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学生开具处方的机会:对学生管理心血管风险管理项目中 185 次咨询的评估。

Opportunities for Students to Prescribe: An Evaluation of 185 Consultations in the Student-run Cardiovascular Risk Management Programme.

机构信息

Department of Internal Medicine, Pharmacotherapy section, VU University Medical Center, Amsterdam, the Netherlands.

RECIPE (Research & Expertise Center In Pharmacotherapy Education), Amsterdam, the Netherlands.

出版信息

Basic Clin Pharmacol Toxicol. 2018 Feb;122(2):299-302. doi: 10.1111/bcpt.12904. Epub 2017 Sep 28.

DOI:10.1111/bcpt.12904
PMID:28887828
Abstract

Involving students in cardiovascular risk management (CVRM) could offer patients a structured CVRM programme and students a valuable learning opportunity. We describe and evaluate a student-run CVRM programme that was set up to offer primary prevention to patients with known risk factors in a general practitioner's practice. During a consultation, two undergraduate medical students assessed the patients' actual risk and formulated a CVRM plan, which they discussed with the patient after approval by a GP. After the consultations, patients were asked to complete evaluation/feedback questionnaires. From December 2014 to December 2015, 185 consultations were carried out by 46 students. Feedback questionnaires of 153 consultations were returned, in which patient satisfaction was 8.43 (1-10, min-max). The cardiovascular risk of 95 patients was determined, and in >50% patients, it was 'high'. Participating students and GPs were enthusiastic about the (pharmacotherapy) learning opportunities and improved CVRM care while contributing to real patient care in this CVRM programme.

摘要

让学生参与心血管风险管理(CVRM)可以为患者提供一个结构化的 CVRM 计划,也为学生提供一个宝贵的学习机会。我们描述并评估了一个由学生主导的 CVRM 项目,该项目旨在为全科医生诊所中已知有风险因素的患者提供一级预防。在咨询过程中,两名本科医学生评估了患者的实际风险,并制定了 CVRM 计划,在获得全科医生的批准后,他们与患者讨论了该计划。咨询结束后,患者被要求填写评估/反馈问卷。从 2014 年 12 月至 2015 年 12 月,共有 46 名学生进行了 185 次咨询。共收回了 153 次咨询的反馈问卷,其中患者满意度为 8.43(1-10,最小值-最大值)。确定了 95 名患者的心血管风险,在超过 50%的患者中,风险“高”。参与的学生和全科医生对(药物治疗)学习机会以及改善 CVRM 护理感到热情,同时也为该 CVRM 项目中的实际患者护理做出了贡献。

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