2008, Number 6
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Gac Med Mex 2008; 144 (6)
La enseñanza de la farmacología en las escuelas de medicina. Situación actual y perspectivas
Rodríguez-Carranza R, Vidrio H, Campos-Sepúlveda E
Language: Spanish
References: 56
Page: 463-472
PDF size: 64.93 Kb.
ABSTRACT
Pharmacology is a core course in all medical school curricula. In most medical schools, pharmacology is taught during the second year and teaching covers both basic aspects and useful drugs for the treatment of human diseases. It is assumed that relevant pharmacologic knowledge is revisited during the clinical clerkships and that students are adequately trained to prescribe drugs upon graduation. However, for many years it has been noted that pharmacological training is sometimes insufficient and that inadequate and irrational prescription of drugs is a very common problem in clinical settings. Information overload and proliferation of new drugs have been recognized as two of the major contributing factors. To address this issue, many authors have recommended the development of a core curricula in pharmacology which all students would have to complete coupled with a restricted list of drugs. Based on our own teaching experience we have identified what should constitute the core content of pharmacology courses in medical schools and written a study guide for this discipline. Both documents provide an organizational framework to help second year medical students ascertain what part of the vast knowledge in pharmacology they need to learn. The number of drugs that students have to manage is limited to 168. Our program constitutes the first effort to medicalize the teaching of pharmacology in medical schools. We expect that most medical school will follow our guidelines as our program is applicable to all curricula modalities.
REFERENCES
Hardman JG, Limbird LE, Molinoff PB, Ruddon RW, Goodman Gilman A. Goodman’s & Gilman’s The Pharmacological Basis of Therapeutics. 9th edition. New York: McGraw-Hill; 1996.
Candler C, Ihnat M, Huang G. Pharmacology education in undergraduate and graduate medical education in the United States. Clin Pharmacol Ther 2007;82:134-137.
Ingenito AJ, Lathers CM, Burford HJ. Instruction in clinical pharmacology: changes in the wind. J Clin Pharmacol 1989;29:7-17.
Lathers CM, Smith CM. Teaching clinical pharmacology: coordination with pharmacology courses. J Clin Pharmacol 1989;29:581-597.
Maxwell S, Walley T. Teaching safe and effective prescribing in UK medical schools: A core curriculum for tomorrow’s doctors. Br J Clin Pharmacol 2003;55:496-503.
Saffran M, Kennedy WB, Kelley PR. Retention of knowledge of pharmacology by U.S. and Canadian medical students. Trends Pharmacol Sci 1982;3:461-463.
American College of Physicians. Improving medical education in therapeutics. Ann Int Med 1988;108:145-147.
Rodríguez R, Campos-Sepúlveda E, Vidrio H, Contreras E, Valenzuela F. Evaluation of retention of knowledge by undergraduate medical students tough with an innovative pharmacology program. Acad Med 2002;77:574-577.
Avorn J, Soumerai SB. Improving drug-therapy decisions through educational outreach. N Engl J Med 1983;308:1457-1463.
Hogerzeil HV. Promoting rational prescribing: an international perspective. Br J Clin Pharmacol 1995;39:1-6.
Kausal R, Bates DW, Landrigan C, McKenna JK, Clapp MD, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA 2001;285:2114-2120.
Howard R, Avery T. Inappropriate prescribing in older people. Age Ageing 2004;33:530-531.
Potes AL, Barr FE, Gregory DF, Wrigth L, Patel NR. Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics 2004;113:59-63.
Gallagher P, Barry P, O’Mahony D. Inappropriate prescribing in the elderly. J Clin Pharmacol Ther 2007;32:113-121.
Bufford HJ. Innovative approaches to teaching clinical pharmacology: problems of an emerging curriculum. J Clin Pharmacol 1991;31:423-428.
Achike FI, Ogle CW. Information overload in the teaching of pharmacology. J Clin Pharmacol 2000;40:177-183.
Rang HP, Dale MM, Ritter JM, Gardner P. Pharmacology. 5th edition. New York: Churchill and Livingston; 2007.
Gurwitz D, Weizman A, Rehavi M. Education: teaching pharmacogenomics to prepare future physicians and researchers to personalized medicine. Trends Pharmacol Sci 2003;24:122-125.
Rice DC, Williams P. Perspectives on medical school pharmacology. J Clin Pharmacol 2000;40:44-46.
Schnieden H. Has pharmacology a place in today’s medical schools? Br J Clin Pharmacol 1976;3:3.
Dornhorst AC. Information overload: why medical education needs a shakeup. Lancet 1981;2:513-514.
Abrahmson S. The dominance of research in staffing of medical schools: time for a change? Lancet 1991;337:1586-1588.
Aréchiga H. La biomedicina y los médicos del futuro. Rev Fac Med UNAM 1993;36:77-81.
Wass V, McGibbon D, Van der Vleuten C. Composite undergraduate clinical examinations: how should the components be combined to maximalize reliability? 2001;35:326-330.
Rodríguez R, Vidrio H, Campos E. Guía de farmacología y terapéutica. 1ª edición. México: McGraw-Hill Interamericana; 2007.
Rangachari PK. Basic sciences in an integrated medical curriculum: the case of pharmacology. Adv Health Sci Educ 1997;2:163-171.
Rangachari PK. Design of a problem-based undergraduate course in pharmacology: implications for the teaching of physiology. Am J Physiol 1991;260:S14-S21.
Lloyd Jones G, Walley T, Bligh J. Integrating clinical pharmacology in a new problem based medical undergraduate curriculum. Br J Clin Pharmacol 1997;43:15-19.
Faingold CL, Dunaway GA. Teaching pharmacology within a muldisciplinary organ system-based medical curriculum. Naunyn-Schmiedeberg’s Arch Pharmacol 2002;366:18-25.
Near JA, Bosin TR, Watkins JB. Inclusion of a competency-based curriculum in medical pharmacology. Naunyn-Schmiedeberg’s Arch Pharmacol 2002;366:26-29.
Woodman OI, Dodds AE, Frauman AG, Mosepele M. Teaching pharmacology to medical students in an integrated problem-based learning curriculum: an Australian perspective. Acta Pharmacol Sin 2004;25:1195-1203.
Chiu-Yin K. Problem-based learning and teaching of medical pharmacology. Naunyn-Schmiedeberg’s Arch Pharmacol 2002;366:10-17.
Rangachari PK. Quality education for undergraduates in pharmacology: a Canadian experiment. Trends Pharmacol Sci 1994;15:211-214.
Antepohl W, Herzig S. Problem-based learning in a course of basic pharmacology: a controlled randomized study. Med Educ 1999;33:106-133.
Colliver JA. Effectiveness of problem-based learning curricula: research and theory. Acad Med 2000;75:259-266.
Michel MC, Bischoff A, Jakos KH. Comparison of problem- and lecture-based pharmacology teaching. Trends Pharmacol Sci 2002;23:168-170.
Grover AK. Problem-based learning: panacea or cult? Trends Pharmacol Sci 2002;23:162.
Walley T, Bligh J, Orme M, Breckenridge A. Clinical pharmacology and therapeutics in undergraduate medical education in the UK: current status. Br J Clin Pharmacol 1994;37:129-135.
Sivan SP, Iatridis PG, Vaughn S. Integration of pharmacology into a problembased learning curriculum for medical students. Med Educ 1995;29:289-296.
Gwee MCE, Tan CH. Problem-based learning in medical education: the Singapore hybrid. Am Acad Med Singapore 2001;30:356-362.
Ravens U, Dobrev D, Graf E, Heubach JF, Wettner E, Einsle F, et al. A pharmacology block course for medical students –a hybrid model of problembased learning (PBL) and traditional teaching elements. 2000;363(suppl):R115.
Kwan CY. Problem-based learning and teaching of pharmacology. Naunyn- Schmiedeberg’s Arch Pharmacol 2002;366:10-17.
Riley MW. Reducing information overload in the teaching of pharmacology: the “200” drug list. J Med Educ 1984;59:508-511.
Chernick WS. The 50 drug program. J Med Educ 1977;591-593.
Nierenberg DW. Clinical pharmacology instruction for all medical students. Clin Pharmacol Ther 1986;40:483-487.
Nierenberg DW. Consensus for a core curriculum in clinical pharmacology for medical students. Clin Pharmacol Ther 1990;48:603-605.
Nierenberg DW. A core curriculum for medical students in clinical pharmacology and therapeutics. Clin Pharmacol Ther 1990;48:606-610.
Walley T, Webb D. Developing a core curriculum in clinical pharmacology and therapeutics. Br J Clin Pharmacol 1997;44:167-170.
Walley T, Webb DJ. Core content of a course in clinical pharmacology. Br J Clin Pharmacol 1997;44:171-174.
Orme M, Frolich J, Vrhovac B. Towards a core curriculum in clinical pharmacology for undergraduate medical students in Europe. Eur J Clin Pharmacol 2002;58:635-640.
Vidrio H, Rojas-Ramírez JA. Principios de farmacología general. Programa Nacional de Formación de Profesores del Área Biomédica, México: Secretaría de Educación Pública; 1987.
Contreras E, Alcántara G, Medina-Maldonado E, Rodríguez R. Farmacología. Autoevaluación. 1a. edición. México: Facultad de Medicina, UNAM; 1990.
Lifshitz A, Rodríguez R. Uso de los medicamentos en la clínica. 1ª. edición. México: McGraw-Hill-Interamericana; 1999.
Rodríguez R. Manual de medicamentos. Cuadro Básico del Sector Salud. 1a. edición. México: Facultad de Medicina, UNAM; 1990.
Rodríguez R, Tenorio-Guajardo G. Vademécum académico de medicamentos. Oftalmológico. 1ª. edición. México: McGraw-Hill-Interamericana; 2002.
Rodríguez R. Vademécum académico de medicamentos. 4ª. edición. México: McGraw-Hill-Interamericana; 2005.