The Dutch list of essential drugs for undergraduate medical education: A modified Delphi study

the Pharmacotherapy Education working group of the Dutch Society for Clinical Pharmacology & Biopharmacy and its affiliated Dutch Network of Clinical Pharmacology Teachers, Erik M. Donker*, Rahul Pandit, Merel C.S. Poleij, David J. Brinkman, Michiel A. van Agtmael, Floor van Rosse, Glenn Dumont, Cornelis Kramers, Roya Atiqi, Milan C. Richir, Jeroen van Smeden, Marleen H.M. Hessel, Ben J. Janssen, Wilma Knol, Jelle Tichelaar

*Corresponding author for this work

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    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.

    Original languageEnglish
    Pages (from-to)1431-1451
    Number of pages21
    JournalBritish Journal of Clinical Pharmacology
    Issue number4
    Early online date20-Nov-2022
    Publication statusPublished - Apr-2023


    • clinical pharmacology
    • medical education
    • pharmacology teaching
    • pharmacotherapy

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