Coleman Professor and Vice Chair, Division of Clinical and Administrative Sciences, Xavier University of Louisiana College of Pharmacy, New Orleans, LA, USA.
Clinical Professor of Pediatrics, Louisiana State University Health Sciences Center School of Medicine, New Orleans, LA, USA.
Med Educ Online. 2021 Dec;26(1):1955645. doi: 10.1080/10872981.2021.1955645.
Pharmacotherapy training for pediatric residents is an important part of their overall education. Limited data exist describing formal engagement of clinical pharmacists in residency training. The objective of this study was to evaluate a novel pharmacotherapy rotation for learner gains and program feasibility. We designed a novel pharmacotherapy rotation (PTR) involving a pharmacist preceptor, pediatric resident, and final-year pharmacy students in the pediatric intensive care unit (PICU). Rotation objectives and content were based on learning gaps identified in a review of the resident curriculum. Data from PTRs completed 2014-2020 were used to evaluate PTR impact on residents' knowledge and confidence in pharmacotherapy decision-making, and interprofessional valuing. We also addressed PTR feasibility for long-term and for adoption by others. Measures for demographic, knowledge, and confidence measures were administered to intervention and control groups. Measures for interprofessional valuing and post-PTR feedback were administered only to the intervention group. Pre-post gains were greater for intervention residents (n = 7) than for control (n = 10), (knowledge: p = 0.02, confidence: p < 0.0001). Interprofessional valuing gain for the intervention group was significant (p = 0.004). Few PTR changes have been necessary since initial implementation. Residents provided high ratings of PTR experiences and specific value-added benefits. Designing an inter-professional PTR within the existing PICU and pharmacy rotation enhanced feasibility, curriculum consistency, and flexibility to optimize inter-professional learning.Participation in the PTR enhanced resident pharmacotherapy knowledge and decision-making, and engagement in interprofessional practice. Next steps include expanding the PTR to other settings and specialties with further evaluation study.
儿科住院医师的药物治疗培训是其整体教育的重要组成部分。目前仅有有限的数据描述了临床药师在住院医师培训中的正式参与情况。本研究的目的是评估一种新的药物治疗轮转，以评估学习者的收益和计划的可行性。我们设计了一种新的药物治疗轮转（PTR），涉及儿科重症监护病房（PICU）中的药师导师、儿科住院医师和最后一年的药学学生。轮转的目标和内容是基于对住院医师课程的审查中确定的学习差距。使用 2014-2020 年完成的 PTR 数据来评估 PTR 对住院医师在药物治疗决策方面的知识和信心的影响，以及对专业间价值的影响。我们还解决了长期和其他机构采用 PTR 的可行性问题。对干预组和对照组进行了人口统计学、知识和信心测量。只有干预组接受了专业间价值评估和 PTR 反馈的测量。干预组（n=7）的预前后测收益大于对照组（n=10）（知识：p=0.02，信心：p<0.0001）。干预组的专业间价值评估收益具有统计学意义（p=0.004）。自最初实施以来，PTR 只做了很少的改动。住院医师对 PTR 经验和特定附加值给予了高度评价。在现有的 PICU 和药学轮转中设计一个跨专业的 PTR，提高了可行性、课程一致性和灵活性，以优化跨专业学习。参与 PTR 增强了住院医师的药物治疗知识和决策能力，以及参与专业间实践的能力。下一步包括将 PTR 扩展到其他环境和专业，并进行进一步的评估研究。
