Floren Leslie Carstensen, Pittenger Amy L, Wilting Ingeborg, Irby David M, Cate Olle Ten
513 Parnassus Avenue, Room S947, San Francisco, CA 94143-0912 USA School of Pharmacy, University of California San Francisco.
Minneapolis, MN USA School of Pharmacy, University of Minnesota.
Med Sci Educ. 2023 May 6;33(3):1-10. doi: 10.1007/s40670-023-01784-1.
Workplace-based interactions between residents and pharmacists, though relatively underexplored, might contribute substantially to learning. This international study sought to investigate the affordances residents use for informal learning about medications, their interactions with pharmacists and patterns of resident-pharmacist engagement, as well as residents' perceived impact of these interactions on their learning. Contextual differences between US and Dutch residency training and electronic health record (EHR) may impact informal learning about medications. We conducted a cross-sectional, online, 25-item survey study, including closed-format and open-response questions among current resident physicians (post-graduate years 1-6, from a variety of residency programs = 803) from the University of California San Francisco, the University of Minnesota, and the University Medical Center Utrecht. Responses from 173 residents in both countries revealed that these physician trainees were afforded opportunities to engage in a wide variety of pharmacotherapy-related activities but engaged differently with social and environmental resources for support. Residents from the United States (US) utilized pharmacists and Up-To-Date, whereas Dutch residents preferentially utilized the online Dutch medication information site and EHR-embedded medication resources. US residents interacted with pharmacists significantly more frequently than Dutch residents. Pharmacists provided residents with a wide range of useful information, much of which is integrated into the medication resources in the Dutch EHR-based decision-support system. While US residents reported overwhelmingly that informal interactions with pharmacists contribute to their learning about medications, Dutch residents' responses did not confirm this. Intentionally designing residents' training to include opportunities for interactions with pharmacists could potentially positively impact residents' informal workplace learning.
The online version contains supplementary material available at 10.1007/s40670-023-01784-1.
住院医师与药剂师在工作场所的互动尽管相对未得到充分研究，但可能对学习有很大贡献。这项国际研究旨在调查住院医师用于药物非正式学习的条件、他们与药剂师的互动以及住院医师与药剂师的参与模式，以及住院医师对这些互动对其学习的感知影响。美国和荷兰住院医师培训与电子健康记录（EHR）之间的背景差异可能会影响药物的非正式学习。我们进行了一项横断面在线25项调查研究，包括对来自加利福尼亚大学旧金山分校、明尼苏达大学和乌得勒支大学医学中心的现任住院医师（研究生1 - 6年级，来自各种住院医师项目 = 803）的封闭式和开放式问题。来自两国的173名住院医师的回复显示，这些医师培训生有机会参与各种与药物治疗相关的活动，但在利用社会和环境资源获取支持方面的参与方式有所不同。美国住院医师利用药剂师和《最新医学信息》，而荷兰住院医师则优先利用荷兰在线药物信息网站和EHR中嵌入的药物资源。美国住院医师与药剂师互动的频率明显高于荷兰住院医师。药剂师为住院医师提供了广泛有用的信息，其中许多已整合到基于荷兰EHR的决策支持系统中的药物资源中。虽然美国住院医师压倒性地报告称与药剂师的非正式互动有助于他们学习药物，但荷兰住院医师的回复并未证实这一点。有意设计住院医师培训，使其包括与药剂师互动的机会，可能会对住院医师在工作场所的非正式学习产生积极影响。
在线版本包含可在10.1007/s40670 - 023 - 01784 - 1获取的补充材料。
