Suzuki Sayo, Aono Izumi, Imai Natsumi, Kuwabara Aki, Kenda Yuki, Matsumoto Minako, Yoshida Aya, Watanabe Asuka, Takagi Akinori, Kobayashi Noriko, Saeki Haruko, Ohtani Hisakazu, Nakamura Tomonori, Kizu Junko
Center for Social Pharmacy and Pharmaceutical Care Sciences, Faculty of Pharmacy, Keio University.
Association of My Informed Consent (MIC).
Yakugaku Zasshi. 2017;137(11):1391-1408. doi: 10.1248/yakushi.17-00092.
Long-term practical on-site training, based on the Model Core Curriculum for Pharmaceutical Education, is a core program of the 6-year course of pharmaceutical education, introduced in Japan in 2010. In particular, medication counseling in practical training in 5th-year provides valuable opportunities for communication with real patients rather than simulated patients (SPs). However, it can also cause anxiety in 4th-year students before practical training. To address such concerns, upperclassmen (5th- and 6th-year students), who have already completed practical training, constructed and conducted a new educational program for medication counseling practice in preclinical training based on their experiences. They also developed case scenarios and played the role of patients themselves to create more realistic clinical settings. Advice from professional SPs was also provided. The 5-step program is composed of 1st counseling, 1st small group discussion (SGD) for improving counseling, 2nd revised counseling based on the 1st SGD, 2nd SGD, and development of a counseling plan and presentation. Educational effects of the program were evaluated by questionnaire survey after preclinical training in 4th-year students and after their practical training in 5th-year students. This new program, the Advanced Medication Counseling Practice, was found to be useful to reduce anxiety about communication with patients among 4th-year students (about 90%). Even after their practical training in 5th-year, they still appreciated usefulness of this program (about 80%). This program is still valued 4 years after its development. We developed the Advanced Medication Counseling Practice in preclinical training for junior students by senior students.
基于药学教育核心课程模型的长期实践现场培训，是日本于2010年引入的6年制药学教育课程的核心项目。特别是，五年级实践培训中的用药咨询为与真实患者而非模拟患者（标准化病人）交流提供了宝贵机会。然而，这也会在四年级学生实践培训前引发焦虑。为解决此类担忧，已经完成实践培训的高年级学生（五年级和六年级学生）根据自身经验构建并实施了一项针对临床前培训中用药咨询实践的新教育项目。他们还编写了病例场景，并亲自扮演患者角色以营造更真实的临床环境。此外，还提供了专业标准化病人的建议。该五步项目包括首次咨询、首次用于改进咨询的小组讨论、基于首次小组讨论的第二次修订咨询、第二次小组讨论以及咨询计划的制定与展示。通过对四年级学生临床前培训后以及五年级学生实践培训后的问卷调查，对该项目的教育效果进行了评估。结果发现，这个名为“高级用药咨询实践”的新项目有助于减轻四年级学生与患者交流时的焦虑（约90%）。即使在五年级进行实践培训后，他们仍认可该项目的实用性（约80%）。该项目在开发四年后仍受到重视。我们由高年级学生为低年级学生在临床前培训中开发了“高级用药咨询实践”项目。
