Ogawa Ryuichi
Department of Pharmacotherapy, Meiji Pharmaceutical University.
Yakugaku Zasshi. 2018;138(5):637-644. doi: 10.1248/yakushi.17-00190-2.
Training pharmacy students to become future clinical pharmacists is an important mission in the 6-year school of pharmacy curriculum in Japan. Since 2014, we have conducted an on-campus practical training program to develop basic skills in clinical pharmacy for third-year pharmacy students at Meiji Pharmaceutical University. This training program includes searching for and retrieving drug information; interpretation of laboratory findings, vital signs, and physical examinations; literature appraisal; and professional writing. These training sections are arranged in the above-mentioned order to facilitate effective understanding of each. In the literature appraisal section, each student group is assigned a report on a prospective controlled study of a given drug published in English and reads it critically according to the literature appraisal worksheet. Then the group writes a monograph on the drug described in the report based on the literature and other information. Thereafter, all students are reshuffled into new groups so that students who were assigned different drugs are placed together, in the so-called jigsaw learning method. Students then discuss which two or three drugs in a specific pharmacological class should be adopted in the hospital formulary according to the knowledge gained through this training program series. The themes were novel oral anticoagulants in the 2014 academic year, dipeptidyl peptidase 4 inhibitors in 2015, and 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors in 2016. Although there are some problems that need to be resolved in the future, this approach appears effective in helping students build drug information skills as a basic competence of clinical pharmacists.
在日本六年制药学院课程中,培养药学专业学生成为未来的临床药师是一项重要任务。自2014年以来,我们在明治药科大学为三年级药学专业学生开展了一项校内实践培训项目,以培养临床药学的基本技能。该培训项目包括查找和检索药物信息;解读实验室检查结果、生命体征和体格检查;文献评估;以及专业写作。这些培训环节按上述顺序安排,以便于对每个环节的有效理解。在文献评估环节,每个学生小组会收到一份关于一种英文发表的特定药物的前瞻性对照研究报告,并根据文献评估工作表对其进行批判性阅读。然后,小组根据文献和其他信息撰写一份关于报告中所述药物的专题论文。此后,所有学生重新分组,采用所谓的拼图学习法,将被分配不同药物的学生安排在一起。然后,学生们根据通过这一系列培训项目获得的知识,讨论医院处方集应采用特定药理类别中的哪两三种药物。2014学年的主题是新型口服抗凝剂,2015年是二肽基肽酶4抑制剂,2016年是3-羟基-3-甲基戊二酰辅酶A还原酶抑制剂。尽管未来还有一些问题需要解决,但这种方法似乎有效地帮助学生培养了作为临床药师基本能力的药物信息技能。