Ginzburg Regina, Cohrssen Andreas
St John's University College of Pharmacy and Allied Health Professions, Jamaica, NY 11439, USA.
Fam Med. 2007 Nov-Dec;39(10):703-5.
Poor medication prescribing skills among residents have been widely reported.
We implemented a three-stage prescribing curriculum with eight interns in an urban family medicine residency. Clinical pharmacy faculty delivered two lectures, attended hospital rounds, and coprecepted in clinic. Evaluations were done by a written exam and clinical assessment.
All eight interns made at least one prescribing error on the exam. One error was considered potentially fatal. All interns passed on the second attempt and gained prescribing privileges after 6 months.
Our prescribing curriculum was practical and feasible. Further studies will determine whether the intervention improved prescribing habits and reduced clinical errors.
住院医师用药处方技能不佳的情况已被广泛报道。
我们在一个城市家庭医学住院医师培训项目中，对八名实习生实施了一个三阶段的处方课程。临床药学教员进行了两次讲座，参加了医院查房，并在诊所共同带教。通过书面考试和临床评估进行评价。
所有八名实习生在考试中都至少犯了一个处方错误。有一个错误被认为可能是致命的。所有实习生在第二次尝试时通过了考试，并在6个月后获得了处方权。
我们的处方课程是实用且可行的。进一步的研究将确定该干预措施是否改善了处方习惯并减少了临床错误。
