Myotoku Michiaki
Laboratory of Practical Pharmacy and Pharmaceutical Care, Faculty of Pharmacy, Osaka Ohtani University.
Yakugaku Zasshi. 2017;137(1):13-16. doi: 10.1248/yakushi.16-00220-3.
To respond to advancements in medical techniques, and to address the separation of medical and dispensary practices, clinical professors are required to educate human resource staff to become highly-skilled pharmacists. For this purpose, it is extremely important for these professors to learn about cutting-edge practical skills and knowledge, as well as to advance their expertise. In addition, they need to conduct clinical research in cooperation with relevant facilities. As our university does not have its own hospital or pharmacy, it is important to provide training for clinical professors in clinical facilities. Such training mainly involves medical teams' in-hospital rounds and participation in conferences (nutrition support team; NST), operation of the pharmacy department, and intervention targeting improvement in the department's duties. We have conducted collaborative studies, provided research instructions, implemented studies aimed at improving the department's work (pharmacists appointed on wards at all times to ensure medical safety) as well as studies regarding team medical care (nutritional evaluation during outpatient chemotherapy), and resolved issues regarding this work (drug solution mixability in a hand-held constant infusion pump, and a safe pump-filling methods). Thus, it has become possible to keep track of the current state of a pharmacists' work within team medical care, to access information about novel drugs, to view clinical and prescription-claim data, to cooperate with other professionals (e.g., doctors and nurses), to promote pharmacists' self-awareness of their roles in cooperative medical practice, and to effectively maintain the hospital's clinical settings.
为了应对医学技术的进步,并解决医疗与配药业务分离的问题,临床教授需要培训人力资源工作人员成为高技能药剂师。为此,这些教授了解前沿实用技能和知识并提升专业水平极为重要。此外,他们需要与相关机构合作开展临床研究。由于我校没有自己的医院或药房,为临床教授在临床机构提供培训很重要。此类培训主要包括医疗团队的院内查房和参加会议(营养支持团队;NST)、药房部门的运营以及针对部门职责改进的干预措施。我们开展了合作研究,提供了研究指导,实施了旨在改进部门工作的研究(始终在病房配备药剂师以确保医疗安全)以及团队医疗护理研究(门诊化疗期间的营养评估),并解决了这项工作中的问题(手持恒速输液泵中的药物溶液混合性以及安全的泵填充方法)。因此,已能够跟踪药剂师在团队医疗护理中的工作现状,获取新药信息,查看临床和处方申请数据,与其他专业人员(如医生和护士)合作,提高药剂师对其在合作医疗实践中角色的自我认知,并有效维持医院的临床环境。