Universität zu Köln

Kirsch, Verena and Matthes, Jan ORCID: 0000-0003-2754-1555 (2021). A simulation-based module in pharmacology education reveals and addresses medical students' deficits in leading prescription talks. Naunyn-Schmiedebergs Arch. Pharmacol., 394 (11). S. 2333 - 2342. NEW YORK: SPRINGER. ISSN 1432-1912

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Abstract

Although doctor-patient communication is essential for drug prescription, the literature reveals deficits in this area. An educational approach at the Cologne medical faculty aims at identifying and addressing those deficits in medical students. Fifth-year medical students first conducted a simulated prescription talk spontaneously. Subsequently, the conversation was discussed with peer students. A pharmacist moderated the discussion based upon a previously developed conversation guide. Afterwards, the same student had the conversation again, but as if for the first time. Conversations were video-recorded, transcribed and subjected to quantitative content analysis. Four days after the simulation, the students who conducted the talk, those who observed and discussed it, and students who did neither, completed a written test that focused on the content of an effective prescription talk. Content analysis revealed clear deficits in spontaneously led prescription talks. Even essential information as on adverse drug reactions were often lacking. Prescription talks became clearly more informative and comprehensive after the short, guided peer discussion. With regard to a comprehensive, informative prescription talk, the written test showed that both the students who conducted the talk and those who only observed it performed clearly better than the students who did not participate in the educational approach. Deficits regarding prescription talks are present in 5(th) year medical students. We provide an approach to both identify and address these deficits. It thus may be an example for training medical students in simulated and clinical environments like the EACPT recommended to improve pharmacology education.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kirsch, Verena UNSPECIFIED UNSPECIFIED UNSPECIFIED Matthes, Jan UNSPECIFIED orcid.org/0000-0003-2754-1555 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-564370
DOI:	10.1007/s00210-021-02151-w
Journal or Publication Title:	Naunyn-Schmiedebergs Arch. Pharmacol.
Volume:	394
Number:	11
Page Range:	S. 2333 - 2342
Date:	2021
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-1912
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SHARED DECISION-MAKING; PRIMARY-CARE; CLINICAL-PHARMACOLOGY; PATIENT PARTICIPATION; DRUG-THERAPY; PHYSICIAN; ADHERENCE; COMMUNICATION; INFORMATION; THERAPEUTICS Multiple languages Pharmacology & Pharmacy Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56437