Nierenberg David W, Lewis Lionel D
Section of Clinical Pharmacology, Department of Medicine, The Geisel School of Medicine at Dartmouth and Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Br J Clin Pharmacol. 2025 Aug;91(8):2162-2167. doi: 10.1111/bcp.16179. Epub 2024 Jul 30.
This manuscript is a description of the clinical pharmacology and therapeutics (CPT) course that is required to be taken, and passed, by all medical students at the Geisel School of Medicine at Dartmouth during their final year of training, prior to entering their internship/residency.
We present a detailed CPT course curriculum, which includes the novel use of simulated expected professional activities (EPAs) and an analysis of the level of confidence the students who took the course had at the beginning and at the end of the course in performing the three simulated EPAs.
The course currently consists of 31 h of presentations on what are considered major clinical pharmacology topics and is led by two clinical pharmacologists at Dartmouth (D.W.N. and L.D.L.) supplemented by therapeutic area specialist faculty. In addition, the Dartmouth CPT course incorporates three required simulated entrustable professional activities (EPAs) focused on drug prescribing. These are written exercises, completed outside scheduled class hours, and submitted to and evaluated by the course directors with individual feedback to each medical student. We present preliminary data on the benefits of using these simulated EPAs in undertaking what we consider are three pivotal prescribing skills.
The Dartmouth CPT course is unique and is only mirrored by a small number of US medical schools. The students showed a significant improvement in their level of confidence in performing the three simulated EPAs at the end of the course.
本手稿描述了达特茅斯盖泽尔医学院所有医学生在培训最后一年、进入实习/住院医师培训之前必须修读并通过的临床药理学与治疗学（CPT）课程。
我们展示了详细的CPT课程大纲，其中包括模拟预期专业活动（EPA）的新颖应用，以及对修读该课程的学生在课程开始和结束时进行三项模拟EPA的信心水平分析。
该课程目前包括31小时关于主要临床药理学主题的讲座，由达特茅斯的两位临床药理学家（D.W.N.和L.D.L.）授课，并由各治疗领域的专家教员辅助。此外，达特茅斯CPT课程纳入了三项关于药物处方的必修模拟可托付专业活动（EPA）。这些是在预定课堂时间之外完成的书面练习，提交给课程主任并由其评估，同时会给每位医学生提供个人反馈。我们展示了关于使用这些模拟EPA在我们认为的三项关键处方技能方面的益处的初步数据。
达特茅斯CPT课程独具特色，美国只有少数医学院有类似课程。学生在课程结束时进行三项模拟EPA的信心水平有显著提高。
