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


ABSTRACT:

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.

SUBMITTER: Brinkman DJ 

PROVIDER: S-EPMC7867513 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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

Brinkman David J DJ   Monteiro Teresa T   Monteiro Emilia C EC   Richir Milan C MC   van Agtmael Michiel A MA   Tichelaar Jelle J  

European journal of clinical pharmacology 20201023 3


<h4>Purpose</h4>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 s  ...[more]

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