Kelling Sarah E, Walker Paul C, Mason James G, Zara Nadir, Bleske Barry E
J Am Pharm Assoc (2003). 2017 May-Jun;57(3):382-388. doi: 10.1016/j.japh.2017.01.008. Epub 2017 Mar 9.
To incorporate a published clinical tool related to heart failure (HF) assessment into advanced pharmacy practice experiences in the community pharmacy setting to provide a meaningful and innovative learning experience for students.
Sixteen independent and chain community pharmacies that served as advanced pharmacy practice experience locations.
Sixteen community pharmacy locations served as rotation sites and participated in data collection (8 chain and 8 independent).
This was the first study in which pharmacy students used The One-Minute Clinic for Heart Failure (TOM-C HF) tool to assess HF within the community pharmacy setting.
Trained student pharmacists identified patients who may have heart failure by evaluating medication dispensing records, interviewed the patient using the TOM-C HF tool, and made interventions as clinically appropriate.
The number of students using the TOM-C HF tool, the number and types of interventions made, and student perceptions about the educational and professional value of the patient interaction.
Thirty-three of 83 (40%) students completed 63 patient assessments. Thirty-five percent of patients (22/63) were candidates for an intervention. Interventions were performed in 9 of 22 patients (41%). More than 65% of students found the patient interaction to have educational and professional value.
Students were able to assess HF patients and make interventions in a community pharmacy setting. The majority of students also perceived some value in these assessments. The incorporation of a clinical tool in the community setting driven by fourth-year pharmacy students has been shown to be feasible and to provide both a novel advanced practice experience. In addition, it may be expandable to the services offered at community pharmacies.
将一种已发表的与心力衰竭（HF）评估相关的临床工具纳入社区药房环境中的高级药学实践经验，为学生提供有意义且创新的学习体验。
16家独立和连锁社区药房作为高级药学实践经验地点。
16个社区药房地点作为轮转站点并参与数据收集（8家连锁和8家独立）。
这是第一项药学专业学生在社区药房环境中使用心力衰竭一分钟诊所（TOM-C HF）工具评估HF的研究。
经过培训的学生药剂师通过评估药物配药记录识别可能患有心力衰竭的患者，使用TOM-C HF工具对患者进行访谈，并在临床上适当的时候进行干预。
使用TOM-C HF工具的学生人数、所进行干预的数量和类型，以及学生对患者互动的教育和专业价值的看法。
83名学生中的33名（40%）完成了63次患者评估。35%的患者（22/63）是干预的候选对象。22名患者中有9名（41%）接受了干预。超过65%的学生认为患者互动具有教育和专业价值。
学生能够在社区药房环境中评估HF患者并进行干预。大多数学生也认为这些评估有一定价值。由四年级药学专业学生推动在社区环境中纳入临床工具已被证明是可行的，并提供了一种新颖的高级实践经验。此外，它可能扩展到社区药房提供的服务。
