Charpiat B, Derfoufi S, Larger M, Janoly-Dumenil A, Mouchoux C, Allenet B, Tod M, Grassin J, Boulieu R, Catala O, Bedouch P, Goudable J, Vinciguerra C
CNRS TIMC-IMAG, University Grenoble Alpes, 38000 Grenoble, France; Service de pharmacie, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande-Rue-de-la-Croix-Rousse, 69317 Lyon cedex 04, France.
Faculté de médecine et de pharmacie, université Hassan II, 19, rue Tarik Ibnou Ziad, BP 9154, Casablanca, Maroc.
Ann Pharm Fr. 2016 Sep;74(5):404-12. doi: 10.1016/j.pharma.2016.01.001. Epub 2016 Mar 2.
In France, community pharmacy students performed a hospital pharmacy practice experience during the 5th year of the university curriculum. The purpose of a part of the content of the academic teaching program delivered before this practice experience is to prepare the students for their future hospital activities. It should enable them for the practical use of knowledge in order to improve pharmacotherapy, laboratory diagnosis and monitoring of patients' care. The aim of this study was to show if there are gaps in this program.
Fourteen students performing their clerkship in a teaching hospital were invited to highlight these gaps when they were gradually immersed in the pharmaceutical care. They did so under the careful observation of hospital pharmacist preceptors. These practitioners referred to professional guidelines, documentary tools used in daily clinical practice and publications supporting their pharmaceutical care practices.
Shortcomings and gaps identified were: how to communicate with other healthcare professionals and the content of verbal exchanges, how to conduct a patient-centered consultation, documentation tools required for relevant pharmacist' interventions, codification of pharmacist's interventions, risks related to drug packaging and benefit risk assessment of health information technologies.
These gaps represent a handicap by delaying the process that led to move from student to healthcare professional. Hospital pharmacist preceptors have to fill in these gaps before engaging students in pharmaceutical care.
These results invite to revise partly the content of the academic teaching program delivered before the 5th year hospital pharmacy practice experience.
在法国，社区药学专业的学生在大学课程的第五年进行医院药房实习。在这次实习之前提供的学术教学计划部分内容的目的是让学生为未来的医院工作做好准备。它应使学生能够实际运用知识，以改善药物治疗、实验室诊断和患者护理监测。本研究的目的是表明该计划是否存在差距。
邀请了14名在教学医院实习的学生，在他们逐渐融入药学服务时突出这些差距。他们在医院药剂师带教老师的仔细观察下进行。这些从业者参考了专业指南、日常临床实践中使用的文献工具以及支持其药学服务实践的出版物。
发现的缺点和差距包括：如何与其他医疗专业人员沟通以及言语交流的内容、如何进行以患者为中心的咨询、相关药剂师干预所需的记录工具、药剂师干预的编码、与药品包装相关的风险以及健康信息技术的效益风险评估。
这些差距阻碍了从学生转变为医疗专业人员的进程。医院药剂师带教老师在让学生参与药学服务之前必须填补这些差距。
这些结果促使部分修订在医院药房第五年实习之前提供给学生的学术教学计划的内容。
