Confidence Influencers |
Experience |
Own experience |
“I’m still anxious because it's my first attempt to manage these on my own fully.” |
“I'm quite nervous since I haven't prescribed it very often.” |
“I'm uncertain as I haven't yet attended a medical ward.” |
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Knowledge |
Recognition (dosage, side effects and adverse events of medication) |
“I'm concerned about complications in case we do not know or recall precisely the cautions of those medications.” |
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“I’m anxious about the safety of my patients if I can't remember their dosages accurately.” |
Correct diagnosis of STEMI |
“I will be confident if the case and ECG are evidently obvious. If it's not apparent, I will priorly consult the residents or our staff.” |
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Providing guidelines |
Standing order provided |
“Whereas I somewhat know, but I’m not certain, I’d rather prescribe medication as stated in the standing order.” |
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Mentoring |
Mentorship |
“I’m quite confident because I have already seen and managed two cases under the supervision of the residents.” |
Confidence Builders |
Experience |
Own experience |
“Previously, I used to prescribe this medication before, so I’m pretty sure to do it again.” |
“I’m studying in a medical ward where I have been practising reading ECGs with the STEMI cases. Therefore, I’m quite sure when I see the cases fit with their ECG.” |
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Knowledge |
Self-directed learning |
“Practice reading ECG accurately is essential.” |
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“Self-review of the lessons would help me remember better.” |
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“I have to memorise the drug dosage or make a summary note so that I can easily find it later.” |
Teaching in class |
“Case-based teaching helps me in managing the patient with STEMI by myself.” |
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Providing guidelines |
Guidelines provided |
“I feel more confident when I follow the guideline of STEMI.” |
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Mentoring |
Mentorship |
“Should ask/ consult the attending physicians or residents to confirm my case.” |
“It would be helpful if someone could observe and assist me while I’m reading the ECG of STEMI cases.” |
“In my opinion, mentoring and approval of my diagnosis of STEMI and prescription order of essential medications by teachers and/or residents could build up my confidence in prescription.” |