College of Pharmacy, University of Louisiana at Monroe, USA.
J Am Pharm Assoc (2003). 2011 Sep-Oct;51(5):627-30. doi: 10.1331/JAPhA.2011.09101.
To measure the total rate of attending physician, medical resident, and medical student acceptance of interventions recommended by third-year student pharmacists supervised by a licensed pharmacist and to determine the type of health care provider group that accepted the most interventions, type of interventions provided, and number of patients counseled on medication use.
This prospective unblinded pilot study followed single interventions documented by nine third-year student pharmacists enrolled at the University of Louisiana at Monroe College of Pharmacy. Success rates of suggested interventions made to family medicine attending physicians, pharmacists, medical residents, and medical students in three Louisiana outpatient clinics were documented. Student pharmacists performed medication histories, identified potential medication-related problems, discussed interventions with health care providers, and counseled patients on medication use. Outcomes assessed were intervention type and number, intervention acceptance rate, and number of patients counseled.
Student pharmacists communicated with attending physicians, medical residents, and/or medical students regarding 32 patients. A total of 48 interventions were documented. Of these interventions, 34 were potential medication-related problems, 8 were pharmacotherapeutic recommendations for a new problem, 4 were responses to a health care provider's drug information requests, and 2 were referrals to a diabetes education class. The acceptance rate of student pharmacists' recommendations was 86%. Attending physicians accepted 93.8% of recommended interventions, medical residents 70%, and medical students 87.5%, Student pharmacists counseled 29 patients on medication use.
Student pharmacists were able to recommend new drug regimens and discuss changes in therapy with health care providers. Attending physicians, medical residents, and medical students accepted the majority of students' recommendations. Third-year student pharmacists have the potential to serve an important role in the identification and prevention of medication-related problems by suggesting interventions to health care providers.
测量由持照药剂师监督的三年级药剂学生向主治医生、住院医生和医学生推荐的干预措施的总接受率，并确定接受干预措施最多的医疗保健提供者群体类型、提供的干预措施类型和接受药物使用咨询的患者人数。
这项前瞻性非盲试点研究跟踪了在路易斯安那州门罗大学药学院注册的九名三年级药剂学生记录的单一干预措施。记录了在路易斯安那州三家门诊诊所向家庭医学主治医生、药剂师、住院医生和医学生提出的建议干预措施的成功率。药剂学生进行了药物史记录，确定了潜在的药物相关问题，与医疗保健提供者讨论了干预措施，并对患者进行了药物使用咨询。评估的结果是干预类型和数量、干预接受率以及接受咨询的患者人数。
药剂学生与主治医生、住院医生和/或医学生就 32 名患者进行了沟通。共记录了 48 项干预措施。其中，34 项是潜在的药物相关问题，8 项是针对新问题的药物治疗建议，4 项是对医疗保健提供者药物信息请求的回应，2 项是转诊至糖尿病教育课程。药剂学生建议的接受率为 86%。主治医生接受了 93.8%的推荐干预措施，住院医生接受了 70%，医学生接受了 87.5%。药剂学生对 29 名患者进行了药物使用咨询。
药剂学生能够向医疗保健提供者推荐新的药物方案并讨论治疗方案的改变。主治医生、住院医生和医学生接受了大多数学生的建议。三年级药剂学生有潜力通过向医疗保健提供者提出干预措施，在识别和预防药物相关问题方面发挥重要作用。
