Improving Medical Education in Therapeutics
Journal: Annals of Internal Medicine (1988)

Position Papers1 January 1988Improving Medical Education in TherapeuticsHEALTH AND PUBLIC POLICY COMMITTEEHEALTH AND PUBLIC POLICY COMMITTEESearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-1-145 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptModern medical education has not dealt as effectively as it should with education of physicians in therapeutics. A traditional emphasis on the critical importance of correct diagnosis has not been followed by appropriate concern with the problems of therapeutics. Given the facts outlined below, this deficiency needs correction.In the four decades since World War II, the United States has had a revolution in drug therapy. Even with the removal of more than 5000 products from the market as the result of the Food and Drug Administration's Drug Efficacy Study Implementation program, which was conceived in 1968, well over 8000...References1. BAUM C, KENNEDY D, FORBES M, and JONES J. Drug use in the United States in 1981. JAMA. 1984;251:1293-7. CrossrefMedlineGoogle Scholar2. BOCHNER F. Handbook of Clinical Pharmacology. Boston: Little Brown & Co; 1983:2. Google Scholar3. LAWSON D and JICK H. Drug prescribing in hospitals: an international comparison. Am J Public Health. 1976;66:644-8. CrossrefMedlineGoogle Scholar4. BOCHNER F. Handbook of Clinical Pharmacology. Boston: Little Brown & Co; 1983:3. Google Scholar5. KUNIN C, TUPASI T, and CRAIG W. Use of antibiotics: a brief exposition of the problem and some tentative solutions. Ann Intern Med. 1973;79:555-60. LinkGoogle Scholar6. CASTLE M, WILFERT C, CATE T, and OSTERHOUT S. Antibiotic use at Duke University Medical Center. JAMA. 1977;237:2819-22. CrossrefMedlineGoogle Scholar7. JOHNSON M, MITCH W, HELLER A, and SPECTOR R. The impact of an educational program on gentamicin use in a teaching hospital. Am J Med. 1982;73:9-14. CrossrefMedlineGoogle Scholar8. KARCH F and LASAGNA L. Adverse drug reactions: a critical review. JAMA. 1975;234:1236-41. CrossrefMedlineGoogle Scholar9. SMIDT N and MCQUEEN E. Adverse reactions to drugs: a comprehensive hospital inpatient survey. NZ Med J. 1972;76:397-401. MedlineGoogle Scholar10. MELMAN K and MORELLI H. Clinical Pharmacology: Basic Principles in Therapeutics. New York: Macmillan; 1978:3-7. Google Scholar11. MCKENNEY J and HARRISON W. Drug-related hospital admissions. Am J Hosp Pharm. 1976;33:792-5. MedlineGoogle Scholar12. LEVY M, LIPSHITZ M, and ELIAKIM M. Hospital admissions due to adverse drug reactions. Am J Med Sci. 1979;277:49-56. CrossrefMedlineGoogle Scholar13. LEVY M, KEWITZ M, ATWEIN W, HILLEBRAND J, and ELIAKIM M. Hospital admissions due to adverse drug reactions: a comparative study from Jerusalem and Berlin. Eur J Clin Pharmacol. 1980;17:25-31. CrossrefMedlineGoogle Scholar14. Drug Topics. 1984;32. Google Scholar15. CHARAP M, LEVIN R, and WEINGLASS J. Physician choices in the treatment of angina pectoris. Am J of Med. 1985;79:461-6. CrossrefMedlineGoogle Scholar16. AVORN J and SOUMERAI S. Improving drug therapy decisions through educational outreach: a randomized controlled trial of academically based "detailing." N Engl J Med. 1983;308:1457-63. CrossrefMedlineGoogle Scholar17. OGILVIE R and RUEDY J. An education program on digitalis therapy. JAMA. 1972;222:50-5. CrossrefMedlineGoogle Scholar18. JONES S, PANNELL J, and BARKS J. The effect of an educational program upon hospital antibiotic use. Am J of Med Sci. 1977;273:79-85. CrossrefMedlineGoogle Scholar19. NIERENBERG D and STUKEL T. The effects of a required fourth-year clinical pharmacology course on students' attitudes and subsequent performance. Clin Pharmacol. 1986;40:488-93. Google Scholar20. HEMMINKI E. Review of literature on the factors affecting drug prescribing. Soc Sci Med. 1975;9:111-6. CrossrefMedlineGoogle Scholar21. MILLER R. Prescribing habits of physicians. Drug Intell Clin Pharma. 1974;8:85. CrossrefGoogle Scholar22. STOLLEY P and LASAGNA L. Prescribing patterns of physicians. J Chronic Dis. 1969;22:395-405. CrossrefMedlineGoogle Scholar23. AVORN J, CHEN M, and HARTLEY R. Scientific versus commercial sources of influence on the prescribing behavior of physicians. Am J Med. 1982;73:4-8. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: AMERICAN COLLEGE OF PHYSICIANS Philadelphia, Pennsylvania*This paper was authored by B. Robert Meyer, M.D. and was developed for the Health and Public Policy Committee by the Clinical Pharmacology Subcommittee: Paul D. Stolley, M.D., Chairman; David C. Lewis, M.D.; Victor Herbert, M.D.; Stuart L. Nightingale, M.D.; B. Robert Meyer, M.D.; William M. Bennett, M.D.; and Paul P. Carbone, M.D. Members of the Health and Public Policy Committee were Richard G. Farmer, M.D., Chairman; John R. Hogness, M.D.; Edward W. Hook, M.D.; Edwin A. Maynard, M.D.; Michael A. Nevins, M.D.; Richard B. Hornick, M.D.; Paul D. Stolley, M.D.; Charles E. Lewis, M.D.; John M. Eisenberg, M.D.; Malcolm L. Peterson, M.D.; Theodore C. Eickhoff, M.D.; and William L. Hughes. This paper was adopted by the Board of Regents on 26 June 1987. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byInformation provided by generic and brand-name pharmaceutical manufacturers in response to a requestA Model of Pharmacology Education: The Experience of Istanbul Medical FacultyA (des)informação sobre medicamentos: o duplo padrão de conduta das empresas farmacêuticasEvidence-based medicine : du concept à la pratiqueAvoiding Inappropriate Drug Prescribing: Fundamental Principles for Rational Medication ManagementInformation Contents of Drug Advertisements: An Indian ExperienceTeaching Clinical Pharmacology and Therapeutics: Selective for Fourth-Year Medical StudentsPostgraduate education in clinical pharmacology and therapeuticsChanging the countenance of pharmacology courses in medical schoolsDrug use management and IT‐based medical thesauri: issues of semantics and linguisticsA Comparative Analysis of Prescription Drug Advertising Before and After Patent ExpirationIncidence and preventability of adverse drug events in hospitalized adultsChanges in the pattern of drug overdosesInternal medicine training and women’s healthThe medical interview and psychosocial aspects of medicineInformation Systems for Evaluating the Quality of PrescribingPreventing Medication Prescribing ErrorsAlumni perspectives comparing a general internal medicine program and a traditional medicine programDistinguishing drug toxicity syndromes from medical diseases: a QMR computer-based approachImproving Prescription-Writing Skills in a Family Practice ResidencyGlobalization of the Pharmaceutical Industry: The Physician's Role in Optimizing Drug UseTherapeutic Substitution and Formulary SystemsAn evaluation of residency training in interviewing skills and the psychosocial domain of medical practiceClinical Pharmacology and Therapeutics in Primary Care: An Elective for Fourth-Year Medical StudentsInconsistencies in the Drug Use ProcessAdverse Drug EffectsThe American Society for Clinical Pharmacology and Therapeutics: Programs to support education in clinical pharmacologyPhysicians as PharmacistsCurriculum for ambulatory care training in medical residencyPrescribing for Unlabeled Conditions: Patient Benefit or Therapeutic Roulette?FDA-Sponsored Project to Promote Physician Reporting of Adverse Drug Events in Maryland 1985–1988Residency training in interviewing skills and the psychosocial domain of medical practiceTeaching Clinical Pharmacology: Coordination with Medical Pharmacology CoursesInternal Medicine: Of Form, Function, and the FutureThe Rise and Fall of the Apothecary: Will History Repeat Itself?Evaluating internists’ clinical competenceMedical Student Education in Clinical Pharmacology and TherapeuticsD. CRAIG BRATER, M.D., DAVID W. NIERENBERG, M.D. 1 January 1988Volume 108, Issue 1 Page: 145-147 Keywords Clinical pharmacology Drug administration Drug policy Drug therapy Drugs Food and Drug Administration Medical education Prevention, policy, and public health Public policy ePublished: 1 December 2008 Issue Published: 1 January 1988 Copyright & Permissions© 1988 American College of PhysiciansPDF downloadLoading ...