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医学和药学专业学生之间开展合作项目以提高多药治疗用药安全(PILLE)

Development of a project for interprofessional collaboration between medical and pharmacy students to improve medication safety in polypharmacy (PILLE).

机构信息

Charité - Universitätsmedizin Berlin, Charité Campus Mitte, Institut für Allgemeinmedizin, Berlin, Germany.

Freie Universität Berlin, Institut für Pharmazie, Berlin, Germany.

出版信息

GMS J Med Educ. 2023 Feb 15;40(1):Doc3. doi: 10.3205/zma001585. eCollection 2023.

Abstract

AIM

Interprofessional collaboration is particularly relevant to patient safety in outpatient care with polypharmacy. The educational project "PILLE" is meant to give medical and pharmacy students an understanding of the roles and competencies needed for cooperation in the provision of healthcare and to enable interprofessional learning.

METHOD

The curriculum is aimed at pharmacy and medical students and was developed in six steps according to the Kern cycle. It is comprised of an interprofessional seminar, a joint practical training in a simulated pharmacy, and a tandem job shadowing at a primary care practice. The project was implemented in three stages due to the pandemic: The interprofessional online seminar based on the ICAP model and the digital inverted classroom was held in the 2020 winter semester; the interprofessional practical training was added in the 2021 summer semester; and the interprofessional tandem job shadowing at a primary care practice in the 2021 winter semester. Attitudes toward interprofessional learning, among other things, was measured in the evaluation using the SPICE-2D questionnaire (Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education).

RESULTS

In the first three semesters, a total of 105 students (46 pharmacy, 59 medicine) participated in the project, of which 78 participated in the evaluation (74% response rate). The students stated, in particular, that they had learned about the competencies and roles of the other profession and desired additional and more specific preparatory materials for the course sessions. The SPICE-2D questionnaire showed high values for both groups of students already in the pre-survey and these increased further as a result of the project.

CONCLUSION

Joint case-based learning could be implemented under the conditions imposed by the pandemic. Online teaching is a low-threshold means to enable interprofessional exchange.

摘要

目的

多药治疗的门诊护理中,跨专业协作尤其与患者安全相关。教育项目“PILLE”旨在使医学生和药学学生了解在提供医疗保健方面合作所需的角色和能力,并促进跨专业学习。

方法

该课程面向药学和医学专业学生,根据 Kern 周期分六个步骤开发。它包括一个跨专业研讨会、在模拟药房进行的联合实践培训以及在初级保健诊所进行的结对见习。由于疫情,该项目分三个阶段实施:基于 ICAP 模型和数字化翻转课堂的跨专业在线研讨会在 2020 年冬季学期举行;2021 年夏季学期增加了跨专业实践培训;2021 年冬季学期在初级保健诊所进行了跨专业结对见习。除其他事项外,通过 SPICE-2D 问卷(学生对医师-药师跨专业临床教育的看法)在评估中测量对跨专业学习的态度。

结果

在前三个学期中,共有 105 名学生(46 名药学专业,59 名医学专业)参加了该项目,其中 78 名学生参加了评估(74%的回应率)。学生们特别表示,他们已经了解了其他专业的能力和角色,并希望为课程提供更多和更具体的预备材料。SPICE-2D 问卷显示,两组学生在预调查中已经具有较高的分数,并且由于该项目的实施而进一步提高。

结论

即使在疫情的限制下,也可以实施联合基于案例的学习。在线教学是促进跨专业交流的低门槛手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26fb/10010767/5d13d8ce39c5/JME-40-3-t-001.jpg

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