Assessment of Prescribing Competence for Medical Students

Simatupang, Abraham and Kurniaty, Linggom and Djojosaputro, Mulyadi and Sitompul, Fransiska and Silaban, Hertina (2022) Assessment of Prescribing Competence for Medical Students. In: Kegiatan Kongres Nasional Ikatan Farmakologi Indonesia (KONAS IKAFI) XVI, 29 -30 Oktober 2022, Online.

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Abstract

Prescription writing is one of the competencies every doctors should master. Nevertheless, this is not only just writing the drugs, the dosage and dispensing. But, prescription writing is part of a decision-making process on what and how patients should be treated from many possibilities and options of non-pharmacological and pharmacological therapies available. Therefore, it is important for clinical-phase students to learn and more importantly to practice this skill. We integrated pharmacy and pharmacotherapy and clinical exposure in 5 departments i.e. pediatric, HNO, Skin and venereal disease, ophthalmology, and internal medicine which focus on pharmacotherapy. Method: We develop an integrative pharmacotherapy learning approach based on the Guide-to-Good Prescribing (GGP-WHO) which was firstly developed by de Vries, TGPP et al. In this method there are 6 steps for treatment: 1. Knowing the problems of the patient, 2. Setting the therapeutic objective, 3. Choose p-treatment, 4. Give information, 5. Start the therapy, and 6. Monitor-evaluate the therapy. We developed Objective Structured Pharmacotherapy Examination (OSPE) as an evaluation instrument. Students will be given cases and they should write a prescription and they should explain why they choose the drugs for that particular case. Result: Students are more confident on using their critical thinking and to practice their decision making process for prescription writing. Conclusion: Integrative pharmacotherapy and OSPE could be useful tool for learning and evaluation for teaching prescription writing in medical school. Keyword: prescription, pharmacotherapy, critical-thinking, assessment

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