All entries for Wednesday 18 May 2011

May 18, 2011

FY1 doctors and drug/IV fluid prescription education.

There have been some concerns with the performance of FY1 doctors (at the point of graduation) and drug/IV fluid prescription.
(http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2125.2010.03645.x/full)
(http://www.bmj.com/content/339/bmj.b3030/reply)

Some FY1 doctors believe "that their undergraduate and postgraduate training in CPT is insufficient to prescribe safely and rationally."
(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2000658/)

"the teaching time devoted to drugs may not have been sufficient to cover a very complex and demanding learning objective. Second, there may have been a failure to emphasise the relevance of that teaching to clinical practice or sufficient re-enforcement of that message through assessment structures."
(http://www.smj.org.uk/1106/student.htm)

Could a carefully designed game or application provide an engaging environment to allow the "drill and practice" of presciption to augment and support the more reflective nature of solving problem based case studies? Can prescription procedures be translated into a fun game which allows rapid reinforcement of knowledge? If so, such a tool could prove useful in undergraduate and continuing medical education if its content (rules and objects) could be frequently updated with the latest best medical evidence or at least clinical guidelines.


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