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改善门诊护理住院医师培训:为在初级保健环境中治疗精神疾病的机会做准备。

Improving Ambulatory Care Resident Training: Preparing for Opportunities to Treat Mental Illness in the Primary Care Setting.

作者信息

Farhat Nada M, Bostwick Jolene R, Rockafellow Stuart D

机构信息

1 University of Michigan College of Pharmacy, Ann Arbor, MI, USA.

2 Department of Pharmacy Services, Michigan Medicine, Ann Arbor, MI, USA.

出版信息

J Pharm Pract. 2018 Oct;31(5):497-502. doi: 10.1177/0897190017729598. Epub 2017 Sep 11.

DOI:10.1177/0897190017729598
PMID:28891393
Abstract

PURPOSE

The development of an outpatient psychiatry clinical practice learning experience for PGY2 ambulatory care pharmacy residents in preparation for the treatment of psychiatric disorders in the primary care setting is described.

SUMMARY

With the increased prevalence of psychiatric disorders, significant mortality, and limited access to care, integration of mental health treatment into the primary care setting is necessary to improve patient outcomes. Given the majority of mental health treatment occurs in the primary care setting, pharmacists in patient-centered medical homes (PCMHs) are in a unique position with direct access to patients to effectively manage these illnesses. However, the increased need for pharmacist education and training in psychiatry has prompted a large, Midwestern academic health system to develop an outpatient psychiatry learning experience for PGY2 (Postgraduate Year 2) ambulatory care pharmacy residents in 2015. The goal of this learning experience is to introduce the PGY2 ambulatory care residents to the role and impact of psychiatric clinical pharmacists and to orient the residents to the basics of psychiatric pharmacotherapy to be applied to their future practice in the primary care setting.

CONCLUSION

The development of an outpatient psychiatry learning experience for PGY2 ambulatory care pharmacy residents will allow for more integrated and comprehensive care for patients with psychiatric conditions, many of whom are treated and managed in the PCMH setting.

摘要

目的

描述为PGY2门诊护理药房住院医师开发一种门诊精神病学临床实践学习体验,为在初级保健环境中治疗精神疾病做准备。

总结

随着精神疾病患病率上升、死亡率显著以及获得护理的机会有限,将心理健康治疗纳入初级保健环境对于改善患者结局是必要的。鉴于大多数心理健康治疗在初级保健环境中进行,以患者为中心的医疗之家(PCMH)中的药剂师处于独特地位,能够直接接触患者以有效管理这些疾病。然而,对药剂师进行精神病学教育和培训的需求增加,促使一个大型中西部学术健康系统在2015年为PGY2(研究生二年级)门诊护理药房住院医师开发了一种门诊精神病学学习体验。这种学习体验的目标是向PGY2门诊护理住院医师介绍精神科临床药剂师的角色和影响,并使住院医师熟悉精神科药物治疗的基础知识,以便应用于他们未来在初级保健环境中的实践。

结论

为PGY2门诊护理药房住院医师开发门诊精神病学学习体验,将为患有精神疾病的患者提供更综合全面的护理,其中许多患者在PCMH环境中接受治疗和管理。

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