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由药剂师主导的针对医学专业最后一年学生的教育:一项试点研究。

Pharmacist-Led Education for Final Year Medical Students: A Pilot Study.

作者信息

Mokrzecki Sophie, Pain Tilley, Mallett Andrew, Perks Stephen

机构信息

College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.

Pharmacy Department, Townsville University Hospital, Townsville, QLD, Australia.

出版信息

Front Med (Lausanne). 2021 Sep 23;8:732054. doi: 10.3389/fmed.2021.732054. eCollection 2021.

Abstract

Prescribing is a core skillset for medical officers. Prescribing errors or deficiencies can lead to patient harm and increased healthcare costs. There is an undefined role for pharmacist-led education to final year medical students to improve prescribing skills. Assess if pharmacist-led education on prescription writing improves the quality and safety of final year medical students' prescribing skills.   Final year medical students were randomised into tutorial (TG) or non-tutorial groups (NTG) and assessed pre- and post- intervention. TG received education by a clinical pharmacist and pharmacy educator using case-based learning. NTG received no additional training as per usual practice. Following the pre-test, all students completed a 3-week tertiary hospital medical ward placement. Students completed the post-test following placement and after the TG participated in the intervention. Assessment included writing Schedule 4 (S4, prescription only), Schedule 8 (S8, controlled drug), S4 streamline (S4SL), and Mixed case (S4 and S8) prescriptions. At baseline, there were no significant differences between TG and NTG for overall scores or proportion of passes. Post intervention scores significantly improved in TG ( = 0.012) whereas scores significantly decreased in the NTG ( = 0.004). The overall proportion of passes was significantly higher in the TG than NTG ( < 0.001). Education by a clinical pharmacist improved short-term prescribing skills of final year medical students in this study. Students learning primarily experientially from peers and rotational supervisors showed decreased prescribing skills. We propose pharmacist-led education on prescription writing should be further evaluated in larger studies across more student cohorts and for longer periods of follow up time to clarify whether such an educational model could be included in future medical school curricula.

摘要

开处方是医务人员的一项核心技能。开处方错误或存在缺陷会对患者造成伤害,并增加医疗成本。由药剂师主导对医学专业最后一年的学生进行教育以提高开处方技能,其作用尚不明确。评估由药剂师主导的处方书写教育是否能提高医学专业最后一年学生开处方技能的质量和安全性。医学专业最后一年的学生被随机分为辅导组(TG)或非辅导组(NTG),并在干预前后进行评估。TG组由临床药剂师和药学教育工作者通过基于案例的学习进行教育。NTG组按常规做法不接受额外培训。预测试后,所有学生在三级医院的内科病房进行了为期3周的实习。学生在实习结束后以及TG组参与干预后完成了后测试。评估包括书写第4类(S4,仅处方)、第8类(S8,管制药品)、S4简化版(S4SL)和混合案例(S4和S8)处方。在基线时,TG组和NTG组在总体得分或及格比例方面没有显著差异。干预后,TG组的得分显著提高( = 0.012),而NTG组的得分显著下降( = 0.004)。TG组的总体及格比例显著高于NTG组( < 0.001)。在本研究中,由临床药剂师进行的教育提高了医学专业最后一年学生的短期开处方技能。主要通过向同龄人及轮转带教老师进行实践学习的学生,其开处方技能有所下降。我们建议,应在更多学生群体中开展更大规模的研究,并进行更长时间的随访,以进一步评估由药剂师主导的处方书写教育,从而明确这种教育模式是否可纳入未来的医学院课程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e060/8496736/11be7eff6943/fmed-08-732054-g0001.jpg

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