title: Evaluating the learning experience of non medical prescribing students with their designated medical practitioners in their period of learning in practice: results of a survey.
abstract: OBJECTIVE
  To evaluate the learning experience of non medical prescribing (NMP) students during their period of learning in practice and to explore strategies for improvement.
  
  
  METHODS
  A self-administered questionnaire was used to collect data from two consecutive NMP student cohorts.
  
  
  RESULTS
  Of 57 NMP students, the majority (64.9%) worked in primary care setting. In contrast to those from primary care setting, the students working in secondary/tertiary care setting had significantly greater chance of knowing their designated medical practitioner (DMP) prior to starting their course (p=0.044). However, this did not influence whether the student did a learning agreement and time schedule agreement with the DMP at the beginning of practice setting. A learning agreement and time schedule was done by 91.2% and 57.9% students, respectively, at beginning of the course. Prior time schedule agreement was a significant determinant in determining the number of hours that student spent subsequently under direct supervision of DMP: 75.8% of those who did a prior time schedule spent >30% of practice hours under the direct supervision of DMP as compared to only 50% of those who did not. Spending >30% of the practice hours under direct supervision of the DMP was significantly associated with student satisfaction (p=0.025). There was greater likelihood of a student being assessed formatively if a prior learning agreement had been done (p=0.035) resulting in increased student satisfaction. Time and workload constraints, organisational issues and peer support emerged as barriers to student learning. Students commented on difficulties in getting doctors as a DMP; and therefore suggested that learning experience can be enhanced if a qualified practicing Non Medical Prescriber could act as a "co-mentor". There were also suggestions of providing incentives to doctors and giving them more information about the role of NMP to encourage more doctors to act as DMP.
  
  
  CONCLUSIONS
  Learning agreement and a time schedule with DMP at the beginning of the supervised period in practice significantly improved the students' learning experience, and was a major determinant of subsequent student satisfaction. Those who spent at least 30% of practice development time under direct supervision of their DMP were likely to be more satisfied with the learning process.
authors.affiliation: Department of Non Medical Prescribing, London South Bank University, London SE1 0AA, UK. j.ahuja@lsbu.ac.uk
authors.forename: Jaya
authors.initials: J
authors.lastname: Ahuja
mesh_terms: D002983:Clinical Competence; D015331:Cohort Studies; D004506:Education, Nursing; D004521:Educational Measurement; D004522:Educational Status; D006801:Humans; D007858:Learning; D008611:Mentors; D057184:Practice Patterns, Nurses'; D010818:Practice Patterns, Physicians'; D018794:Problem-Based Learning; D015397:Program Evaluation; D036301:Qualitative Research; D013338:Students, Nursing; D011795:Surveys and Questionnaires; D013663:Teaching; D014481:United States