Petersen Maike, Gehrke-Beck Sabine, Zimmermann Nicole, Konrad Amrei-Pauline, Behrend Ronja, Peters Harm, Schulz Martin, Kloft Charlotte, Herrmann Wolfram J
Institute of General Practice and Family Medicine, Charité- Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Institute of Pharmacy, Freie Universität Berlin, Kelchstr. 31, 12169, Berlin, Germany.
BMC Med Educ. 2025 Jun 3;25(1):828. doi: 10.1186/s12909-025-07424-z.
An increasingly ageing population and the resulting multimorbidity is a growing challenge for healthcare systems. A solution to tackle this problem is interprofessional collaboration. Interprofessional education, as an early meeting point, could foster a future successful interprofessional collaboration. So, the aim of our pilot study was to assess whether the "interprofessional collaboration between medical and pharmacy students to improve medication safety in polypharmacy" (PILLE) project changed the perception of medical and pharmacy students towards interprofessional collaboration.
PILLE consisted of three parts: (1) A mandatory 90-minutes interprofessional seminar; (2) A voluntary 120-minutes practical training; (3) A voluntary half-day interprofessional tandem work shadowing at a General Practitioner's (GP) office. We used a controlled study design. Medical and pharmacy students from the intervention group attended the seminar (1). Medical students of the control group attended an interactive 90-minutes monoprofessional seminar only. Working together on cases was the similarity of both seminars. The students from the intervention group could attend (2) and (3). The outcome of interest was the change in students' perception towards interprofessional collaboration after participating in PILLE, using pre- and post-questionnaires with the validated German version of Student Perceptions of Physician-Pharmacist Interprofessional Clinical Education (SPICE-2D) instrument. Descriptive and statistical evaluation was conducted. To assess if there is a significant pre-post-difference in the SPICE-2D overall score within the individual groups, paired t-tests were executed. To investigate if there is a significant change in SPICE-2D overall score difference between the medical students control and intervention group, an unpaired t-test was performed.
In total, 436 students participated: 96 medical students and 116 pharmacy students in the intervention group, and 224 medical students in the control group. The participating students from both professions already had a pronounced positive perception at baseline. All pre-post-mean-differences within the individual groups and between the medical students control and intervention group were not statistically significant.
Participating medical and pharmacy students already had a positive perception at baseline. A one-time and short-term mandatory seminar of 90-minutes seems not to be sufficient to measure a change in perception. Future interprofessional education projects should focus on frequent meeting points between students.
人口老龄化加剧以及由此产生的多种疾病并存，对医疗保健系统构成了日益严峻的挑战。解决这一问题的一个办法是跨专业协作。跨专业教育作为早期的交汇点，可以促进未来成功的跨专业协作。因此，我们这项试点研究的目的是评估“医学生与药学专业学生跨专业协作以提高多重用药安全性”（PILLE）项目是否改变了医学生和药学专业学生对跨专业协作的看法。
PILLE项目由三个部分组成：（1）一场90分钟的强制性跨专业研讨会；（2）一次120分钟的自愿实践培训；（3）一次在全科医生办公室进行的自愿半天跨专业结对跟班实习。我们采用了对照研究设计。干预组的医学生和药学专业学生参加了研讨会（1）。对照组的医学生仅参加了一场90分钟的互动式单专业研讨会。两场研讨会的相似之处在于都通过处理病例来开展。干预组的学生可以参加（2）和（3）。感兴趣的结果是学生在参与PILLE项目后对跨专业协作看法的变化，使用带有经过验证的德文版《学生对医师 - 药师跨专业临床教育的认知》（SPICE - 2D）工具的前后调查问卷。进行了描述性和统计性评估。为了评估各个组内SPICE - 2D总分在前后是否存在显著差异，进行了配对t检验。为了调查医学生对照组和干预组之间SPICE - 2D总分差异是否有显著变化，进行了非配对t检验。
共有436名学生参与：干预组有96名医学生和116名药学专业学生，对照组有224名医学生。两个专业的参与学生在基线时就已经有了明显的积极看法。各个组内以及医学生对照组和干预组之间的所有前后平均差异均无统计学意义。
参与的医学生和药学专业学生在基线时就已经有了积极看法。一场90分钟的一次性短期强制性研讨会似乎不足以衡量看法的变化。未来的跨专业教育项目应侧重于学生之间频繁的交汇点。
