Keijsers Carolina J P W, Leendertse Anne J, Faber Adrianne, Brouwers Jacobus R B J, de Wildt Dick J, Jansen Paul A F
Department of Geriatric Medicine, Jeroen Bosch Hospital, Den Bosch, the Netherlands.
Department of Geriatric Medicine and Expertise Centre Pharmacotherapy in Old Persons (EPHOR), University Medical Centre Utrecht, Utrecht, the Netherlands.
J Clin Pharmacol. 2015 Aug;55(8):936-43. doi: 10.1002/jcph.500. Epub 2015 Apr 30.
Understanding differences in the pharmacology knowledge and pharmacotherapy skills of pharmacists and physicians is vital to optimizing interprofessional collaboration and education. This study investigated these differences and the potential influence of work experience. The pharmacology knowledge and pharmacotherapy skills of pharmacists, general practitioners (GPs), and trainees were compared, using a written assessment; 294 participants were included. Overall scores (mean ± SD) ranged from 69.3% ± 6.5% to 76.5% ± 9.5% for basic knowledge, 70.3% ± 10.8% to 79.7% ± 8.4% for applied knowledge, and 66.3% ± 21.1% to 84.7% ± 20.7% for pharmacotherapy skills (analysis of variance all P < .05). The pharmacists had the highest scores for all domains (P < .05), with the exception of pharmacist trainees, who had comparable scores for basic knowledge and pharmacotherapy skills (both P > .05). The GPs scored the lowest for pharmacotherapy skills (P < .05). More work experience was associated with better knowledge of applied pharmacology among pharmacists (by 2% per 10 work-years), but with poorer pharmacotherapy skills among pharmacists and GPs (by 3% and 4% per 10 work-years, respectively). In conclusion, pharmacists and GPs differ in their knowledge and skills, and these differences become more pronounced with more work experience. In general, pharmacists outperform pharmacist trainees, whereas GP trainees outperform GPs. These differences could be important for interdisciplinary collaboration and education.
了解药剂师和医生在药理学知识和药物治疗技能方面的差异，对于优化跨专业协作与教育至关重要。本研究调查了这些差异以及工作经验的潜在影响。通过书面评估比较了药剂师、全科医生（GP）和实习生的药理学知识和药物治疗技能；共纳入294名参与者。基础知识的总体得分（均值±标准差）范围为69.3%±6.5%至76.5%±9.5%，应用知识为70.3%±10.8%至79.7%±8.4%，药物治疗技能为66.3%±21.1%至84.7%±20.7%（方差分析所有P＜0.05）。除药剂师实习生在基础知识和药物治疗技能方面得分相当（均P＞0.05）外，药剂师在所有领域得分最高（P＜0.05）。全科医生在药物治疗技能方面得分最低（P＜0.05）。更多的工作经验与药剂师应用药理学知识的提高相关（每10个工作年提高2%），但与药剂师和全科医生的药物治疗技能下降相关（分别为每10个工作年下降3%和4%）。总之，药剂师和全科医生在知识和技能方面存在差异，且随着工作经验的增加，这些差异变得更加明显。总体而言，药剂师表现优于药剂师实习生，而全科医生实习生表现优于全科医生。这些差异对于跨学科协作与教育可能很重要。
