes DI, Stowasser AD, Coombes AJ, et al. Why do interns make prescribing errors? A qualitative study. Med J Australia 2008;188(2):89-94 https://doi.org/10.5694/j.1326-5377.2008.tb01529.x
Calligaris L, Panzera A, Arnoldo L, Londero C, Quattrin R, Troncon MG, et al. Errors and omissions in hospital prescriptions: A survey of prescription writing in a hospital. BMC Pharmacol Toxicol. 2009;9:9. https://doi.org/10.1186/1472-6904-9-9
Ramakrishnan, S., Krishnamurthy, B., & Anbarasu, U. (2020). Impact of a sensitization program on prescription order writing skills of second year MBBS students: a prospective study. International Journal of Basic & Clinical Pharmacology, 9(6), 906-911. https://doi.org/10.18203/2319-2003.ijbcp20202180
Velo GP, Minuzl P. Medication errors: prescribing faults and prescription errors. Br J Clin Pharmacol 2009;67(6):624-628. https://doi.org/10.1111/j.1365-2125.2009.03425.x
Upadhyaya P, Seth V, Sharma M, et al. Prescribing knowledge in the light of undergraduate clinical pharmacology and therapeutics teaching in India: views of first-year postgraduate students. Adv Med Educ Pract 2012;3:47-53. https://doi.org/10.2147/AMEP.S31726
Vollebregt JA, Metz JCM, de Haan M, Richir MC, Hugtenburg JG, de Vries TPGM. Curriculum development in pharmacotherapy: testing the ability of preclinical medical students to learn therapeutic problem solving in a randomized controlled trial. Br J Clin Pharmacol. 2006;61(3):345-51. https://doi.org/10.1111/j.1365-2125.2005.02571.x
Garbutt JM, DeFer TM, Highstein G, McNaughton C, Milligan P, Fraser VF. Safe prescribing: an educational intervention for medical students. Teach Learn Med. 2006;18(3):244-50. https://doi.org/10.1207/s15328015tlm1803_10
Sudha, M. J., Viveka, S., & Remya, S. (2017). Assessment of prescription writing skills among undergraduate medical students. International Journal of Basic & Clinical Pharmacology, 5(4), 1586-1593. https://doi.org/10.18203/2319-2003.ijbcp20162477
Gupta M, Tikoo D, Pal S. Assessment of Prescription Writing Skills and Impact of an Educational Intervention on Safe Prescribing among the First-year Postgraduate Medical Students of Tertiary Care Hospital. AMEI's Curr Trends Diagn Treat 2020;4(1):51-59 https://doi.org/10.5005/jp-journals-10055-0087
Agrawal, M., Singh, A., & Sharma, D. (2019). Assessment of prescription writing skills among undergraduate medical students. International Journal of Basic & Clinical Pharmacology, 8(1), 49-53. https://doi.org/10.18203/2319-2003.ijbcp2018525
Desai, C., Jhaveri, P., & Shringarpure, G. (2021). Evaluation of prescription writing skills of undergraduate students. Indian Journal of Pharmacology, 53(4), 276-280. https://doi.org/10.4103/ijp.ijp_52_21
Oshikoya, K. A., Senbanjo, I. O., & Amole, O. O. (2013). Quality of written paediatric outpatient prescriptions in Nigeria. South African Journal of Child Health, 7(3), 104-107. https://doi.org/10.7196/sajch.580
Brinkman, D. J., Tichelaar, J., van Agtmael, M. A., de Vries, T. P., & Richir, M. C. (2010). Evaluation of prescribing education in Dutch medical schools. British Journal of Clinical Pharmacology, 70(3), 388-396. https://doi.org/10.1111/j.1365-2125.2010.03707.x
Patel, K., Trivedi, H., & Mehta, D. (2022). Evaluation of prescription writing skills among second-year MBBS students: A cross-sectional study. International Journal of Pharmacology and Clinical Sciences, 11(1), 21-25. https://doi.org/10.5530/ijpcs.2022.11.4
Nanda, R., Satapathy, S. S., & Mohapatra, S. (2023). Assessment of prescription writing competencies among undergraduate medical students: A multi-centric analysis. Journal of Clinical and Diagnostic Research, 17(2), FC05-FC08. https://doi.org/10.7860/JCDR/2023/61234.17512
Banerjee, A., Sharma, R., & Gupta, S. (2021). Common errors in prescription writing among undergraduate medical students: A cross-sectional study. Journal of Medical Education and Research, 23(2), 110-115.
Joshi, P., Mehta, R., & Kale, S. (2022). Impact of structured clinical exposure on prescription writing skills in medical undergraduates. International Journal of Clinical Pharmacology and Therapeutics, 60(4), 245-250.
Chavda, N., Dave, D., & Patel, V. (2020). Assessment of completeness in prescriptions written by MBBS students: An observational study. Indian Journal of Pharmacology, 52(1), 34-38.
Sharma, M., Kulkarni, P., & Raut, S. (2021). Effect of formative assessment on improvement in prescription writing among final-year medical students. Asian Journal of Medical Sciences, 12(5), 90-95.
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