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Personal Drug Selection: Problem-Based Learning In Pharmacology
Irrational use of medicines is a major problem all over the world. The World Health Organization (WHO) and many other bodies are concentrating on
improving the use of medicines. Problem-based teaching of Pharmacology and Therapeutics to undergraduate medical students has been recognized as a key
intervention to improve the use of medicines.
Personal or P-drugs are important for medical students, doctors in training and prescribers. P-drugs are drugs with which a person has become familiar
and has chosen to prescribe regularly. The P-drug concept is not just the name of a pharmacological substance but also includes the dosage form,
dosage schedule and duration of treatment.
Personal drugs are drugs with which a doctor has chosen to become familiar and which he/she intends to use regularly in treatment. The department of
Pharmacology at the Manipal College of Medical Sciences (MCOMS), Pokhara, Nepal concentrates on teaching rational use of medicines to medical
students.
The department has been teaching the P-drug concept to the third and fourth semester medical students for over two years in our institution. Students
select a drug for a disease on the basis of efficacy, safety, cost and convenience. The method described in the WHO books, The Guide to Good
Prescribing and the teacher's Guide to Good Prescribing is basically followed. We use the numerical method developed by Joshi and Jayawickramarajah
at the Institute of Medicine, Kathmandu, Nepal.
The students are being assessed in P-drug selection, verifying the suitability of the selected P-drug to a particular patient and writing the
prescription in the practical assessment examination. The students are allowed to bring in text books and other reference material to the examination.
Student opinion regarding the sessions was obtained using focus group discussions. The three main nationalities of students at the institution,
Nepalese, Indians and Sri Lankans were selected. The study was conducted by Dr. Shankar and coworkers at MCOMS. Twelve respondents were selected. The
overall student opinion regarding the session was positive. Students were occasionally confused about whether a P-drug was for a patient or for a
disease. Group consensus during the small group learning sessions was commonly used to select values for the different criteria. The large number of
brands created occasional problems. The sessions should be continued and strengthened and sessions can be considered during the clinical years and
internship training.
The paper appears in the June 13th issue of the online, open-access journal PLoS ONE.
Citation:
Shankar PR, Palaian S, Gyawali S, Mishra P, Mohan L (2007)
Personal Drug Selection: Problem-Based Learning in Pharmacology: Experience from a Medical School in Nepal
PLoS ONE 2(6): e524. doi:10.1371/journal.pone.0000524
http://www.plosone.org/doi/pone.0000524
http://www.plosone.org
Public Library of Science
185 Berry Street, Suite 3100
San Francisco, CA 94107
USA
http://www.plos.org
Personal de selecþie de droguri: problema pe baza de învãþare în farmacologie - Personal Drug Selection: Problem-Based Learning In Pharmacology - articole medicale engleza - startsanatate