PMID- 12709185 OWN - NLM STAT- MEDLINE DCOM- 20030610 LR - 20220330 IS - 0308-0110 (Print) IS - 0308-0110 (Linking) VI - 37 IP - 5 DP - 2003 May TI - Meeting the challenge of prescribing and administering medicines safely: structured teaching and assessment for final year medical students. PG - 434-7 AB - OBJECTIVES: To promote safe prescribing and administration of medicines in the pre-registration house officer (PRHO) year through a programme of structured teaching and assessment for final year medical students. DESIGN: Forty final year medical students from two medical schools were randomly allocated either to participate in a pharmacist facilitated teaching session or to receive no additional teaching. Teaching comprised five practical exercises covering seven skills through which students rotated in small groups. One month later, a random sample of 16 taught and 16 non-taught students participated in a nine-station objective structured clinical examination (OSCE) to assess the impact of the teaching. SETTING: Manchester School of Medicine (MSM), and Kings College School of Medicine and Dentistry (KCSMD). PARTICIPANTS: Final year medical student volunteers. MAIN OUTCOME MEASURES: The need for teaching as indicated by student prior experience; questionnaire rating of student acceptability of teaching and assessment; self-rating of student confidence post-assessment, and student performance assessed by OSCE. RESULTS: The study demonstrated that the taught group achieved higher scores in eight OSCE stations. Four of these were statistically significant (P < or= 0.005). Taught students felt more confident performing the skills on five stations. From 0 to 47.5% students had prior experience of the skills taught. The post-teaching questionnaire evaluated exercises positively on several criteria, including provision of new information and relevance to future work. CONCLUSIONS: Structured teaching provided an effective and acceptable method of teaching the medicines management skills needed in the PRHO year. The structured approach complemented variable precourse clinical experience. FAU - Scobie, S D AU - Scobie SD AD - Pharmacy Department, Withington Hospital, Manchester, UK. sue.scobie@smuht.nwest.nhs.uk FAU - Lawson, M AU - Lawson M FAU - Cavell, G AU - Cavell G FAU - Taylor, K AU - Taylor K FAU - Jackson, S H D AU - Jackson SH FAU - Roberts, T E AU - Roberts TE LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - England TA - Med Educ JT - Medical education JID - 7605655 SB - IM CIN - Med Educ. 2003 Sep;37(9):839-40. PMID: 12950950 MH - Analysis of Variance MH - Clinical Competence/*standards MH - Drug Prescriptions/*standards MH - Education, Medical, Undergraduate/*standards MH - England MH - Humans MH - Medication Errors/*prevention & control MH - Pharmacology/*education MH - Students, Medical EDAT- 2003/04/24 05:00 MHDA- 2003/06/11 05:00 CRDT- 2003/04/24 05:00 PHST- 2003/04/24 05:00 [pubmed] PHST- 2003/06/11 05:00 [medline] PHST- 2003/04/24 05:00 [entrez] AID - 1492 [pii] AID - 10.1046/j.1365-2923.2003.01492.x [doi] PST - ppublish SO - Med Educ. 2003 May;37(5):434-7. doi: 10.1046/j.1365-2923.2003.01492.x.