www.ijbcp.com International Journal of Basic & Clinical Pharmacology | March-April 2016 | Vol 5 | Issue 2 Page 366
IJBCP International Journal of Basic & Clinical Pharmacology
Print ISSN: 2319-2003 | Online ISSN: 2279-0780
Research Article
Effect of educational intervention on the knowledge and attitude on
prescribing amongst interns of a tertiary care hospital:
a questionnaire based study
Revathy Saravanan*, Sakthibalan M., Bikash Ranjan Meher, Balabalajee J.
INTRODUCTION
Pharmacology is the backbone of Clinical Medicine.
1
Prescribing correct therapy is the essential part of
physicians and therefore, adequate knowledge and
confidence on drugs efficacy, safety, cost, and
convenience is important.
2
Lessons in Pharmacology
enrich medical students’ knowledge and skill about
different drugs and their utility in various diseases.
3
Aim of pharmacology should be to produce rational
prescribers. Irrational prescribing leads to huge loss of
lives and money. Inadequate knowledge leads to
irrational prescribing. A report from National Academy
of Science Institute of Medicine estimated that as many
as 98,000 people die every year because of the mistakes
committed by medical professionals in hospitals.
Prescription errors account for 70% of medication errors
that could potentially result in adverse effects.
4
Few
studies have shown prescribing error rate at 34% of total
prescription.
5
Every medical graduate/Physician must have an intention
to prescribe rationally. It is Pharmacology, which teaches
ABSTRACT
Background: Prescribing correct therapy is the essential part of physicians and
therefore, adequate knowledge and confidence on drugs efficacy, safety, cost,
and convenience is important. Understanding the knowledge and perceptions of
medical students will help to identify the problems in clinical pharmacology
teaching. Prescribing performance and competence can be significantly
improved by training and giving feedback to the prescriber. The objective of the
study was to evaluate and compare the effect of educational intervention in
enhancing the knowledge of medical interns on prescribing practice.
Methods: A Cross sectional, Educational Interventional observational study
was conducted using two copies of a pretested validated questionnaire (Pre &
Post CME) with 15 questions among 110 MBBS interns. They were subjected
to a continuous medical education on rational prescription writing followed by a
hand’s on training on prescription writing in which they were divided into 9
batches and asked to prescribe for the case scenario given to them and the same
was audited and feedback was given.
Results: Out of 110 internees’, 105 (95.50%) and 95 (96.90%) had completely
filled the pre & post educational intervention questionnaire. The overall
knowledge and attitude of interns has improved after the intervention.
Significant increase (P value < 0.0001) in the Mean + Standard deviation value
from 5.81 + 2.1 to 7.35 + 3.18 is noted on applying Paired t Test. All the
prescriptions were rational. The formats of their prescriptions were scrutinized
and the precise way of writing the same was explained to the interns.
Conclusions: This study clearly shows that early sensitization of Physicians
about rational prescription writing during Internship phase by means of
educational intervention/training program can reduce the number of prescription
errors.
Keywords: MBBS interns, Prescribing practice, Educational intervention
DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20160746
Department of Pharmacology,
Sri Venkateshwaraa Medical
College Hospital and Research
Centre, Puducherry, India
Received: 23 December 2015
Accepted: 03 February 2016
*Correspondence to:
Dr. Revathy Saravanan,
Email: dr_rsmail@yahoo.co.in
Copyright: © the author(s),
publisher and licensee Medip
Academy. This is an open-
access article distributed under
the terms of the Creative
Commons Attribution Non-
Commercial License, which
permits unrestricted non-
commercial use, distribution,
and reproduction in any
medium, provided the original
work is properly cited.