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老年人的药物管理与跨专业教育:需求评估

Medication management in older adults and interprofessional education: A needs assessment.

作者信息

Kostas Tia, Knoebel Randall, Levine Stacie

机构信息

Section of Geriatrics & Palliative Medicine, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.

Department of Pharmacy, University of Chicago Medicine, Chicago, IL, USA.

出版信息

Gerontol Geriatr Educ. 2020 Jan-Mar;41(1):100-108. doi: 10.1080/02701960.2018.1487297. Epub 2018 Jun 21.

DOI:10.1080/02701960.2018.1487297
PMID:29927729
Abstract

Elderly, multi-morbid patients are at high risk for suffering adverse drug events. Safe medication management is a key process in preventing these adverse events, and requires interprofessional teamwork. We performed a needs assessment survey of graduating medical students and faculty to evaluate student training in medication management, in particular students' preparedness in the three minimum geriatrics competencies pertaining to medication management, interprofessional educational opportunities, and optimal learning methods. Response rates were 45/105 (43%) for students and 38/93 (41%) for faculty. The majority of students felt that they did not receive sufficient training in medication management in older adults. Faculty either agreed with students or were unsure whether students received sufficient training. Neither students nor faculty felt that students were extremely prepared to carry out the three minimum geriatrics competencies at the time of medical school graduation. Students and faculty identified direct patient care experiences as the optimal learning method, and inappropriate medications as the highest priority topic. Students and faculty felt that students do not receive sufficient interprofessional educational opportunities. The results of this study are currently being used to create customized interprofessional educational experiences for medical students related to medication management in older adults.

摘要

老年多病患者发生药物不良事件的风险很高。安全的药物管理是预防这些不良事件的关键环节,需要跨专业团队合作。我们对即将毕业的医学生和教师进行了一项需求评估调查,以评估学生在药物管理方面的培训情况,特别是学生在与药物管理、跨专业教育机会以及最佳学习方法相关的三项最低老年医学能力方面的准备情况。学生的回复率为45/105(43%),教师的回复率为38/93(41%)。大多数学生认为他们在老年人药物管理方面没有接受足够的培训。教师要么同意学生的看法,要么不确定学生是否接受了足够的培训。无论是学生还是教师都不认为学生在医学院毕业时已经为执行三项最低老年医学能力做好了充分准备。学生和教师都认为直接的患者护理经验是最佳学习方法,不适当的药物是最优先的主题。学生和教师认为学生没有获得足够的跨专业教育机会。本研究的结果目前正被用于为医学生创建与老年人药物管理相关的定制跨专业教育体验。

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The clinical and educational outcomes of an inter-professional student-led medication review team, a pilot study.跨专业学生主导的药物审查团队的临床和教育成果,一项试点研究。
Eur J Clin Pharmacol. 2021 Jan;77(1):117-123. doi: 10.1007/s00228-020-02972-3. Epub 2020 Aug 8.