- Students in the final year of pharmacy worked on a fictitious prescription on Tuesday in Marseille. One patient saw herself in particular prescribing hydroxychloroquine.
- The subject was revealed by the Twitter account of "La Tronche en Biais", a YouTube channel devoted to critical thinking and cognitive biases.
- Stéphane Honoré, who proposed the subject to the students, co-signed studies with Professor Raoult. The pharmacy professor explains that he wanted to confront the students with an exercise in dispensing prescriptions.
In the city of Professor Didier Raoult, students were invited to work on a prescription in which hydroxychloroquine appeared, as revealed by the Twitter account of "La Tronche en Biais", a YouTube channel devoted to the spirit critical and cognitive bias. Students in the sixth year of the Aix-Marseille Faculty of Pharmacy were invited on Tuesday to comment on a fictitious prescription. On this one, a patient was prescribed tablets of plaquenil (hydroxychloroquine), as well as azithromycin and effizinc.
Didier Raoult, the controversial boss of the IHU Mediterranean Infection, has published work on the combination of hydroxychloroquine and azithromycin to treat patients with Covid-19. The effectiveness of this treatment has not been proven to date. On Twitter, Acermendax, one of the organizers of La Tronche en Biais, wonders about the “pressure exerted on students” with this subject.
Frankly, @IHU_Marseille. Shouldn't medical school teachers have a little more dignity than that?
How can we not see this as a pressure on the students? cc @univamu pic.twitter.com/IdRSfnh20r
The subject was proposed by Stéphane Honoré, president of the French society of clinical pharmacy and professor at the faculty. He also works at the Timone hospital in Marseille and has co-signed some of the publications of Didier Raoult, who heads the IHU. The Timone pharmacy "serves the beds that are at the IHU", explains Stéphane Honoré to 20 Minutes . “If I participated in the studies, it was by providing data from the pharmacy. I did not write articles. "
The teacher confirms that he is at the origin of the exam subject. Commenting on prescriptions is a “fairly classic” exercise, underlines Stéphane Honoré. It is a question of verifying the capacity of the students to analyze a prescription on the bottom as well as on the form. They must, for example, check the conformity of the prescription or identify possible interactions between molecules or contraindications.
This exercise is part of the final year internship exam, recalls Stéphane Honoré. “These students were confronted during their internship at Covid. Having discussed with the tutors and the council of the order, there have been quite a few cases of this type [as described on the fictitious order] which have circulated in the region. "
The idea here was to show that the prescription could not be dispensed to the patient. "For me, it was the best exercise to make them refuse a prescription," says the professor.
Explain for prescription is not valid
Several elements were indeed intended to alert students to this document. First, the decree of March 25, which prohibited the prescription of hydroxychloroquine in the city, "prohibited students from dispensing this fictitious prescription dated April 20," explains Stéphane Honoré.
The future pharmacists had to explain that the prescription was not valid, and then that the pharmacy refused the dispensation. They then had to remind that the pharmacist had to contact the prescribing doctor and then give advice to the patient, details a spokesperson for the pharmacy faculty at 20 minutes .
"We have always told students to respect the recommendations"
The professor understands, however, that students were challenged by the statement. "I do not want to pass the controversy [about hydroxychloroquine] to my students," he defends himself. Stéphane Honoré noted, in the copies he consulted, that the students had developed the right argument. "They have always been told to respect the recommendations of guardianships, order, learned societies, as well as decrees," he said.
A representative of the faculty specifies howeverthat the question could be neutralized for students, after the appearance of the controversy on social networks.
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