Droege Marcus
University of Minnesota, Department of Pharmaceutical Care & Health Systems, College of Pharmacy, Minneapolis, MN 55455, USA.
Educ Health (Abingdon). 2003 Mar;16(1):68-74. doi: 10.1080/1357628031000066778.
There has been a considerable paradigm shift from a product-centred focus towards a patient-centered focus in pharmacy. Pharmaceutical care practice (Cipolle et al., 1998) can be seen as the latest proposal to transform the profession as mandated by most major professional associations in pharmacy. Pharmaceutical care is an innovative way of practicing pharmacy that has the potential to make drug-therapy safer, more effective, and more convenient for the patient. Even though pharmacists' time spent on customer communication has increased over time (Savage, 1999), this alone will not be sufficient to bring about a paradigm shift in view of what the pharmacist actually does to provide quality patient care. It appears equally important to reflect on how pharmacists practice pharmacy.
METHODS/OBJECTIVES: It is the aim of this discussion paper to argue for the importance of linking education and practice as a core part of the teaching of pharmaceutical care.
In order for pharmacists to partake in truly interdisciplinary health care teams and the profession of pharmacy to demonstrate its unique and indispensable contribution to quality health care, pharmacy curricula would teach toward reflective practice, be problem-based, be positioned in collaborative teams, and have an outside (authentic) focus.
在药学领域，已经发生了从以产品为中心到以患者为中心的重大范式转变。药学服务实践（西波勒等人，1998年）可被视为药学领域大多数主要专业协会所要求的、对该职业进行转型的最新提议。药学服务是一种创新的药学实践方式，有可能使药物治疗对患者更安全、更有效且更便捷。尽管随着时间推移，药剂师花在与客户沟通上的时间有所增加（萨维奇，1999年），但仅靠这一点，鉴于药剂师为提供优质患者护理实际所做的工作，并不足以带来范式转变。思考药剂师如何开展药学实践似乎同样重要。
方法/目标：本讨论文件的目的是论证将教育与实践相联系作为药学服务教学核心部分的重要性。
为了使药剂师能够真正参与跨学科医疗团队，以及药学专业能够展示其对优质医疗保健的独特且不可或缺的贡献，药学课程应朝着反思性实践、以问题为基础、置于协作团队中并以外部（真实）为重点进行教学。
