Smith Anthony J
Clinical Pharmacology, Calvary Mater Hospital, Waratah, NSW 2298, Australia.
Br J Clin Pharmacol. 2012 Jun;73(6):939-42. doi: 10.1111/j.1365-2125.2012.04242.x.
Discussing the future of UK clinical pharmacology, eight Australasian clinical pharmacologists emphasized the need to make the discipline 'indispensable' in key areas. The visibility of clinical pharmacology in Australasia has been improved by working with the Consumers' Health Forum in Australia in the construction of the national Policy on Quality Use of Medicines and, later, of the formal National Medicines Policy. Our expertise in clinical pharmacology, combined with the Health Forum's political skills, proved a potent force for launching these policies. A second example was the construction of the national prescribing curriculum in partnership with the National Prescribing Service. This is being used in all medical schools with senior students. At a local level we found that taking over clinical toxicology services (that other clinicians wanted to jettison) provided a stimulus to clinical research and later the formation of a productive subgroup to study the special problems of envenomation. Fourthly, we note that no clinical pharmacology unit in UK is designated as a WHO collaborating centre. Considerable difference can be made to national problems with medicines by clinical pharmacologists willing to work for periods within developing countries. This has given a greater profile to several groups in Australia. The principle of stepping out of conventional settings and actively seeking collaboration with other groups beyond our discipline has enhanced the profile of the discipline in Australasia and could do the same in the UK.
在讨论英国临床药理学的未来时，八位澳大拉西亚临床药理学家强调，有必要使该学科在关键领域“不可或缺”。通过与澳大利亚消费者健康论坛合作制定国家药品合理使用政策，以及后来的正式国家药品政策，临床药理学在澳大拉西亚的知名度得到了提高。我们临床药理学方面的专业知识，与健康论坛的政治技巧相结合，被证明是推出这些政策的一股强大力量。第二个例子是与国家处方服务局合作制定国家处方课程。所有医学院的高年级学生都在使用这一课程。在地方层面，我们发现接管临床毒理学服务（其他临床医生想要放弃的服务）刺激了临床研究，后来还促成了一个富有成效的小组的形成，以研究中毒的特殊问题。第四，我们注意到英国没有临床药理学单位被指定为世界卫生组织合作中心。愿意在发展中国家工作一段时间的临床药理学家能够为解决国家药品问题带来很大不同。这提高了澳大利亚几个小组的知名度。走出传统环境，积极寻求与本学科以外的其他小组合作的原则，提升了临床药理学在澳大拉西亚的形象，在英国也可以如此。
