Prescribing competency assessment for Canadian medical students: a pilot evaluation

Background: The knowledge and ability to prescribe safely and effectively is a core competency for every graduating medical student. Our previous research suggested concerns about medical student prescribing abilities, and interest in a standardized assessment process. Methods: A multi-year cross-s...

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Autores principales:	Anne Holbrook, J. Tiger Liu, Michael Rieder, Michelle Gibson, Mitchell Levine, Gary Foster, Dan Perri, Simon Maxwell
Formato:	article
Lenguaje:	EN
Publicado:	Canadian Medical Education Journal 2019
Materias:	Education (General) L7-991 Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/0a7969e7794d4e2190579630901a8667
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spelling	oai:doaj.org-article:0a7969e7794d4e2190579630901a86672021-12-01T22:43:58ZPrescribing competency assessment for Canadian medical students: a pilot evaluation10.36834/cmej.616461923-1202https://doaj.org/article/0a7969e7794d4e2190579630901a86672019-03-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/61646https://doaj.org/toc/1923-1202Background: The knowledge and ability to prescribe safely and effectively is a core competency for every graduating medical student. Our previous research suggested concerns about medical student prescribing abilities, and interest in a standardized assessment process. Methods: A multi-year cross-sectional study evaluating the feasibility, acceptability, and discriminative ability of an online prescribing competency assessment for final year Canadian medical students was conducted. Students at nine sites of four Ontario medical schools were invited to participate in an online one-hour exam of eight domains related to prescribing safely. Student feedback on perceived fairness, clarity, and ease of use formed the primary outcome. Exam performance and parity between schools were the secondary outcome. Results: A total of 714 students completed the assessment during spring final review courses between 2016 and 2018. Student feedback was more favourable than not for appropriateness of content (53.5% agreement vs 18.3% disagreement), clarity of questions (65.5% agreement vs 11.6% disagreement), question layout and presentation (70.8% agreement vs 12.2% disagreement), and ease of use of online interface (67.1% agreement vs 13.6% disagreement). Few (23.6% believed their course work had prepared them for the assessment. Mean total exam score was 70.0% overall (SD 10.4%), with 47.6% scoring at or above the pass threshold of 70%. Conclusion: Our prescribing competency assessment proved feasible, acceptable, and discriminative, and indicated a need for better medical school training to improve prescribing competency. Further evaluation in a larger sample of medical schools is warranted. Anne HolbrookJ. Tiger LiuMichael RiederMichelle GibsonMitchell LevineGary FosterDan PerriSimon MaxwellCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 10, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Education (General) L7-991 Medicine (General) R5-920
spellingShingle	Education (General) L7-991 Medicine (General) R5-920 Anne Holbrook J. Tiger Liu Michael Rieder Michelle Gibson Mitchell Levine Gary Foster Dan Perri Simon Maxwell Prescribing competency assessment for Canadian medical students: a pilot evaluation
description	Background: The knowledge and ability to prescribe safely and effectively is a core competency for every graduating medical student. Our previous research suggested concerns about medical student prescribing abilities, and interest in a standardized assessment process. Methods: A multi-year cross-sectional study evaluating the feasibility, acceptability, and discriminative ability of an online prescribing competency assessment for final year Canadian medical students was conducted. Students at nine sites of four Ontario medical schools were invited to participate in an online one-hour exam of eight domains related to prescribing safely. Student feedback on perceived fairness, clarity, and ease of use formed the primary outcome. Exam performance and parity between schools were the secondary outcome. Results: A total of 714 students completed the assessment during spring final review courses between 2016 and 2018. Student feedback was more favourable than not for appropriateness of content (53.5% agreement vs 18.3% disagreement), clarity of questions (65.5% agreement vs 11.6% disagreement), question layout and presentation (70.8% agreement vs 12.2% disagreement), and ease of use of online interface (67.1% agreement vs 13.6% disagreement). Few (23.6% believed their course work had prepared them for the assessment. Mean total exam score was 70.0% overall (SD 10.4%), with 47.6% scoring at or above the pass threshold of 70%. Conclusion: Our prescribing competency assessment proved feasible, acceptable, and discriminative, and indicated a need for better medical school training to improve prescribing competency. Further evaluation in a larger sample of medical schools is warranted.
format	article
author	Anne Holbrook J. Tiger Liu Michael Rieder Michelle Gibson Mitchell Levine Gary Foster Dan Perri Simon Maxwell
author_facet	Anne Holbrook J. Tiger Liu Michael Rieder Michelle Gibson Mitchell Levine Gary Foster Dan Perri Simon Maxwell
author_sort	Anne Holbrook
title	Prescribing competency assessment for Canadian medical students: a pilot evaluation
title_short	Prescribing competency assessment for Canadian medical students: a pilot evaluation
title_full	Prescribing competency assessment for Canadian medical students: a pilot evaluation
title_fullStr	Prescribing competency assessment for Canadian medical students: a pilot evaluation
title_full_unstemmed	Prescribing competency assessment for Canadian medical students: a pilot evaluation
title_sort	prescribing competency assessment for canadian medical students: a pilot evaluation
publisher	Canadian Medical Education Journal
publishDate	2019
url	https://doaj.org/article/0a7969e7794d4e2190579630901a8667
work_keys_str_mv	AT anneholbrook prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation AT jtigerliu prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation AT michaelrieder prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation AT michellegibson prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation AT mitchelllevine prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation AT garyfoster prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation AT danperri prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation AT simonmaxwell prescribingcompetencyassessmentforcanadianmedicalstudentsapilotevaluation
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Prescribing competency assessment for Canadian medical students: a pilot evaluation

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