The self-evaluation of knowledge, skills, and attitudes toward rational drug use among medical students and postgraduates
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Abstract
Objective: This study aims to self-assess of the self-evaluation of knowledges, skills, and attitudes toward rational drug use among medical students and postgraduates Methods: It is a cross sectional survey conducted among the medical students and postgraduates from the College of Medicine and Public Health, Ubon Ratchathani University in 2018. An online self-administered questionnaire was implement. The questionnaire consisted three parts including 1) Demographic data 2) self-evaluation of knowledges, skills, and attitudes toward rational drug use and 3) the assessment of knowledge related to the RDU hospital indicators. The questionnaire was tested for content validity by three experts. Cronbach’s alpha coefficient of the questionnaire of perception of the competencies, in term of knowledge, skills and attitudes, were 0.987, 0.980 and 0.983, respectively. Regarding the assessment of knowledge related to the RDU hospital indicators, the reliability according to the Kuder-Richardson method was 0.817. Data were analyzed using descriptive and univariate statistics.Results:A total of 119 participants completed the questionnaire items (59.5 % response rate). The majority was female.The participants were pre-clinical medical students (66.4%), clinical students (21.0%) and postgraduates (12.6%). Most of them knew about the rational drug use policy. The participants reported proficient to advanced competency level in terms of knowledge and attitudes in conducting the RDU. However, they reported basic to advanced competency level in terms of skills in conducting the RDU. According to the test of knowledge about the RDU hospital indicators, the clinical students and graduates had statistically significant higher knowledge scores than the pre-clinical medical students. Conclusions: Overall, the medical students and graduates reported a positive competency in conducting the rational drug use.Additionally, the clinical students and graduates had statistically significantly higher knowledge scores than the pre-clinical medical students.This study will lead to the improvement and development of the Doctor of Medicine curriculum, and to give students a better understanding and awareness of the use of drugs since studying at pre-clinical level until graduate.
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References
Chaudhari VL, Mali SN, Dawari AV and Nishandar TB. Awareness about rational use of medicines among fresh Bachelor of Medicine and Bachelor of Surgery graduates. J Educ Health Promot 2017, 6(94): doi:10.4103/jehp.jehp_4159_4117.
Chongtrakul P. RDU hospital: the pathway to rational drug use. Thai J Pharmacol 2015, 37(1): 48-62.
Chuangsakul C. Practices of health personnel related to rational drug use policy at sub-district health promoting hospitals in Sisaket province. Medical Journal of Srisaket Surin Buriram hospitals 2018, 33(3): 275-290.
Gunawardhana CB, Sakeena MHF and Sivayoganthan C. Awareness of Rational Medication Use and Antibiotic SelfMedication Practices among Undergraduate Students in a University in Sri Lanka. Tropical Journal of Pharmaceutical Research 2015, 14(4): 723-729.
Haque M. Pharmacology is the backbone of rational prescribing. Journal of Applied Pharmaceutical Science 2017, 7(8): 1-2.
Harding S, Britten N and Bristow D. The performance of junior doctors in applying clinical pharmacology knowledge and prescribing skills to standardized clinical cases. Br J Clin Pharmacol 2010, 69(9): 598-606.
Karina Pavão Patrício, Nycholas Adriano Borges Alves, Nadja Guazzi Arenales and Thais Thomaz Queluz. Teaching the Rational Use of Medicines to medical students: a qualitative research. BMC Med Edu 2012, 12.
Keijsers CJ and Ross S. A pharmacological approach to education. Br J Clin Pharmacol 2015, 80:329-330.
Khilnani G. The concept of personal drugs in the undergraduate pharmacology practical curriculum. Indian J Pharmacol 2008, 40(3): 131-132.
Lempp H, Seabrook M, Cochrane M and Rees J. The transition from medical student to doctor: perceptions of final year students and preregistration house officers related to expected learning outcomes. Int J Clin Pract 2005, 59(3): 324-329.
Mahajan R, Singh NR, Singh J, Dixit A, Jain A and Gupta A. Current scenario of attitude and knowledge of physicians about rational prescription: A novel cross-sectional study. J Pharm Bioallied Sci 2010, 2(2): 132-136.
Michel MC, Bischoff A, Heringdorf MZ, Neumann D and Jakobs KH. Problem- vs. lecture-based pharmacology teaching in a German medical school. Naunyn Schmiedebergs Arch Pharmacol 2002, 366: 64-68.
Mukopadhyay K. Relevance of pharmacology in the present context. J Indian Med Assoc 2005, 103: 40.
Office of the Permanent Secretary (OPS), 2016. Service plan: rational drug use. Nonthaburi, Ministry of Public Health. Thailand.
Rational Use of Drug Subcommittee, 2017. Teacher's guide for promotion rational drug use. Nonthaburi, Food and Drug Administration, Ministry of Public Health, Thailand.
Remesh A, Gayathri AM, Singh R and Retnavally KG. The knowledge, attitude and the perception of prescribers on the rational use of antibiotics and the need for an antibiotic policy-a cross sectional survey in a tertiary care hospital. J Clin Diagn Res 2013, 7(4): 675-679.
Russo D, 2016. Competency measurement model. European Conference on Quality in Official Statistics (Q2016), Madrid, 31 May-3 June 2016.
Shakib S and George A. Prescribing: What’s all the fuss?. Aust Fam Physician 2003, 32: 35-38.
Shankar PR, Dubey AK, Upadhyay DK, Subish P, Deshpande VY and Mishra P. SESSIONS ON RATIONAL USE OF MEDICINES: STUDENT FEEDBACK. Pharmacologyonline 2007, 1: 162-172.
Sibounheuang S, Supamanee T and Thungjaroenkul P. Knowledge, attitude, and practice in nursing process among nurses, Lao People’s Democratic Republic. Nursing Journal 2016, 43: 140-150.
Subcommittee on the Promotion of Rational Drug Use, 2015. Rational drug use hospital manual. Bangkok, Publishing House of Agricultural Cooperative Federation of Thailand.
Suttajit S, 2017. Situation of teaching and learning regarding the rational drug use in Thai healthcare curriculum. Nonthaburi, Food and Drug Administration, Ministry of Public Health, Thailand.
The Royal Thai Government Gazette, 2018. The Ministry of Education: Thailand Qualification Framework (TQF) for Certification of Doctor of Medicine degree. [Online]. Vol 135, Special Part 302 Ngor, dated 28th Nov [Cited 2019 May 1]. Available from: http://www.mua.go.th/users/tqf-hed/news/data6/Doctor%20of%20Medicine_r.pdf.
Tobaiqy M, McLay J and Ross S. Foundation year 1 doctors and clinical pharmacology and therapeutics teaching. A retrospective view in light of experience. Br J Clin Pharmacol 2007, 64(3): 363-372.
World Health Organization, 2002. Promoting rational use of medicines: core components. [Online] [Cited 2019 Feb 19]. Available from: http://archives.who.int/tbs/rational/h3011e.pdf.