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E-DRUG: Re: Lack of Impact from Undergraduate Prescibing Tr

Richard,

I think that the concept you raise of sensitising people to the 
issues in prescribing, rather than changing prescribing practices in 
a measurable way from a single intervention is going to prove to be 
the crux of the matter.

Anecdotally, I came to have an interest in the area of Rational Prescribing 
rather by accident, and from a career in ordinary general practice. I 
found that even though I was reading and writing about the principles 
of good prescribing, I would still find myself reverting to old 
habits at times under the pressures which exist in general practice 
(lack of time, patient expectations, habits, etc) Over time, and 
because I was becoming sensitised to the issues, I think my real 
prescribing has improved - certainly I think about it more. 

So I think we need to be looking at long term means of changing 
prescribing cultures, and not expect single courses or interventions, 
no matter how sound, to achieve and maintain significant change. (I 
would also like to be proved wrong on this.)

Regards

Merilyn
Dr Merilyn Liddell
Senior Lecturer
Department of Community Medicine
Monash University
Australia
email Merilyn.Liddell@med.monash.edu.au 

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