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重新思考临床实践指南在药学教育中的作用。

Rethinking the Role of Clinical Practice Guidelines in Pharmacy Education.

作者信息

Brown Daniel L

机构信息

Palm Beach Atlantic University Lloyd L. Gregory School of Pharmacy, West Palm Beach, Florida.

出版信息

Am J Pharm Educ. 2015 Dec 25;79(10):148. doi: 10.5688/ajpe7910148.

Abstract

Clinical practice guidelines (CPGs) play a major role in pharmacy education. Students learn to locate, retrieve, and apply CPGs in didactic coursework and practice experiences. However, they often memorize and quote recommendations without critical analysis, which tends to undermine their clinical growth. Students should become genuine drug experts, based on strong critical-thinking skills and the ability to assimilate extensive clinical and scientific knowledge. Clinical practice guidelines improve health care, and students should be familiar with them, but there are legitimate criticisms of CPGs, stemming largely from potential conflicts of interest and limitations in the quality and scope of available evidence. Despite such flaws, CPGs can be used to facilitate the clinical growth of students if the emphasis is placed on critically analyzing and evaluating CPG recommendations, as opposed to blindly accepting them. From that perspective, the role that CPGs have come to play in education may need to be reconsidered.

摘要

临床实践指南(CPGs)在药学教育中发挥着重要作用。学生在理论课程和实践经历中学习如何查找、获取和应用临床实践指南。然而,他们常常不经批判性分析就死记硬背并引用其中的建议,这往往会阻碍他们的临床成长。学生应基于强大的批判性思维能力以及吸收广泛临床和科学知识的能力,成为真正的药物专家。临床实践指南改善了医疗保健,学生应该熟悉它们,但对临床实践指南也存在合理的批评,这主要源于潜在的利益冲突以及现有证据在质量和范围上的局限性。尽管存在这些缺陷,但如果重点是批判性地分析和评估临床实践指南的建议,而不是盲目接受它们,那么临床实践指南可用于促进学生的临床成长。从这个角度来看,临床实践指南在教育中所起的作用可能需要重新审视。

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