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Läkemedelsarbete behöver vara integrerat i klinisk utbildning: Att göra många läkemedelsgenomgångar ökar trygghet och reflektion över patientens behandling, visar enkätstudie [Preparing for the licence to prescribe in medical school: a questionnaire study on medical students professional confidence in the art of prescribing].
Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Sahlgrenska University Hospital, Gothenburg, Sweden.
Linköping University, Linköping, Sweden; Linköping University Hospital, Linköping, Sweden.
Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Linköping University, Linköping, Sweden; Region Skåne, Sweden.
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2019 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 116, article id FHCTArticle in journal (Refereed) Published
Abstract [sv]

Att behandla med läkemedel är en kärnuppgift för läkare; grundutbildningen behöver ge studenterna förutsättningar att klara detta.

Enkätresultat från fyra lärosäten visade att 45 procent av studenterna efter sin invärtesmedicinska placering kände sig trygga med att göra läkemedelsgenomgångar och 62 procent med att skriva läkemedelsberättelser.

Studenter som gör många läkemedelsgenomgångar/läkemedelsberättelser känner större trygghet och reflekterar mer över patientens behandling.

Klinisk handledning gör skillnad.

När kursplaner revideras vid införandet av en sexårig läkarutbildning, med förskrivningsrätt direkt efter examen, behöver klinisk träning i läkemedelsarbete inklusive handledning tydliggöras.

Abstract [en]

A prerequisite for rational use of medicines is adequate prescribing skills; drug treatment is a complex task requiring diagnostic competence combined with pharmacologic knowledge and patient communication skills. Acquiring professional confidence in the art of prescribing is essential during medical training. The results of this questionnaire study, conducted in four medical schools in Sweden after the course in internal medicine (252 respondents; response rate: 74%; median age: 24 years, 61% female), show that 45% and 62% were confident in performing medication reviews and writing medication summary reports, respectively, i.e. the basics of prescribing. The confidence increased by the number of reviews and reports performed, i.e. the extent of practice (correlation coefficients: 0.41 and 0.38, respectively, both p<0.0001), as did the extent of the students' reflection on important aspects of drug treatment such as adherence, adverse reactions, renal function, dosing, and drug interactions. In multivariate regression analyses, major predictors for confidence in performing medication reviews were extent of practice and extent of clinical supervision. The results suggest that these factors are keys to acquiring professional confidence in the art of prescribing.

Place, publisher, year, edition, pages
Läkartidningen Förlag AB , 2019. Vol. 116, article id FHCT
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Other Medical Sciences not elsewhere specified
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URN: urn:nbn:se:oru:diva-75048PubMedID: 31192436OAI: oai:DiVA.org:oru-75048DiVA, id: diva2:1336008
Available from: 2019-07-08 Created: 2019-07-08 Last updated: 2019-07-11Bibliographically approved

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Persson, Katarina

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