Main Article Content

Savithiri Ratnapalan
Shinya Ito


medical education, needs assessment, residents, clinical pharmacology, environmental scan



To identify perceived and unperceived educational needs of residents to organize a seminar series in clinical pharmacology.


All pediatric residents (48) and all attending general pediatric staff (20) were sent structured questionnaires with potential seminar topics.    Data from previous pharmacy chart audits and complaints lodged with patient care representatives were analyzed as the environmental scans.


There was a 75% response rate from both residents and staff.  The responses were very similar and the only significant difference was the response to  a  seminar on correcting electrolyte imbalances which the residents favoured (p = 0.005).  The environmental scans identified pain management as one of the main areas needing improvement.


Perceived learning needs of residents are similar but not identical to those identified by the faculty. Environmental scanning can be used to identify unperceived learning needs.

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1. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. N Engl J Med 1991; 324(6):377-384.
2. Bates DW, Boyle DL, Vander Vliet MB, Schneider J, Leape L. Relationship between medication errors and adverse drug events. J Gen Intern Med 1995; 10(4):199-205.
3. Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F et al. Medication errors and adverse drug events in pediatric inpatients. JAMA 2001; 285(16):2114- 2120.
4. Spilman EL, Spilman HW. A pair comparison study of the relevance of nine basic science courses. J Med Educ 1975; 50(7):667-671.
5. Gottlieb RM, Nappi T, Strain JJ. The physician's knowledge of psychotropic drugs: preliminary results. Am J Psychiatry 1978;135(1):29-32.
6. Naranjo CA, Shulman RW, Ozdemir V. Development and evaluation of a clinical psychopharmacology educational curriculum. J Clin Pharmacol 1997; 37(6):474-479.
7. Alexander B, Nasrallah HA, Perry PJ, Liskow BI, Dunner FJ. The impact of psychopharmacology education on prescribing practices. Hosp Community Psychiatry 1983; 34(12):1150-1153.
8. Johnson RL, Charney E, Cheng TL, Kittredge D, Nazarian LF, Chesney RW et al. Final report of the FOPE II Education of the Pediatrician Workgroup. Pediatrics 2000; 106(5):1175-1198.
9. Lawton L. Approaches to needs assessment. In: Perkins ER, Simnett I, Wright L (Eds). Evidence-Based Health Promotion. Chichester, England: Wiley, 1999: 325–32.
10. Lockyer J. Needs assessment: lessons learned. J Contin Educ Health Prof. 1998;18:190–2.
11. Ury AW, Reznich CB, Weber CM. Needs Assessment for a Palliative Care Curriculum .Journal of Pain and Symptom Management 2000;20 (6):408-416.
12. Ratnapalan S, Hilliard RI. Needs assessment in postgraduate medical education: A review. Med Educ Online 2002; 7:7.
13. Achike FI, Ogle CW. Information overload in the teaching of pharmacology. J Clin Pharmacol 2000; 40(2):177-183.
14. Riley MW. Reducing 'information overload' in the teaching of pharmacology: the '200 Drug List' J Med Educ 1984; 59(6): 508-511.
15. Hannon F B. A national medical education needs’ assessment of interns and the development of an intern education and training programme. Medical Education 2000; 34:275-284.
16. Taylor K L, Chudley A. Meeting the needs of future physicians: a core curriculum initiative for postgraduate medical education at a Canadian university. Medical Education. 2001; 35:973-982.
17. Laidlaw T S, MacLeod H, Kaufman D M, Langille D B, Sargeant J. Implementing a communication skills programme in medical school: needs assessment and programme change. Medical Education. 2002; 36:115-124.
18. Brotherton SE, Simon FA, Etzel SI. US graduate medical education, 2000-2001. JAMA 2001; 286(9):1056-1060.
19. Leach DC. Residents' work hours: the Achilles heel of the profession? Academic Medicine. 2000; 75(12):1156-7.
20. Wells M. Dryden H. Guild P. Levack P. Farrer K. Mowat P. The knowledge and attitudes of surgical staff towards the use of opioids in cancer pain management: can the Hospital Palliative Care Team make a difference? European Journal of Cancer Care 2001; 10(3):201-11.
21. Schafheutle EI. Cantrill JA. Noyce PR. Why is pain management suboptimal on surgical wards? Journal of Advanced Nursing. 2001; 33(6):728-37.
22. Bruster S. Jarman B. Bosanquet N. Weston D. Erens R. Delbanco TL. National survey of hospital patients. BMJ. 1994; 309(6968):1542-6.
23. Hatch TF, Pearson TG. Using environmental scans in educational needs assessment. J Contin Educ Health Prof. 1998;18:179–84.

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