ArticleEuropean journal of clinical pharmacology2015
The effect of different levels of realism of context learning on the prescribing competencies of medical students during the clinical clerkship in internal medicine: an exploratory study.
Article in European journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Key Learning Outcomes for Clinical Pharmacology and Therapeutics Education in Europe: A Modified Delphi Study.Clinical pharmacology and therapeutics · 2018Pooled it
- Do final-year medical students have sufficient prescribing competencies? A systematic literature review.British journal of clinical pharmacology · 2018Pooled it
- A 'SMART' way to determine treatment goals in pharmacotherapy education.British journal of clinical pharmacology · 2016Trial
- Reimagining pharmacology education.Pharmacological reviews · 2026Review
- Reply to correspondence: Broadening authentic and context learning in clinical pharmacology education.European journal of clinical pharmacology · 2026Article
- Broadening authentic and context learning in clinical pharmacology education.European journal of clinical pharmacology · 2026Article
- Bridging the gap between clinical pharmacology and rational drug prescribing 2.0: An up-date after 30 years.British journal of clinical pharmacology · 2024Article
- The impact of a summative national prescribing assessment and curriculum type on the development of the prescribing competence of junior doctors.European journal of clinical pharmacology · 2023Article
- Do we become better prescribers after graduation: A 1-year international follow-up study among junior doctors.British journal of clinical pharmacology · 2022Article
- Can Students Create Their Own Educational Escape Room? Lessons Learned from the Opioid Crisis Escape Room.Medical science educator · 2021Article
- Switching from a traditional undergraduate programme in (clinical) pharmacology and therapeutics to a problem-based learning programme.European journal of clinical pharmacology · 2021Article
- Are Dutch dental students and dental-care providers competent prescribers of drugs?European journal of oral sciences · 2019Article
- Clarifying learning experiences in student-run clinics: a qualitative study.BMC medical education · 2018Article
- Pharmacology and Therapeutics Education in the European Union Needs Harmonization and Modernization: A Cross-sectional Survey Among 185 Medical Schools in 27 Countries.Clinical pharmacology and therapeutics · 2017Article
- Motivation and competence of participants in a learner-centered student-run clinic: an exploratory pilot study.BMC medical education · 2017Article
- The Desired Concept Maps and Goal Setting for Assessing Professionalism in Medicine.Journal of clinical and diagnostic research : JCDR · 2016Review
- A novel approach to teaching pharmacotherapeutics--feasibility of the learner-centered student-run clinic.European journal of clinical pharmacology · 2015Article
- Enhancing access to contraception through pharmacist prescribing across Canada.Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPCArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study is to evaluate the effect of different levels of realism of context learning on the prescribing competencies of medical students during the clinical clerkship in internal medicine.
methodsBetween 2001 and 2007, 164 medical students took part in the prospective explorative study during their clinical clerkship in internal medicine at the VU University Medical Center, Amsterdam, The Netherlands. In a fixed order, each student had to formulate a treatment plan for a real patient in three situations of increasing realism: a minimal level (studying a patient record), medium level (preparing for a therapeutic consultation), and optimal level (preparing for and performing a therapeutic consultation with the patient).
resultsIn comparison to studying a patient record (minimal context level), preparing a therapeutic consultation (medium context) improved four of the six steps of the WHO six-step plan. Preparing and performing a therapeutic consultation with a real patient (optimal context) further improved three essential prescribing competencies, namely checking for contraindications and interactions, prescription writing, and instructions to the patient. CONCLUSION AND RECOMMENDATIONS: The results of this first explorative study suggest that enrichment of the learning context (responsibility for patient care) might be an important factor to improve the training of rational prescribing skills of medical students during their clinical clerkship in internal medicine. Clinical (pharmacology) teachers should be aware that seemingly small adaptations in the learning context of prescribing training during clinical clerkships (i.e., with or without involvement with and responsibility for patient care) may have relatively large impact on the development of prescribing competencies of our future doctors.
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Registered trials
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