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The Bristol Clinical Pharmacology Curriculum

Clinical Pharmacology and Therapeutics during the 4th year ... Learning Objectives of Clinical Pharmacology sessions in

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The Bristol Clinical Pharmacology Curriculum

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    Slide 1:The Bristol Clinical Pharmacology Curriculum 2009 to 2010

    Slide 2:Tomorrow’s Doctors (2009) states the basic competencies required of a qualifying doctor

    8 The graduate will be able to apply to medical practice biomedical scientific principles, method and knowledge relating to: anatomy, biochemistry, cell biology, genetics, immunology, microbiology, molecular biology, nutrition, pathology, pharmacology and physiology. The graduate will be able to:

    (f) Demonstrate knowledge of drug actions: therapeutics and pharmacokinetics; drug side effects and interactions, including for multiple treatments, longterm conditions and non-prescribed medication; and also including effects on the population, such as the spread of antibiotic resistance. The Bristol curriculum aims to fulfil these requirements and to provide a sound educational base to students about drugs 17 Prescribe drugs safely, effectively and economically. (a) Establish an accurate drug history, covering both prescribed and other medication. (b) Plan appropriate drug therapy for common indications, including pain and distress. (c) Provide a safe and legal prescription. (d) Calculate appropriate drug doses and record the outcome accurately. (e) Provide patients with appropriate information about their medicines. (f) Access reliable information about medicines. (g) Detect and report adverse drug reactions. (h) Demonstrate awareness that many patients use complementary and alternative therapies, and awareness of the existence and range of these therapies, why patients use them, and how this might affect other types of treatment that patients are receiving. “Anyone can read the British National Formulary but not everyone can understand it.” Our aim is to consider the pharmacological and scientific basis which underpins the valuable prescribing information which is to be found in the BNF thus educating our graduates to be careful to always assess the risks and benefits when using drug treatments. Prescribing errors account for about a quarter of all drug related adverse incidents as monitored at UBHT. In 2006 total medication related incidents amounted to 813. No-one wants to be one of those prescribers who caused an incident.

    Slide 7:Clinical Pharmacology at Bristol

    Year 1 Mechanisms of drug action and autonomic pharmacology use and action of drugs and the CVS Year 2 use and action of drugs in respiratory, GI, renal and neurology Year 3 plenary sessions delivered at end and beginning of units academy based CPT tutorials learning in the clinical areas Year 4 devoted sessions in the clinical units Year 5 Plenary sessions in “Preparing for Practice 1” Devoted sessions within the units

    Slide 8:Learning objectives of the 9 plenary sessions in clinical pharmacology in the 3rd year

    To understand the concept of the risk to benefit ratio in prescribing drugs To understand the sources of risk To learn a framework for maintaining knowledge on drug prescribing To improve awareness, observation and appreciation of prescribing matters in the wards and clinics To consider the pharmacological basis which underpins prescribing To begin to formulate management plans for common medical conditions Programme for 2008-2009

    This aide memoire published as part of a national curriculum is a major learning tool to be used by students

    Slide 10:Clinical Pharmacology and Therapeutics during the 4th year

    COMP1 Workshop on prescribing in children lead by paediatrician and pharmacist Prescribing testing station in end of unit OSCE COMP2 10 sessions covering CVS prophylaxis, prescribing in elderly, situations in general practice, the breathless patient etc RHCN Therapeutics integrated into clinical teaching One session on evidence based prescribing related to the neonate

    Slide 11:Clinical Pharmacology and Therapeutics in Year 5

    Plenary sessions in Preparing for Practice 1 Detailed instruction on analgesics and drugs used in terminal care in Palliative Care Unit Pharmacist-lead tutorials in academies during senior medical and/or surgical units Opportunity to practise prescribing in Preparing for Practice 2.

    Slide 12:Learning Objectives of Clinical Pharmacology sessions in “Preparing for Practice 1”

    To orient thinking towards learning common management regimens during forthcoming “shadowing”. To consolidate some theoretical and some factual knowledge To remind about the pitfalls in prescribing Programme for 2008-2009

    Extract from 5th year handbook N.B. This is not a complete list of those drugs with which you need to be familiar

    Slide 14:Assessment

    Pharmacological and therapeutics questions embedded in written assessments DOSCE station aimed at testing recognition of poor prescribing DOSCE station aimed at assessing ability to prescribe for common conditions

    Slide 15:Website: the following website contains links to current programmes, teaching material and delivered lectures and important nationally produced documents

    http://www.zyworld.com/clive_roberts/cpt.htm

    Slide 16:Our goal is for students to have achieved a little wisdom when using management protocols and prescribing information.

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