ABSTRACT
Background: Adverse drug reactions (ADR) are regarded as one of the major reason of morbidity and mortality all over the world. 3 According to previous studies, 35% of the hospitalized patients experience an ADR during their hospital stay. Various studies on pharmacovigilance indicate inadequate knowledge, poor attitudes, and lack of awareness among healthcare personnel are associated with a high degree of underreporting of ADRs. Intern doctors are one of the points of first contact when it comes to ADRs. Aim and Objectives: Aim of the study was to assess knowledge, attitude, and practice of pharmacovigilance in peripheral medical college among intern doctors. Materials and Methods: This study was a questionnaire-based cross-sectional study which was conducted at GMERS Medical College and hospital, Junagadh. Out of 90 intern doctors 70 have participated in our study. 18 questions were included in the questionnaire out of which ten related to knowledge, five related to attitude and three related to practice. Results: Average score of knowledge about pharmacovigilance is 5 points out of 10 point. Most of the intern doctors 92.9% (n = 65) are in a general consensus the reporting of ADRs is necessary and 88.6% are in the opinion that medical students like could play a major role in reporting ADRs. Difficult to decide whether ADR is occurred or not is most common factor (51.4%) which discourages intern doctors from reporting ADRs. Conclusion: Knowledge about pharmacovigilance can be enhanced by organizing various teaching programs on pharmacovigilance. Underreporting can be overcome by regularly arranging pharmacovigilance awareness program. Therefore, there is a necessity of undertaking educational program in every hospital to improve the attitude and knowledge toward ADRs reporting.
ABSTRACT
Objective To know the effects of electronic medical records(EMR) on the training quality of intern doctors' history-collecting and medical-records writing.Methods 195 students from Nantong University,Suzhou University and Xuzhou medical college were chosen as the subjects.For better effects,we divided the 195 students into two groups,81 students of Grade 2007 as the control group(hand-written medical record group) and 114 students of Grade 2008 as study group (electronic medical record group).The control group was arranged to complete EMR by transcribing the teacher's handwriting records into formal medical records after teachers' guidance and modification while the study group was arranged to write and directly modify the records on computer under the guidance of teachers and submit them for formal records.After the teaching,the medical record writing quality of two groups of interns was conducted centralized assessment to analyze the advantages and disadvantages of electronic medical records on the training of interns' collection and writing ability.SPSS 18.0 was used for statistical analysis,with count data using the number(percentage) and measurement data using mean +/-standard deviation.Measurement data of two groups of medical record writing scores were compared with t test,test level for α=0.05.Results The result of handwritten group was significantly better than EMR group(t=6.33,P＜0.001),which indicated training effectiveness of intern doctors' ability of writing medical record had digressive tendency on EMR group.Conclusion Negative effects of EMR are shown in intern doctors' history-collecting and medical-records writing.Cultivation quality of intern doctors' history-collecting and medical-records writing should be ensured by the combination of EMR and handwriting-medical training,the combination of daily inspection and key examination of medical record writing quality and establishment of feedback-rectification mechanism.
ABSTRACT
Objective To evaluate the effectiveness of intern doctor training by 360 degree evaluation scale and to provide references for formulating targeted training plan. Methods A 360-degree evaluation scale with 6 subscales(Attendings, Peers, Nurse, Patients, Directors and Students) was employed to measure the status quo of medical education , represented by professional ethics and communication skills, among 129 intern doctors in medical clinical college. Cronbach's alpha was used to evaluate the reliability of the scale,one-way ANOVA was used to compare the difference of score among different scorers,and t test and Mann-Whitney test were employed to compare scores be-tween male group and female group, 5-year class and 8-year class (The significance level was set at P0.05). Conclusions 360 degree evaluation scale has reasonable reliability and it can provide valuable references for future similar survey in China. Meanwhile, intern doctors exhibit rela-tively good performances in professional ethics and communication ability & interpersonal relationship in the present study.
ABSTRACT
From the current state of the medical environment and health issues,we dis-cuss the necessity of physician-patient communication skills and find the way to enhance the skills of interns.