Prescribing Pattern of Interns in Community Medicine during Urban Postings, Tamilnadu.
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 1
Abstract
Background: While the medical graduates generally possess reasonably sound knowledge of medical science, they are often found deficient in the performance of clinical skills and problem solving especially the prescribing pattern. Objective: To assess the competence of medical interns across their course on their prescription pattern and to analyse the level of competence achieved with different phases in their posting completed. Methods: A cross sectional study among interns to find out the professional competency achieved in their prescribing patterns during their internship. Pretested questionnaire was prepared for the intern that was designed in such a way to assess the cognitive and psychomotor domains without the trainee’s knowledge. Affective part was assessed by using indirect parameters and observation by the investigator in the actual situation, where doctor-patient interaction takes place. Results: 96.9% of interns listened to complaints without proceeding with clinical examination.15.5% of interns performed systemic examination and 2.06 % entered findings in outpatient card. 12.4% of interns attempted to make a provisional diagnosis and entered it on the card.32 % interns prescribed rationally.21.6 % interns knew how to prescribe adequate dosage. All interns spoke in local vernacular language to patients but none explained the diagnosis or cause to the patient. In assessment of mean score for the competencies of interns in history taking and clinical examination, prescription pattern and communication with individual patients were 78.3%, 69.1%, 99% respectively and they scored two or less than two in each of the above competencies. As the interns completed other postings, their prescription pattern improved. Conclusion: The prescription pattern of interns is poor and there is a need for change in the curriculum to incorporate skill training for the medical students from induction of the course.
Authors and Affiliations
Dhanasekar G, Jeevithan S, Felix A. J. W.
Keywords
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