Solomon et at discuss how strictly enforced prescribing guidelines can limit patient choice and may be detrimental to the doctor-patient relationship and shared decision making. However, in their study many GPs employed a pragmatic approach, being flexible and applying guidelines in the context of individual patients. I feel that this is a skill that needs to start being developed early on in medical training. The General Medical Council mandates that medical graduates must be able to 'prescribe drugs safely, effectively, and economically'. Prescribing is one of the biggest leaps in the transition of a medical student to a doctor. However, a study done last year found that a large proportion of graduates entering the foundation programme felt under-prepared for prescribing.
展开▼
机译：所罗门等人讨论了严格执行的处方指南如何限制患者的选择，并且可能不利于医患关系和共同的决策。但是，在他们的研究中，许多全科医生采用了务实的方法，非常灵活，并针对个别患者应用了指导原则。我觉得这是一项需要在医学培训中早日开发的技能。通用医学委员会（General Medical Council）规定，医学毕业生必须能够“安全，有效和经济地开药”。开处方是医学生向医生过渡的最大飞跃之一。但是，去年进行的一项研究发现，进入预科课程的大部分毕业生对开处方的准备不足。
展开▼
