Switching from a traditional undergraduate programme in (clinical) pharmacology and therapeutics to a problem-based learning programme.

Purpose: The pharmacology and clinical pharmacology and therapeutics (CPT) education during the undergraduate medical curriculum of NOVA Medical School, Lisbon, Portugal, was changed from a traditional programme (i.e. discipline-based, lectures) to a problem-based learning (PBL) programme (i.e. inte...

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Publicado en:European Journal of Clinical Pharmacology Vol. 77; no. 3; pp. 421 - 430
Autores principales: Brinkman, David J., Monteiro, Teresa, Monteiro, Emilia C., Richir, Milan C., van Agtmael, Michiel A., Tichelaar, Jelle
Formato: research tables/charts Journal Article
Publicado: Springer Nature Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2021
      vid: 77
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00228-020-03027-3
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        atl: Switching from a traditional undergraduate programme in (clinical) pharmacology and therapeutics to a problem-based learning programme.
      aug:
        au:
          Brinkman, David J.
          Monteiro, Teresa
          Monteiro, Emilia C.
          Richir, Milan C.
          van Agtmael, Michiel A.
          Tichelaar, Jelle
        affil: Section Pharmacotherapy, Department of Internal Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081, Amsterdam, HV, The Netherlands
      sug:
        subj:
          Students, Undergraduate
          Pharmacy and Pharmacology Education
          Therapeutics Education
          Problem-Based Learning
          Clinical Competence
          Competency Assessment
          Students, Medical
          Human
          Questionnaires
          Drug Interactions
          Drugs, Prescription Contraindications
          Self Report
          Confidence
          Descriptive Statistics
          Student Knowledge
          Prescribing Patterns
      ab: Purpose: The pharmacology and clinical pharmacology and therapeutics (CPT) education during the undergraduate medical curriculum of NOVA Medical School, Lisbon, Portugal, was changed from a traditional programme (i.e. discipline-based, lectures) to a problem-based learning (PBL) programme (i.e. integrated, case-based discussions) without an increase in teaching hours. The aim of this study was to investigate whether this change improved the prescribing competencies of final-year medical students. Methods: Final-year students from both programmes (2015 and 2019) were invited to complete a validated prescribing assessment and questionnaire. The assessment comprised 24 multiple-choice questions in three subdomains (working mechanism, side-effects and interactions/contraindications), and five clinical case scenarios of common diseases. The questionnaire focused on self-reported prescribing confidence, preparedness for future prescribing task and education received. Results: In total, 36 (22%) final-year medical students from the traditional programme and 54 (23%) from the PBL programme participated. Overall, students in the PBL programme had significantly higher knowledge scores than students in the traditional programme (76% (SD 9) vs 67% (SD 15); p = 0.002). Additionally, students in the PBL programme made significantly fewer inappropriate therapy choices (p = 0.023) and fewer erroneous prescriptions than did students in the traditional programme (p = 0.27). Students in the PBL programme felt more confident in prescribing, felt better prepared for prescribing as junior doctor and completed more drug prescriptions during their medical training. Conclusion: Changing from a traditional programme to an integrated PBL programme in pharmacology and CPT during the undergraduate medical curriculum may improve the prescribing competencies of final-year students.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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