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Towards a "prescribing license" for medical students: development and quality evaluation of an assessment for safe prescribing

  • David R. M. Jansen*
  • , Carolina J. P. W. Keijsers
  • , Michiel O. Kornelissen
  • , Marcel G. M. Olde Rikkert
  • , Cornelis Kramers
  • , J. Tichelaar
  • , B. Janssen
  • , A. Maassen van den Brink
  • , L. Peeters
  • , G. Dumont
  • , M. Hessel
  • , R. Rissmann
  • , W. Knol
  • , Education working group of the Dutch Society for Clinical Pharmacology and Biopharmacy
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose This report describes the development and validation process of an assessment with national consensus in appropriate and safe pharmacotherapy. Methods A question-database on safe prescription based on literature of pharmacotherapy-related harm was developed by an expert group from Dutch medical faculties. Final-year medical students concluded a 2-year education program on appropriate and safe prescription by one of nine assessment variants of 40 multiple-choice questions each. An expert panel of professionals (n = 10) answered all database questions and rated questions on relevance. Questions were selected for revision based on lack of relevance or poor test and item characteristics. Results A total of 576 final-year medical students of the Radboud University was assessed. There was no significant difference in performance between students and content expert group (p = 0.7), probably due to learning behavior. Out of 165 questions, 59 were selected for revision. Conclusion Joint national effort from a team of experts in prescription and pharmacotherapy is an appropriate way to achieve a valid and reliable last-year student drug prescription assessment.

Original languageEnglish
Pages (from-to)1261-1268
Number of pages8
JournalEuropean Journal of Clinical Pharmacology
Volume75
Issue number9
DOIs
Publication statusPublished - Sept 2019

Keywords

  • Prescribing
  • Medication safety
  • Education
  • FREQUENCY
  • HARM

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