Shimizu Tadashi, Ueda Masahiro, Toyoyama Mikoto, Ohmori Shiho, Takagaki Nobumasa
School of Pharmacy, Hyogo University of Health Sciences.
Department of Pharmacy, The Hospital of Hyogo College of Medicine.
Yakugaku Zasshi. 2017;137(8):987-998. doi: 10.1248/yakushi.16-00179.
This study evaluated the effect of an evidence-based medicine (EBM) educational program on EBM-related knowledge and skills of pharmacists and pharmacy students. Our preliminary educational program included the following four sessions: 1) ice breaker, 2) formulation of answerable clinical questions from virtual clinical scenario using the PICO criteria, 3) critical appraisal of the literature using a checklist, and 4) critical appraisal of the results and integrating the evidence with experience and patients values. Change in knowledge and skills related to EBM were evaluated using pre- and post-seminar 4-point scale questionnaires comprising of 14 questions. A total of 23 pharmacists, 1 care manager, and 5 pharmacy students participated in our EBM educational seminar. Knowledge and skills related to several variables improved significantly post-seminar (pre-seminar 2.80 versus 3.26 post-seminar; p<0.001). Specifically, the skills of formulating answerable clinical questions from virtual clinical scenario and critical appraisal of the literature using a checklist improved. Our findings suggested that EBM educational program using problem-based learning was effective in improving EBM-related knowledge and skills of pharmacists and pharmacy students.
本研究评估了循证医学(EBM)教育项目对药剂师及药学专业学生与循证医学相关的知识和技能的影响。我们初步的教育项目包括以下四个环节:1)破冰环节;2)使用PICO标准从虚拟临床场景中制定可回答的临床问题;3)使用清单对文献进行批判性评价;4)对结果进行批判性评价并将证据与经验及患者价值观相结合。使用由14个问题组成的研讨会前后4分制问卷对与循证医学相关的知识和技能的变化进行评估。共有23名药剂师、1名护理经理和5名药学专业学生参加了我们的循证医学教育研讨会。与几个变量相关的知识和技能在研讨会后有显著提高(研讨会前为2.80,研讨会后为3.26;p<0.001)。具体而言,从虚拟临床场景中制定可回答的临床问题以及使用清单对文献进行批判性评价的技能有所提高。我们的研究结果表明,采用基于问题学习的循证医学教育项目在提高药剂师及药学专业学生与循证医学相关的知识和技能方面是有效的。