Evidence map›Paper›PMID 26391883›Full record

ArticleBMC medical education2015

Development and validation of an instrument to assess the prescribing readiness of medical students in Malaysia.

Pauline Siew Mei Lai, Si Mui Sim, Siew Siang Chua, Choo Hock Tan, Chirk Jenn Ng, Francis Ifejika Achike, Cheong Lieng Teng

Abstract read
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Article in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Pauline Siew Mei LaiDepartment of Primary Care Medicine, University of Malaya Primary Care Research Group (UMPCRG), Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. plai@ummc.edu.my.
Si Mui SimDepartment of Pharmacology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. debrasim@um.edu.my.
Siew Siang ChuaDepartment of Pharmacy, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. chuass@um.edu.my.
Choo Hock TanDepartment of Pharmacology, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. tchook@ummc.edu.my.
Chirk Jenn NgDepartment of Primary Care Medicine, University of Malaya Primary Care Research Group (UMPCRG), Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. ngcj@um.edu.my.
Francis Ifejika AchikeDivision of Clinical Science, School of Medicine and Allied Health Sciences, International Medical University, 57000, Kuala Lumpur, Malaysia. achik1fi@cmich.edu.
Cheong Lieng TengDivision of Clinical Science, School of Medicine and Allied Health Sciences, International Medical University, 57000, Kuala Lumpur, Malaysia. cheonglieng_teng@imu.edu.my.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrescribing incompetence is an important factor that contributes to prescribing error, and this is often due to inadequate training during medical schools. We therefore aimed to develop and validate an instrument to assess the prescribing readiness of medical students (PROMS) in Malaysia.

methodsThe PROMS comprised of 26 items with four domains: undergraduate learning opportunities; hands-on clinical skills practice; information gathering behaviour; and factors affecting the learning of prescribing skills. The first three domains were adapted from an existing questionnaire, while items from the last domain were formulated based on findings from a nominal group discussion. Face and content validity was determined by an expert panel, pilot tested in a class of final year (Year 5) medical students, and assessed using the Flesch reading ease. To assess the reliability of the PROMS, the internal consistency and test-retest (at baseline and 2 weeks later) were assessed using the Wilcoxon Signed Ranks test and Spearman's rho. The discriminative validity of the PROMS was assessed using the Mann-Whitney U-test (to assess if the PROMS could discriminate between final year medical students from a public and a private university).

resultsA total of 119 medical students were recruited. Flesch reading ease was 46.9, indicating that the instrument was suitable for use in participants undergoing tertiary education. The overall Cronbach alpha value of the PROMS was 0.695, which was satisfactory. Test-retest showed no difference for 25/26 items, indicating that our instrument was reliable. Responses from the public and private university final year medical students were significantly different in 10/26 items, indicating that the PROMS was able to discriminate between these two groups. Medical students from the private university reported fewer learning opportunities and hands-on practice compared to those from the public university. On the other hand, medical students from the private university reported more frequent use of both web based and non-web-based resources compared to their public university counterparts.

conclusionsThe PROMS instrument was found to be a reliable and valid tool for assessing medical students' readiness to prescribe in Malaysia. It may also inform on the adequacy of medical programmes in training prescribing skills.

Indexed as

Students, MedicalAdultDrug PrescriptionsEducational MeasurementEducation, MedicalFemaleHumansMalaysiaMaleReproducibility of ResultsYoung Adult

Identifiers

PMID26391883
PMCPMC4578793

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