Clinical Pharmacy Group, Department of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Viikinkaari 5 E, P.O. Box 56, 00014 Helsinki, Finland.
Faculty of Pharmacy, Pharmacy and Bank Building, Camperdown/Darlington Campus, University of Sydney, Darlington, NSW 2050, Australia.
Int J Environ Res Public Health. 2023 Mar 14;20(6):5079. doi: 10.3390/ijerph20065079.
Pharmacists are increasingly involved in medication history taking, medication reconciliation, and review in their daily practice. The objectives of this study were to investigate third-year pharmacy students' self-assessed competency in medication reviews and gather their feedback for further development of medication review training in their curriculum. The study was conducted as a self-assessment of third-year pharmacy students at the completion of their second three-month internship period in a community pharmacy in 2017-2018. The students were assigned to review medications of a real patient under the supervision of a medication review accredited pharmacist during their internship. The self-assessment was carried out via an e-form, which was created for this study. Recently established national medication review competence recommendations for pharmacists were used as a reference. Students ( = 95, participation rate: 93%) self-assessed their competency as good or very good in 91% ( = 28) of the competency areas listed in the self-assessment. The highest proportion of competencies that were self-assessed as good or very good included using medication risk management databases and evaluating the clinical importance of the information (97%, = 92). The lowest proportion of competencies was found in applying clinical information from the key laboratory tests to patient care and knowing which laboratory tests are most important to monitor in each condition and medication (36%, = 34). The students suggested that their pharmacy education should contain more medication review assignments as group work and that an elective course on medication reviews should be compulsory for all pharmacy students.
药剂师在日常实践中越来越多地参与用药史采集、用药核对和审查。本研究的目的是调查三年级药学学生在药物审查方面的自我评估能力，并为进一步发展课程中的药物审查培训收集他们的反馈意见。该研究是在 2017-2018 年对完成第二个为期三个月的社区药房实习的三年级药学学生进行的自我评估。学生在实习期间在药物审查认证药剂师的监督下审查真实患者的药物。自我评估是通过电子表格进行的，该表格是为本研究创建的。最近为药剂师制定的国家药物审查能力建议被用作参考。学生（= 95，参与率：93%）在自我评估中自我评估了 91%（= 28）列出的能力领域的能力为良好或非常好。自我评估为良好或非常好的能力比例最高的包括使用药物风险管理数据库和评估信息的临床重要性（97%，= 92）。应用关键实验室测试中的临床信息来进行患者护理和了解在每种情况下和药物中哪些实验室测试最重要的能力比例最低（36%，= 34）。学生建议他们的药学教育应包含更多的药物审查作业，并应将药物审查选修课程作为所有药学学生的必修课。
