Mead Tatum, Pilla Derek
Research Family Medicine Residency Program, 450, Kansas City, MO 64131, USA; University of Missouri-Kansas City School of Pharmacy, St., Kansas City, MO 64108, USA.
University of Missouri-Kansas City School of Pharmacy, St., Kansas City, MO 64108, USA.
Curr Pharm Teach Learn. 2017 May;9(3):460-467. doi: 10.1016/j.cptl.2017.01.002. Epub 2017 Feb 21.
The literature firmly establishes that clinical interventions made by pharmacy students on Advanced Pharmacy Practice Experience (APPE) rotations contribute significantly to cost-savings realized by the hosting practice sites. The Accreditation Council for Pharmacy Education (ACPE) specifies the experiential curricula include opportunities for students to learn about, from, and with other members of the healthcare team through interprofessional education activities.
This study assesses clinical and educational interventions contributed by APPE students at a family medicine residency program to determine the extent students were engaged in the interprofessional team and physicians' receptiveness to the recommendations.
Student interventions made from January 2009 to September 2012 were recorded in a Microsoft Excel Spreadsheet. Data was evaluated to determine 1) the most common types of clinical and educational interventions, 2) potential associated cost-savings/avoidance, and 3) provider receptiveness to recommendations based upon acceptance rates. A standardized scheme was utilized to assign a cost savings value according to Midwest America Division of Hospital Corporation of America (HCA) clinical savings standards. Pharmacy students contributed 2868 interventions in 3.5 years. A total of 59.2% of interventions were clinical and accounted for an estimated cost savings of $55,892. The remaining 40.8% of interventions were pharmacy care activities, none were associated with a cost savings and three-fourths were considered educational. Intervention acceptance rate was over 80%, showing providers were very receptive to pharmacy students.
This study lends support that APPE students provide substantial clinical and educational contributions to healthcare providers and patients affiliated with family medicine residency programs. Additionally, healthcare providers and patients are very receptive to pharmacy students as members of the interprofessional team.
文献明确表明，药学专业学生在高级药学实践经验（APPE）轮转期间所进行的临床干预，对接收实习的医疗机构实现成本节约有显著贡献。药学教育认证委员会（ACPE）规定，实践课程应包括让学生通过跨专业教育活动，向医疗团队的其他成员学习、与他们共同学习以及了解他们的机会。
本研究评估了APPE学生在一个家庭医学住院医师培训项目中所做出的临床和教育干预，以确定学生参与跨专业团队的程度以及医生对这些建议的接受程度。
2009年1月至2012年9月期间学生的干预措施记录在一个微软Excel电子表格中。对数据进行评估，以确定：1）临床和教育干预的最常见类型；2）潜在的相关成本节约/避免情况；3）根据接受率确定提供者对建议的接受程度。根据美国医院公司（HCA）美国中西部地区的临床节约标准，采用标准化方案来确定成本节约值。药学专业学生在3.5年中做出了2868次干预。总共59.2%的干预是临床干预，估计成本节约55,892美元。其余40.8%的干预是药学护理活动，没有一项与成本节约相关，四分之三被认为是教育性的。干预接受率超过80%，表明提供者对药学专业学生的建议接受度很高。
本研究支持了APPE学生为与家庭医学住院医师培训项目相关的医疗服务提供者和患者做出了大量临床和教育贡献这一观点。此外，医疗服务提供者和患者对作为跨专业团队成员的药学专业学生接受度很高。
