Loya Amanda M, Strate Abigail, Molokwu Jennifer C, Martin Charmaine, Strate Justin, Terrazas William Campillo
The University of Texas at El Paso, 500 W. University Ave, TX 79968 El Paso, USA.
El Paso, TX USA.
Med Sci Educ. 2021 Apr 28;31(3):1073-1081. doi: 10.1007/s40670-021-01276-0. eCollection 2021 Jun.
Current trends in medical school education indicate an existing need for increasing medical student exposure to pharmacotherapy education. The objectives of this study are to describe the development of an interprofessional, application-based Pharmacotherapeutics in Primary Care selective for 3rd year medical students and to assess its influence on knowledge, attitudes, and skills related to pharmacotherapy of high-risk medications and patient populations.
The selective was implemented across fourteen cohorts of medical students that were evaluated over a 5-year academic period ( = 68). Our curriculum was unique in that it merged basic pharmacology and pharmacotherapy concepts with application-based medication management of high-risk patients in addition to the incorporation of an interprofessional home visit experience.
Pre- and post-assessment analyses found statistically significant improvements in students' pharmacotherapeutic knowledge and skills. There was a significant increase in the knowledge post-test mean score (71.8; SD = 11.2) compared to the pre-test mean score (57.3; SD = 11.9; < .001). A similar trend was observed for the skills mean score in which the post-test average (63; SD = 16.9) was significantly higher than the pretest average (23.3; SD = 14.4; < 0.001). Students' attitudes also improved when rating their confidence in completing specific tasks such as recommending dosing regimens and utilizing drug information resources.
This intervention provided 3rd-year medical students with opportunities to improve their knowledge, attitudes, and skills related to the pharmacotherapeutic management of high-risk medications and patient populations while exploring meaningful interprofessional interactions with faculty and learners from other disciplines.
医学院校教育的当前趋势表明,现需要增加医学生接受药物治疗学教育的机会。本研究的目的是描述为三年级医学生开发的一门跨专业、基于应用的初级保健药物治疗学选修课,并评估其对与高风险药物和患者群体的药物治疗相关的知识、态度和技能的影响。
该选修课在14个医学生班级中实施,这些班级在5年的学术期内接受了评估(n = 68)。我们的课程独特之处在于,它将基础药理学和药物治疗学概念与高风险患者的基于应用的药物管理相结合,此外还纳入了一次跨专业家访体验。
前后评估分析发现,学生的药物治疗知识和技能有统计学上的显著提高。与测试前平均分数(57.3;标准差 = 11.9;P <.001)相比,测试后知识平均分数显著提高(71.8;标准差 = 11.2)。技能平均分数也观察到类似趋势,测试后平均分数(63;标准差 = 16.9)显著高于测试前平均分数(23.3;标准差 = 14.4;P < 0.001)。当学生对完成特定任务(如推荐给药方案和利用药物信息资源)的信心进行评分时,他们的态度也有所改善。
该干预措施为三年级医学生提供了机会,以提高他们与高风险药物和患者群体的药物治疗管理相关的知识、态度和技能,同时探索与其他学科的教师和学习者进行有意义的跨专业互动。