INDEPENDENT PRESCRIBING

SHE Level 5
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code MMB624504
Module Leader Eilidh Martin
School School of Health and Life Sciences
Subject Vision Sciences
Trimesters
  • A (September start)-B (January start)
  • A (September start)
  • B (January start)
  • B (January start)-C (May start)

Pre-Requisite Knowledge

MMB521146 Ocular Therapeutics and MMB521147 Theoretical Prescribing

Summary of Content

This module introduces students to a wide range of systemic conditions and their pharmaceutical management. An understanding of pharmacokinetics & pharmacodynamics of systemically administered medicines in normal and patients with disease allows an understanding of interactions between systemic medications and ocular structures as well as an understanding of potential side effects of ocular drugs on other organs; a prerequisite for safe and efficient independent prescribing. The module introduces legal and ethical aspects of the professional autonomy of an independent prescriber and local and national policies impacting on prescribing practice.

Syllabus

General medical history and vital signs Identifying and reporting adverse drug reactions Knowledge of own limitations and criteria for referral Drug legislation, drug licensing Prescription writing Working within the NHS Prescribing safely and professionally Common systemic conditions and indicative medications Pharmacokinetics & pharmacodynamics of systemically administered medicines Ocular side-effects of systemically administered drugs Cautions, contraindications and side-effects with respect to patient medical and medication history of drugs used in the treatment of disorders of the eye and adnexa Development and maintenance of professional knowledge and competence Evidence based practice and clinical governance in relation to prescribing Information systems/decision making support tools Local and national policies impacting on prescribing practices Local and national frameworks for medicine use Budgetary constraints at local and national level Safe disposal of medicines

Learning Outcomes

On completion of the module, students should be able to:Demonstrate an ability to take a comprehensive medical history and examine the eye using agreed instrumentation and clinical techniques.Demonstrate the ability to devise an appropriate patient management plan and to prescribe safelyDemonstrate an understanding of systemic conditions and their management.Demonstrate aAn understanding of their role as an independent prescriber, an awareness of the limitations of their clinical experience and an ability to work within the limits of their professional competenceDemonstrate an understanding of public health issues related to medicines useDemonstrate an understanding of the legal and professional framework for accountability and responsibility in relation to independent prescribingDemonstrate an ability to work within clinical governance frameworks that include evidence based practice, audit of prescribing practice and personal development

Teaching / Learning Strategy

This module will comprise of a two day session of lectures and practicals. The remainder of the module will employ a distance learning format with directed learning. Students will be provided with a series of articles and online resources. Continuous formative assessments will be used on all reading material to facilitate learning and consolidate successful acquisition of learning outcomes. Additional learning modalities may include recorded lectures, webinars and interactive on-line discussion forums

Indicative Reading

Required reading: Module articles College of Optometrist Clinical Management Guidelines Supplementary reading: Studies referenced in Module Articles Alastair Denniston, Oxford Handbook of Ophthalmology, 3rd Edition, 2014, OUP Oxford Timothy L Jackson, Moorfield's Manual of Ophthalmology, 2nd Edition, 2014, JP Medical Ltd Brad Bowling, Kanski's Clinical Ophthalmology: A Systematic Approach, 8th Edition, 2015, Butterworth-Heinemann, London Doughty MJ. Drugs, medications and the Eye (current edition), Smawcastellane Information Services, Scotland. Hopkins & Pearson, Ophthalmic drugs: Diagnostic and therapeutic uses, 2007, Butterworth and Heinemann Duncan Richards, Oxford Handbook of Practical Drug Therapy, 2nd Edition, 2011, OUP Oxford Thirmurthy Velpandian, Pharmacology of Ocular Therapeutics, 2016, Adis UK Monthly Index of Medical Specialities (MIMS), (current edition) British National Formulary (BNF), (current edition) Royal College of Ophthalmologists Clinical Guidelines Scottish Intercollegiate Network (SIGN) guidelines relevant to ocular conditions National Institute for Health and Care Excellence (NICE) clinical guidelines relevant to ocular conditions

Transferrable Skills

Ability to communicate with patients and other health care providers Ability to conduct a structured examination Ability to formulate and test clinical hypotheses Ability to interpret clinical data to aid decision making Ability to develop a management plan within the context of evidence based practice Ability to critically evaluate clinical evidence Ability to reflect on all aspects of patient-practitioner interaction

Module Structure

Activity Total Hours
Practicals (FDL) 6.00
Independent Learning (FDL) 159.00
Assessment (FDL) 25.00
Lectures (FDL) 10.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 2 n/a 20.00 45% Case Records
Coursework 1 n/a 20.00 45% Practical Station Assessment
Exam (Exams Office) n/a 60.00 45% Unseen written exam paper