Towards a "prescribing license" for medical students: development and quality evaluation of an assessment for safe prescribing
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.
|Keywords||Prescribing . Medication safety . Education|
|Persistent URL||dx.doi.org/10.1007/s00228-019-02686-1, hdl.handle.net/1765/119453|
|Journal||European Journal of Clinical Pharmacology|
Jansen, D.R.M., Keijsers, C., Kornelissen, M.O., Rikkert, M., Kramers, C, Tichelaar, J, … Knol, W. (2019). Towards a "prescribing license" for medical students: development and quality evaluation of an assessment for safe prescribing. European Journal of Clinical Pharmacology, 75(9), 1261–1268. doi:10.1007/s00228-019-02686-1