O'Brien Catherine E, Stafford Rachel, Franks Amy M
University of Arkansas for Medical Sciences College of Pharmacy, Department of Pharmacy Practice, 4301 West Markham Street, Slot 522, Little Rock, AR 72205, United States.
Curr Pharm Teach Learn. 2018 Jul;10(7):933-939. doi: 10.1016/j.cptl.2018.04.008. Epub 2018 Apr 30.
Patient-centered communication (PCC) skills are critical to the practice of pharmacy. A gap analysis of the communication content of our curriculum revealed inadequate coverage of several competencies recommended by a National Association of Chain Drug Stores Foundation - National Community Pharmacy Association - Accreditation Council for Pharmacy Education joint task force report: "support patient behavior change through skills such as motivational interviewing", "demonstrate compassion and empathy for patients", and "solve adherence challenges created by low health literacy".
A required PCC course, heavily grounded in motivational interviewing principles, was introduced into the spring of the first professional year to address the identified curricular gaps. Activities and assessments in additional semesters were added to further develop these skills and provide accountability.
The course addressed the curricular gaps and was well-received by students. Students demonstrated competency in a role-play setting including improved proficiency between role-play activities. Reflections from a community pharmacy introductory pharmacy practice experience (IPPE) demonstrate that students perceived an ability to use the skills in practice.
This course has been successfully established as an introduction to PCC concepts and skills for first professional year pharmacy students. Use of the skills during a community pharmacy IPPE illustrates that the class functions as a foundation on which to further develop these skills throughout the remaining didactic and experiential curricula.
以患者为中心的沟通(PCC)技能对药学实践至关重要。对我们课程的沟通内容进行的差距分析显示,美国连锁药店基金会 - 全国社区药房协会 - 药学教育认证委员会联合特别工作组报告推荐的几项能力在课程中覆盖不足:“通过动机性访谈等技能支持患者行为改变”、“对患者表现出同情和同理心”以及“解决健康素养低所造成的依从性挑战”。
在第一专业学年春季引入了一门以动机性访谈原则为重点的必修PCC课程,以弥补已发现的课程差距。在其他学期增加了活动和评估,以进一步培养这些技能并进行考核。
该课程弥补了课程差距,受到学生好评。学生们在角色扮演环境中展示了能力,包括在角色扮演活动之间提高了熟练程度。社区药房入门药学实践经验(IPPE)的反馈表明,学生们认为自己有能力在实践中运用这些技能。
本课程已成功确立为面向第一专业学年药学学生的PCC概念和技能入门课程。在社区药房IPPE期间对这些技能的运用表明,该课程为在剩余的理论和实践课程中进一步培养这些技能奠定了基础。