Knowledge and Attitude of Students on Rational Use of Medicine in a Tertiary Care Hospital

Background: Rational drug use is essential for optimal patient outcomes. However, concerns exist about the adequacy of medical education in promoting this practice amongmedical students. This study aims to comprehensively assess medical students’ knowledge,attitudes, and decision-making factors related to rational drug use. By identifying knowledge gaps and influencing factors, we hope to inform the development of more effective educational interventions and ensure that future physicians are well- equipped to promote evidence-based drug therapy.

Methods: A cross-sectional study was conducted among second-year medical students at Ad-din Sakina Women’s Medical College and Hospital in Jashore, Bangladesh. After obtaining ethical approval and informed consent, data were collected using a validated semi-structured questionnaire. The questionnaire assessed students’ knowledge and attitudes towards rational drug use. Data were analyzed using Microsoft Excel to identify trends and patterns.

Results: The study included 90 medical students. Most of the students (80%) were aware of OTC medications, their risks (57.8%), generic equivalents (94.4%), and price variations (86.7%). However, a significant proportion believed in the superiority of costlier brands (37.8%) and associated higher medication numbers with better outcomes (53.3%). More than a quarter of students (25.6%) relied on pharmaceutical representatives for drug information.

Conclusion: This study highlights the need for improved education on rational drug use among medical students. By addressing knowledge gaps and promoting evidence-based prescribing, we can equip future physicians to make informed decisions and improve patient outcomes. Medical schools should prioritize rational drug use education, includinghands-on learning and clinical experience. Ongoing professional development programs and mentorship initiatives can further reinforce these concepts.