A STRATEGY TO INTEGRATE CLINICALPHARMACOLOGY TEACHING AMONG MEDICAL UNDERGRADUATES IN TERTIARY CARE CENTRE OF UTTARAKHAND.
Journal Title: Journal of Biomedical and Pharmaceutical Research - Year 2015, Vol 4, Issue 4
Abstract
To impart concept of clinical pharmacology knowledge to the undergraduate MBBS second professional students.A total of 705 cases were followed up by the undergraduate students during second professional MBBS at Government medical college and hospital, Haldwani. Performa predesigned were allocated to the students during their clinical postings. Each student was expected to fill up to 5-10 cases. analysis of all the Performa was done based on various parameters using WHO drug use core indicators, National list of essential medicines ,Rational use of medicines, etc. A total of 705 cases were evaluated, 350 OPD and 355 IPD cases. 48.79 % were males and 51.21% were females. 33.75% and 23.97% patients were in age group 16-30 years and 31-45 years respectively. The morbidity pattern observed was infectious disease 33.33% and non-infectious 66.67%. Among infectious diseases, tuberculosis and acute gastroenteritis were the most frequent. Among the non infectious diseases, diabetes mellitus and hypertension were frequent. Most common system involved was CNS, CVS, SKIN and GIT. Total, 3311 number of drugs was prescribed in which 77.4 % were oral drugs and 16.3% were injectible and mean 4.696 drugs per prescription was seen.703 patients were prescribed more than one drug. Among drugs, Antibiotics (10.03%), NSAIDS (5.89%),anti ulcer drugs(10.84%) and antihypertensive (2.14%)were the most frequently prescribed drugs. The clinical case follow up study can be used as an important strategy to impart knowledge of clinical pharmacology to undergraduates in their formative years of learning. Polypharmacy currently is a trend and importance of rational use of drug is justified to prevent occurrence of unwanted ADR and drug interaction.
Authors and Affiliations
R. BHARDWAJ*| Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Professor & Head, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Assistant Professor, Department of Pharmacology, Government medical college & Hospital, Haldwani, Distt- Nainital (Uttarakhand) India, S. BHARAT| PG JR -3, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India, B. SRIVASTAVA| Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Professor & Head, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Assistant Professor, Department of Pharmacology, Government medical college & Hospital, Haldwani, Distt- Nainital (Uttarakhand) India, SANJAY. G| Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Professor & Head, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Assistant Professor, Department of Pharmacology, Government medical college & Hospital, Haldwani, Distt- Nainital (Uttarakhand) India, R. KHANCHANDANI| Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Professor & Head, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Associate Professor, Department of Pharmacology, Government medical college &Hospital, Haldwani, Distt- Nainital (Uttarakhand) India-Assistant Professor, Department of Pharmacology, Government medical college & Hospital, Haldwani, Distt- Nainital (Uttarakhand) India
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