Hamilton Leslie A, Behal Michael L, Metheny William P
University of Tennessee Health Science Center College of Pharmacy, Knoxville, TN, USA.
University of Kentucky Albert B. Chandler Hospital, Lexington, KY, USA.
Hosp Pharm. 2022 Aug;57(4):442-447. doi: 10.1177/00185787211046860. Epub 2021 Sep 16.
The graduating medical student transitioning to the role of a first-year medical resident is expected to know the proper medications and dosages for routine patient conditions. Pharmacists on an interdisciplinary health care team can be effective teachers of medical residents. Given the small amount of pharmacy-based education included in medical school curricula, it is important that medical residents have a basic foundation of pharmacotherapeutic knowledge. The purpose of this study was to assess the effectiveness of a pharmacist-led education session in improving medical resident pharmacotherapy knowledge. During orientation in 2016 to 2019, first-year medical residents completed an 8-item pre-test assessing their choices of medications and dosages on 8 patient conditions. A post-test assessing these same items was taken after a 50-minute lecture from a pharmacist experienced in resident education. First-year medical residents at a separate institution within the university system completed the pre-test only. Overall, 243 medical residents received the lecture and took both tests and 170 medical residents at the other institution completed the pre-test only (100% response rate). Using descriptive statistics, the 2 groups of medical residents were comparable in age, gender, and scores on the pre-test. Medical residents receiving the lecture showed an average 32% point change improvement in performance on the post-test. The pharmacist-led lecture consistently received the highest ratings (4.7 ± 0.5 out of 5) from residents of all the orientation topics presented. A pharmacist-led education session increased the pharmacotherapy knowledge of first-year medical residents at their resident orientation. Medical residents value reinforcement of basic pharmacotherapy knowledge to start their training.
即将毕业的医学生过渡到一年级住院医师的角色时，需要了解常规患者病情的合适药物和剂量。跨学科医疗团队中的药剂师可以成为住院医师的有效教师。鉴于医学院课程中基于药学的教育内容较少，住院医师具备药物治疗知识的基础非常重要。本研究的目的是评估由药剂师主导的教育课程在提高住院医师药物治疗知识方面的有效性。在2016年至2019年的入职培训期间，一年级住院医师完成了一项包含8个项目的预测试，评估他们对8种患者病情的药物选择和剂量。在聆听了一位在住院医师教育方面经验丰富的药剂师进行的50分钟讲座后，进行了评估相同项目的后测试。大学系统内另一所机构的一年级住院医师仅完成了预测试。总体而言，243名住院医师参加了讲座并进行了两项测试，另一所机构的170名住院医师仅完成了预测试（回复率100%）。使用描述性统计方法，两组住院医师在年龄、性别和预测试分数方面具有可比性。接受讲座的住院医师在后测试中的表现平均提高了32个百分点。在所有入职培训主题中，由药剂师主导的讲座一直获得住院医师的最高评分（满分5分，4.7±0.5）。由药剂师主导的教育课程提高了一年级住院医师在入职培训时的药物治疗知识。住院医师重视在开始培训时强化基本药物治疗知识。
