Evidence map›Paper›PMID 35653185›Full record

ArticleBritish journal of clinical pharmacology2022

How would final-year medical students perform if their skill-based prescription assessment was real life?

Laura Kalfsvel, Kirsten Hoek, Corine Bethlehem, Hugo van der Kuy, Walter W van den Broek, Jorie Versmissen, Floor van Rosse

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Does formative assessment help students to acquire prescribing skills?European journal of clinical pharmacology · 2023
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Laura KalfsvelErasmus Medical Centre, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.ORCID 0000-0002-1545-7623
Kirsten HoekErasmus Medical Centre, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.
Corine BethlehemErasmus Medical Centre, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.ORCID 0000-0002-6892-2779
Hugo van der KuyErasmus Medical Centre, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.ORCID 0000-0002-7128-8801
Walter W van den BroekErasmus Medical Centre, University Medical Center Rotterdam, Institute of Medical Education Research Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0003-3215-5640
Jorie VersmissenErasmus Medical Centre, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.ORCID 0000-0003-0674-7765
Floor van RosseErasmus Medical Centre, University Medical Center Rotterdam, Hospital Pharmacy, Rotterdam, The Netherlands.ORCID 0000-0002-6194-3964

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPrescribing errors occur frequently, especially among junior doctors. Our aim was to investigate prescribing errors made by final-year medical students. Information on these errors can help to improve education on and assessment of clinical pharmacotherapy (CPT).

methodsThis was a retrospective cohort study amongst final-year medical students at Erasmus Medical Centre, The Netherlands. Errors made in the final prescribing assessment were analysed. Errors were categorized by type, possible consequence and possibility of reaching the patient in real life.

resultsA total of 381 students wrote 1502 analysable prescriptions. Forty per cent of these contained at least one error, and 54% of errors were of the inadequate information type. The rating of prescriptions for children was lower than for other question categories (P = <.001). Fifty per cent of errors were classified as "would have reached the patient but would not have had the potential to cause harm". In total, 253 (29%) errors would not have been intercepted by an electronic prescribing system or a pharmacist. Ten (4%) of these would probably have caused harm in the patient.

conclusionsThere is a high rate of errors in prescriptions written by final-year medical students. Most errors were of the inadequate information type, indicating that students had difficulties determining the content and amount of information needed to make treatment successful. Prescriptions for children contained most errors. Curricula could be improved by offering more case-based CPT education, focusing on the practical issues of prescribing, especially for paediatric cases, and offering more practice time for prescribing during clerkships.

Indexed as

Students, MedicalChildClinical CompetenceDrug PrescriptionsHumansMedication ErrorsRetrospective Studieseducationmedical educationmedical studentpharmacotherapyprescribing

Identifiers

PMID35653185
PMCPMC9796372

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.