ABSTRACT
Background: Doctors doing postgraduation (PG) are backbone of any teaching-hospital and are in close contact with patients. It is important they have adequate knowledge and attitude towards adverse drug reaction (ADR)-reporting and Pharmacovigilance Programme of India (PvPI). Aim and Objectives: To study the impact of an educational intervention on knowledge and attitude of 1st year PG residents toward ADR reporting and Pharmacovigilance. Materials and Methods: An educational intervention was conducted among 1st-year postgraduate students, including a lecture on importance and need of pharmacovigilance, hands-on-training on how to fill Suspected ADR Reporting Form and group based interactive discussion. Knowledge and attitude of participants were recorded in pre-post intervention questionnaire and analyzed. Results: Sixty-three postgraduate students from clinical (82.5%), paraclinical (12.7%), and preclinical (4.7%) departments participated. Mean test-score improved from 7.27 to 11.65 (P < 0.005). Need for pharmacovigilance, ADR-reporting related terminologies, PvPI, who can report and where to report ADR, signal generation, types of ADR-forms, and legal implications of reporting were the major areas with significant improvement. About 87% agreed post-intervention that ADRs are a major cause of morbidity, 96% agreed there should be an ADR-Reporting Centre in every institute and 92% agreed they will try to find whether some drug might be responsible for any unusual symptom in patient. Conclusion: Educational intervention could improve knowledge as well as attitude toward ADR reporting among postgraduate doctors, long-term impact needs further assessment.
ABSTRACT
Background: “Communication with patients” is an important skill needed for every physician in their clinical practice. These soft skills are required in dealing with patients at every step which include history taking from the patients, explaining them the diagnosis, the prognosis of the disease with associated complications. Dealing with empathy, taking informed consent, explaining the operative procedure and the complications associated with surgery, the art of breaking bad news are the mandatory skills for a good clinician. Labouring women like other patients also require special attention and empathy. So, the residents working in labor room need commitment to develop these soft skills in order to improve the labor room experience of expectant mothers. Objective of this study was to analyse role of a formal training in labor room communication skills among post graduate students of the department of obstetrics and gynecology.Methods: Faculty and students’ sensitization was done after approval from institutional ‘ethics committee’ for conducting this study. Pre-workshop assessment of residents for communication skills attitude and effective communication was done through ‘communication skill attitude scale’ (CSAS) and ‘GAP-KALAMAZOO scale’. Workshop for communication skills on the framework of Calgary Cambridge patient interview model and online teaching of students through what’s app videos, role-play demonstrations was followed by reassessment of the residents through above used scales.Results: Results depicted both improvements in attitude and effective communication skills among residents. 100% of the students were convinced and opined that good communication skills necessary for perfect clinical practice.Conclusions: The skill to communicate with patients is a fine art and needs to be mastered to be a good clinician. A formal training in effective communication skills is absolutely necessary to bring professionalism in medical practice.
ABSTRACT
Background: Adverse Drug Reactions (ADRs) are a major cause of morbidity and mortality. Under reporting of ADRs by health care professionals is a very common problem worldwide. So, the present study was planned to assess the knowledge, attitude and practices of postgraduate (PG) students towards ADR reporting and suggest possible ways for improvement.Methods: It was a cross sectional questionnaire-based study conducted among 44 PG students using a questionnaire with questions on knowledge (21), attitude (13) and practices (15) of ADR reporting. The questionnaire was analyzed question wise and the percentage was calculated using Microsoft Excel spreadsheet in Microsoft Office 2010 software.Results: Most of them were aware of the term pharmacovigilance (PV) (95.45%). 54.55% agreed to be trained on how to report an ADR. 88.63% knew about the existence of pharmacovigilance committee in the institute.93% of participants knew that Central Drug Standard Control Organization (CDSCO) is responsible for monitoring of ADRs. 56.82% were aware about VIGIBASE an online software to report ADR. 81.82% of participants had agreed to witness ADRs in patients but only 38.64% reported them. The main reason behind it was non – availability of ADR forms. 42.55% opine that mobile based app would be the most preferred method to send ADR information to an ADR reporting center.Conclusions: There exists a huge gap between ADR experienced and ADR reported by PG students. Participants agreed upon necessity of reporting ADR and periodic briefing about PV.
ABSTRACT
Background: Adverse drug reactions (ADR) are global problem causing morbidity and mortality. Good pharmacovigilance (PV) programme can address this problem. Under reporting of ADR is one of the obstacles for good PV. In order to achieve this, health professionals need to have enough Knowledge, attitude and practice (KAP) of ADR`s. The present study was conducted to assess KAP about PV among post graduate (PG) students.Methods: A self administered questionnaire validated by Lynn M consisting of 22 questions covering knowledge, attitude & practice about PV was distributed among PG students of clinical departments of MIMS College. Answering of the questionnaires was supervised directly. Filled questionnaires were analyzed by using Microsoft Excel spread sheet.Results: Evaluation showed an average of 52.3% correct and 47.7% incorrect knowledge about ADR`s and PV.50% students are not sure regarding occurrence of ADR.90% students are not been trained upon reporting of ADR`s. Our study found out that PG students have better attitude towards PV, but have improper knowledge & less awareness about PV. We also found lack of practice among the students.Conclusions: Imparting knowledge and awareness of PV among the PG students by means of continuous educational intervention can create better practice among PG students.
ABSTRACT
Under the condition of information society, we should cultivate students'!ability of infor-mation literacy and innovation. Based on the early investigation of medical students'!information ability and scientific research quality, we carried on a staged and systematic subject-oriented information literacy training for post-graduate students in specialty of anesthesiology through such measures as enriching infor-mation resources, strengthening students'!awareness of information, the implementation of the supervisor group system or double tutor system, and other measures, which strengthened the graduate students' ! independent study ability and scientific research quality. The related practice can provide reference for the development of information literacy education in colleges and universities.
ABSTRACT
The important difference between post-graduate and undergraduate education is to train their reseach ability,which is very important especially to the post-graduate students of basic medicine who will be researchers.The problem in training research ability of post-graduate was studied in this paper and solution plan was put forward.