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Essential competencies in prescribing : a first European cross-sectional study among 895 final-year medical students

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Abstract
European medical students should have acquired adequate prescribing competencies before graduation, but it is not known whether this is the case. In this international multicenter study, we evaluated the essential knowledge, skills, and attitudes in clinical pharmacology and therapeutics (CPT) of final-year medical students across Europe. In a cross-sectional design, 26 medical schools from 17 European countries were asked to administer a standardized assessment and questionnaire to 50 final-year students. Although there were differences between schools, our results show an overall lack of essential prescribing competencies among final-year students in Europe. Students had a poor knowledge of drug interactions and contraindications, and chose inappropriate therapies for common diseases or made prescribing errors. Our results suggest that undergraduate teaching in CPT is inadequate in many European schools, leading to incompetent prescribers and potentially unsafe patient care. A European core curriculum with clear learning outcomes and assessments should be urgently developed.
Keywords
CLINICAL-PHARMACOLOGY, JUNIOR DOCTORS, CORE CURRICULUM, THERAPEUTICS, SKILLS, PERFORMANCE, PHARMACOTHERAPY, NETHERLANDS, CONFIDENCE, GUIDELINES

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Chicago
Brinkman, DJ, J Tichelaar, T Schutte, S Benemei, Y Böttiger, B Chamontin, Thierry Christiaens, et al. 2016. “Essential Competencies in Prescribing : a First European Cross-sectional Study Among 895 Final-year Medical Students.” Clinical Pharmacology & Therapeutics 101 (2): 281–289.
APA
Brinkman, D., Tichelaar, J., Schutte, T., Benemei, S., Böttiger, Y., Chamontin, B., Christiaens, T., et al. (2016). Essential competencies in prescribing : a first European cross-sectional study among 895 final-year medical students. CLINICAL PHARMACOLOGY & THERAPEUTICS, 101(2), 281–289.
Vancouver
1.
Brinkman D, Tichelaar J, Schutte T, Benemei S, Böttiger Y, Chamontin B, et al. Essential competencies in prescribing : a first European cross-sectional study among 895 final-year medical students. CLINICAL PHARMACOLOGY & THERAPEUTICS. 2016;101(2):281–9.
MLA
Brinkman, DJ, J Tichelaar, T Schutte, et al. “Essential Competencies in Prescribing : a First European Cross-sectional Study Among 895 Final-year Medical Students.” CLINICAL PHARMACOLOGY & THERAPEUTICS 101.2 (2016): 281–289. Print.
@article{8507534,
  abstract     = {European medical students should have acquired adequate prescribing competencies before graduation, but it is not known whether this is the case. In this international multicenter study, we evaluated the essential knowledge, skills, and attitudes in clinical pharmacology and therapeutics (CPT) of final-year medical students across Europe. In a cross-sectional design, 26 medical schools from 17 European countries were asked to administer a standardized assessment and questionnaire to 50 final-year students. Although there were differences between schools, our results show an overall lack of essential prescribing competencies among final-year students in Europe. Students had a poor knowledge of drug interactions and contraindications, and chose inappropriate therapies for common diseases or made prescribing errors. Our results suggest that undergraduate teaching in CPT is inadequate in many European schools, leading to incompetent prescribers and potentially unsafe patient care. A European core curriculum with clear learning outcomes and assessments should be urgently developed.},
  author       = {Brinkman, DJ and Tichelaar, J and Schutte, T and Benemei, S and B{\"o}ttiger, Y and Chamontin, B and Christiaens, Thierry and Likic, R and Ma\v{c}iulaitis, R and Marandi, T and Monteiro, EC and Papaioannidou, P and Pers, YM and Pontes, C and Raskovic, A and Regenthal, R and Sanz, EJ and Tamba, BI and Wilson, K and de Vries, TP and Richir, MC and Agtmael, MA van},
  issn         = {0009-9236},
  journal      = {CLINICAL PHARMACOLOGY \& THERAPEUTICS},
  keyword      = {CLINICAL-PHARMACOLOGY,JUNIOR DOCTORS,CORE CURRICULUM,THERAPEUTICS,SKILLS,PERFORMANCE,PHARMACOTHERAPY,NETHERLANDS,CONFIDENCE,GUIDELINES},
  number       = {2},
  pages        = {281--289},
  title        = {Essential competencies in prescribing : a first European cross-sectional study among 895 final-year medical students},
  url          = {http://dx.doi.org/10.1002/cpt.521},
  volume       = {101},
  year         = {2016},
}

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