TY - JOUR
T1 - The Dutch list of essential drugs for undergraduate medical education
T2 - A modified Delphi study
AU - the Pharmacotherapy Education working group of the Dutch Society for Clinical Pharmacology & Biopharmacy and its affiliated Dutch Network of Clinical Pharmacology Teachers
AU - Donker, Erik M.
AU - Pandit, Rahul
AU - Poleij, Merel C.S.
AU - Brinkman, David J.
AU - van Agtmael, Michiel A.
AU - van Rosse, Floor
AU - Dumont, Glenn
AU - Kramers, Cornelis
AU - Atiqi, Roya
AU - Richir, Milan C.
AU - van Smeden, Jeroen
AU - Hessel, Marleen H.M.
AU - Janssen, Ben J.
AU - Knol, Wilma
AU - Tichelaar, Jelle
AU - Dittrich, Anne
AU - te Boekhorst, Bart
AU - Schouwenberg, Bas
AU - Semmekrot, Ben
AU - Bravenboer, Bert
AU - Bakkum, Chiel
AU - Bethlehem, Corine
AU - Kleipool, Emma
AU - van Poelgeest, Eveline
AU - Versteegh, F. G.A.
AU - Swart, Floor
AU - Lefeber, Geert
AU - van Heemskerk, Hiltsje
AU - de Geus, Jarik
AU - Broerze, Jasmijn
AU - Keijsers, Karen
AU - Peeters, Laura
AU - van de Ven, Liesbeth
AU - Slegers, Mara
AU - Slegers, Mara
AU - Hulsbergen-Rigter, Marijn
AU - Kremers, Marjolein
AU - Reumerman, Michael
AU - Warlé, Michiel
AU - Haenen, Monique
AU - Martens-Akrawi, Narin
AU - Leijten-Wackwitz, Nella
AU - van Hest, Reinier
AU - Bibo, Rian
AU - Rodrigues Pereira, Rob
AU - Rissmann, Robert
AU - van Unen, Robert
AU - van den Beukel, Tessa
AU - Sierkstra, Thomas
AU - Swagerman, W. J.C.
AU - Pharmacotherapy Education working group of the Dutch Society for Clinical Pharmacology & Biopharmacy and its affiliated Dutch Network of Clinical Pharmacology Teachers
N1 - Publisher Copyright: © 2022 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.
PY - 2023/4
Y1 - 2023/4
N2 - Aims: Prescribing errors among junior doctors are common in clinical practice because many lack prescribing competence after graduation. This is in part due to inadequate education in clinical pharmacology and therapeutics (CP&T) in the undergraduate medical curriculum. To support CP&T education, it is important to determine which drugs medical undergraduates should be able to prescribe safely and effectively without direct supervision by the time they graduate. Currently, there is no such list with broad-based consensus. Therefore, the aim was to reach consensus on a list of essential drugs for undergraduate medical education in the Netherlands. Methods: A two-round modified Delphi study was conducted among pharmacists, medical specialists, junior doctors and pharmacotherapy teachers from all eight Dutch academic hospitals. Participants were asked to indicate whether it was essential that medical graduates could prescribe specific drugs included on a preliminary list. Drugs for which ≥80% of all respondents agreed or strongly agreed were included in the final list. Results: In all, 42 (65%) participants completed the two Delphi rounds. A total of 132 drugs (39%) from the preliminary list and two (3%) newly proposed drugs were included. Conclusions: This is the first Delphi consensus study to identify the drugs that Dutch junior doctors should be able to prescribe safely and effectively without direct supervision. This list can be used to harmonize and support the teaching and assessment of CP&T. Moreover, this study shows that a Delphi method is suitable to reach consensus on such a list, and could be used for a European list.
AB - Aims: Prescribing errors among junior doctors are common in clinical practice because many lack prescribing competence after graduation. This is in part due to inadequate education in clinical pharmacology and therapeutics (CP&T) in the undergraduate medical curriculum. To support CP&T education, it is important to determine which drugs medical undergraduates should be able to prescribe safely and effectively without direct supervision by the time they graduate. Currently, there is no such list with broad-based consensus. Therefore, the aim was to reach consensus on a list of essential drugs for undergraduate medical education in the Netherlands. Methods: A two-round modified Delphi study was conducted among pharmacists, medical specialists, junior doctors and pharmacotherapy teachers from all eight Dutch academic hospitals. Participants were asked to indicate whether it was essential that medical graduates could prescribe specific drugs included on a preliminary list. Drugs for which ≥80% of all respondents agreed or strongly agreed were included in the final list. Results: In all, 42 (65%) participants completed the two Delphi rounds. A total of 132 drugs (39%) from the preliminary list and two (3%) newly proposed drugs were included. Conclusions: This is the first Delphi consensus study to identify the drugs that Dutch junior doctors should be able to prescribe safely and effectively without direct supervision. This list can be used to harmonize and support the teaching and assessment of CP&T. Moreover, this study shows that a Delphi method is suitable to reach consensus on such a list, and could be used for a European list.
KW - clinical pharmacology
KW - medical education
KW - pharmacology teaching
KW - pharmacotherapy
UR - http://www.scopus.com/inward/record.url?scp=85144036657&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/bcp.15606
DO - https://doi.org/10.1111/bcp.15606
M3 - Article
C2 - 36403122
SN - 0306-5251
VL - 89
SP - 1431
EP - 1451
JO - British journal of clinical pharmacology
JF - British journal of clinical pharmacology
IS - 4
ER -