Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945 |
Resumo: | Introduction: Clinical pharmacology educational strategies for medicine students seek to foster skills that range from technical knowledge to the development of behaviors that ensure rational prescribing decisions. The authors present the results of a study to evaluate the perceptions, attitudes and behaviors linked with rational prescribing throughout training.Material and Methods: Four focus groups were held with first, third and fifth year medical students and residents from the first years of various specialties, with a total of 29 participants. A semi-structured questionnaire with open-ended questions was used to facilitate interaction between the participants, alongside case-studies to explore the behaviors associated with therapeutic decisions.Results: The analysis of the references showcased an evolution of concepts throughout academic training. References regarding guidelines and effectiveness emerge during the third year; safety and treatment personalization emerge during the fifth year and specialist training. Efficacy studies, systematic reviews, regulatory documents and online platforms were considered the most relevant sources of information.Discussion: The literature review showcases the need to implement strategies dedicated to the development of adequate skills for rational prescribing. The use of focus groups may be a useful methodology to engage students in self-evaluation of their skills and inform faculty of the perceptions and behaviors of students.Conclusion: This analysis illustrates the awareness of students and young physicians to the need to adapt therapeutic approaches to the characteristics of the patient. These concepts should be reinforced so that young doctors feel more prepared for rational prescription in complex clinical situations. |
id |
RCAP_deb821bea8d7eb3d13c2dee60b3711bc |
---|---|
oai_identifier_str |
oai:ojs.www.actamedicaportuguesa.com:article/10945 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and ResidentsPerceção e Atitudes Sobre Prescrição Racional Durante a Formação Médica: Resultados de Grupos Focais com Estudantes de Medicina e Médicos InternosClinical CompetenceEducationMedicalPharmacologyClinicalPortugalPrescription DrugsCompetência ClínicaEducação MédicaFarmacologia ClínicaPortugalPrescrição de MedicamentosIntroduction: Clinical pharmacology educational strategies for medicine students seek to foster skills that range from technical knowledge to the development of behaviors that ensure rational prescribing decisions. The authors present the results of a study to evaluate the perceptions, attitudes and behaviors linked with rational prescribing throughout training.Material and Methods: Four focus groups were held with first, third and fifth year medical students and residents from the first years of various specialties, with a total of 29 participants. A semi-structured questionnaire with open-ended questions was used to facilitate interaction between the participants, alongside case-studies to explore the behaviors associated with therapeutic decisions.Results: The analysis of the references showcased an evolution of concepts throughout academic training. References regarding guidelines and effectiveness emerge during the third year; safety and treatment personalization emerge during the fifth year and specialist training. Efficacy studies, systematic reviews, regulatory documents and online platforms were considered the most relevant sources of information.Discussion: The literature review showcases the need to implement strategies dedicated to the development of adequate skills for rational prescribing. The use of focus groups may be a useful methodology to engage students in self-evaluation of their skills and inform faculty of the perceptions and behaviors of students.Conclusion: This analysis illustrates the awareness of students and young physicians to the need to adapt therapeutic approaches to the characteristics of the patient. These concepts should be reinforced so that young doctors feel more prepared for rational prescription in complex clinical situations.Introdução: O ensino da farmacologia clínica visa a aquisição de conhecimentos, competências e comportamentos que assegurem a decisão de prescrição de forma racional. Os autores apresentam os resultados de um estudo concebido para avaliar as perceções, atitudes e comportamentos associados ao conceito de prescrição racional ao longo da formação.Material e Métodos: Foram realizados quatro grupos focais com alunos do primeiro, terceiro e quinto ano e jovens internos da formação específica. Utilizou-se um guião semi-estruturado com perguntas abertas e estudos de caso destinados a explorar os comportamentos associados à decisão terapêutica.Resultados: A análise identifica uma evolução de conceitos ao longo da formação académica. As referências a normas de orientação e efetividade emergem a partir do terceiro ano. A segurança e a adaptação às características individuais do doente emergem nos grupos do quinto ano e dos jovens internos. As fontes de informação consideradas mais relevantes foram os estudos de eficácia e revisões sistemáticas, os documentos regulamentares e as plataformas online.Discussão: A revisão da literatura recente aponta para a necessidade de implementar estratégias dedicadas ao desenvolvimento das competências adequadas à prescrição racional. O recurso a grupos focais é uma metodologia a considerar para envolver os discentes na autoavaliação de competências e informar os docentes acerca das perceções e atitudes dos alunos.Conclusão: Esta análise ilustra a sensibilização dos estudantes e jovens médicos para a adaptação da terapêutica às características do doente e a necessidade de reforçar estes conceitos, para que se sintam preparados para a prescrição racional em situações clínicas complexas.Ordem dos Médicos2019-09-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945oai:ojs.www.actamedicaportuguesa.com:article/10945Acta Médica Portuguesa; Vol. 32 No. 9 (2019): September; 593-599Acta Médica Portuguesa; Vol. 32 N.º 9 (2019): Setembro; 593-5991646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/5756https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/10890https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11131https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11132https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11133https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11134https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11135https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11136https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11137https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11271https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11272https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11408https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11725Direitos de Autor (c) 2019 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessBoaventura, IsabelCosta, JoãoFernandes, Ricardo MiguelFerreira, Joaquim2022-12-20T11:06:07Zoai:ojs.www.actamedicaportuguesa.com:article/10945Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:58.016053Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents Perceção e Atitudes Sobre Prescrição Racional Durante a Formação Médica: Resultados de Grupos Focais com Estudantes de Medicina e Médicos Internos |
title |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents |
spellingShingle |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents Boaventura, Isabel Clinical Competence Education Medical Pharmacology Clinical Portugal Prescription Drugs Competência Clínica Educação Médica Farmacologia Clínica Portugal Prescrição de Medicamentos |
title_short |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents |
title_full |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents |
title_fullStr |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents |
title_full_unstemmed |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents |
title_sort |
Perception and Attitudes About Rational Prescription During Medical Training: Results of Focus Groups Including Medical Students and Residents |
author |
Boaventura, Isabel |
author_facet |
Boaventura, Isabel Costa, João Fernandes, Ricardo Miguel Ferreira, Joaquim |
author_role |
author |
author2 |
Costa, João Fernandes, Ricardo Miguel Ferreira, Joaquim |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Boaventura, Isabel Costa, João Fernandes, Ricardo Miguel Ferreira, Joaquim |
dc.subject.por.fl_str_mv |
Clinical Competence Education Medical Pharmacology Clinical Portugal Prescription Drugs Competência Clínica Educação Médica Farmacologia Clínica Portugal Prescrição de Medicamentos |
topic |
Clinical Competence Education Medical Pharmacology Clinical Portugal Prescription Drugs Competência Clínica Educação Médica Farmacologia Clínica Portugal Prescrição de Medicamentos |
description |
Introduction: Clinical pharmacology educational strategies for medicine students seek to foster skills that range from technical knowledge to the development of behaviors that ensure rational prescribing decisions. The authors present the results of a study to evaluate the perceptions, attitudes and behaviors linked with rational prescribing throughout training.Material and Methods: Four focus groups were held with first, third and fifth year medical students and residents from the first years of various specialties, with a total of 29 participants. A semi-structured questionnaire with open-ended questions was used to facilitate interaction between the participants, alongside case-studies to explore the behaviors associated with therapeutic decisions.Results: The analysis of the references showcased an evolution of concepts throughout academic training. References regarding guidelines and effectiveness emerge during the third year; safety and treatment personalization emerge during the fifth year and specialist training. Efficacy studies, systematic reviews, regulatory documents and online platforms were considered the most relevant sources of information.Discussion: The literature review showcases the need to implement strategies dedicated to the development of adequate skills for rational prescribing. The use of focus groups may be a useful methodology to engage students in self-evaluation of their skills and inform faculty of the perceptions and behaviors of students.Conclusion: This analysis illustrates the awareness of students and young physicians to the need to adapt therapeutic approaches to the characteristics of the patient. These concepts should be reinforced so that young doctors feel more prepared for rational prescription in complex clinical situations. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-02 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945 oai:ojs.www.actamedicaportuguesa.com:article/10945 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/10945 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/5756 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/10890 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11131 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11132 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11133 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11134 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11135 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11136 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11137 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11271 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11272 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11408 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10945/11725 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2019 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2019 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 32 No. 9 (2019): September; 593-599 Acta Médica Portuguesa; Vol. 32 N.º 9 (2019): Setembro; 593-599 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130649232146432 |