Abstract
A medical graduate is expected to be competent in informing the patient/relatives/care taker what he/she has prescribed and give appropriate instructions, and warnings regarding the use of the prescribed medicines. Both, the content (i.e. the information about the prescribed drugs) and delivery of the content are important in such communication. This chapter presents a tool for the students so that they can communicate relevant content in a logical manner. This tool is termed as 5-R framework and the 5 Rs stand for reason/s, regimen, risks, revisit instructions, and revision statements. The chapter describes how the training sessions can be arranged for the students using the time slots available for practicals. It also highlights how the content and its delivery can be assessed, and feedback can be given to the students.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Medical council of India. Competency based undergraduate curriculum for the Indian Medical Graduate, vol. 1, sect. 1; 2018. pp. 19–20.
de Vries TPGM, Henning RH, Hogerzeil HV, Fresle DA. Guide to good prescribing. A practical manual. Geneva: WHO; 1994.
Nath Modi J, Anshu, Chhatwal J, Gupta P, Singh T. Teaching and assessing communication skills in medical undergraduate training. Indian Pediatr. 2016;53(6):497–504.
Singh J, Singh N, Kumar R, Bhandari V, Kaur N, Dureja S. Awareness about prescribed drugs among patients attending out-patient departments. Int J Appl Basic Med Res. 2013;3(1):48–51.
Ferner RE, Aronson JK. Medication errors, worse than a crime. Lancet. 2000;355(9208):947–8.
Tarn DM, Heritage J, Paterniti DA, Hays RD, Kravitz RL, Wenger NS. Physician communication when prescribing new medications. Arch Intern Med. 2006;166(17):1855–62.
Kamarudin G, Penm J, Chaar B, et al. Educational interventions to improve prescribing competency: a systematic review. BMJ Open. 2013;3(8):e003291. https://doi.org/10.1136/bmjopen-2013-003291.
Ledford CJW, Childress MA, Ledford CC, Mundy HD. The practice of prescribing: discovering differences in what we tell patients about prescription medications. Patient Edu Couns. 2014;94(2):255–60.
Nirmala R, Tripathi R, Salagre S, Furman G. Five-R framework for prescription communication skills learning. Med Educ. 2017;51(11):1170–1.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Rege, N.N., Tripathi, R.K. (2020). Prescription Communication Using 5-R Framework. In: Parija, S., Adkoli, B. (eds) Effective Medical Communication . Springer, Singapore. https://doi.org/10.1007/978-981-15-3409-6_7
Download citation
DOI: https://doi.org/10.1007/978-981-15-3409-6_7
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-15-3408-9
Online ISBN: 978-981-15-3409-6
eBook Packages: MedicineMedicine (R0)