Farrell Barbara, Raman-Wilms Lalitha, Sadowski Cheryl A, Mallery Laurie, Turner Justin, Gagnon Camille, Cole Mollie, Grill Allan, Isenor Jennifer E, Mangin Dee, McCarthy Lisa M, Schuster Brenda, Sirois Caroline, Sun Winnie, Upshur Ross
Bruyère Research Institute, 43 Bruyère St, Ottawa, ON K1N 5C8 Canada.
Department of Family Medicine, University of Ottawa, Ottawa, ON Canada.
Med Sci Educ. 2023 Feb 23;33(2):551-567. doi: 10.1007/s40670-022-01704-9. eCollection 2023 Apr.
Deprescribing involves reducing or stopping medications that are causing more harm than good or are no longer needed. It is an important approach to managing polypharmacy, yet healthcare professionals identify many barriers. We present a proposed pre-licensure competency framework that describes essential knowledge, teaching strategies, and assessment protocols to promote interprofessional deprescribing skills. The framework considers how to involve patients and care partners in deprescribing decisions. An action plan and example curriculum mapping exercise are included to help educators assess their curricula, and select and implement these concepts and strategies within their programs to ensure learners graduate with competencies to manage increasingly complex medication regimens as people age.
The online version contains supplementary material available at 10.1007/s40670-022-01704-9.
减药涉及减少或停用那些弊大于利或不再需要的药物。这是管理多重用药的重要方法，但医疗保健专业人员发现存在许多障碍。我们提出了一个拟议的执照前能力框架，该框架描述了促进跨专业减药技能的基本知识、教学策略和评估方案。该框架考虑了如何让患者和护理伙伴参与减药决策。还包括一个行动计划和示例课程映射练习，以帮助教育工作者评估他们的课程，并在其项目中选择和实施这些概念和策略，以确保学习者毕业时具备管理随着人们年龄增长而日益复杂的药物治疗方案的能力。
在线版本包含可在10.1007/s40670-022-01704-9获取的补充材料。
