Slaughter R L, Erickson S R, Thomson P A
Department of Pharmacy Practice, College of Pharmacy and Allied Health Professions, Wayne State University, Detroit, MI 48202.
Ann Pharmacother. 1994 May;28(5):665-70. doi: 10.1177/106002809402800519.
To assess the types, perceived benefit, and cost impact of the interactions provided by two-year post-B.S. Pharm.D. students on clerkship rotations.
Information was obtained through voluntary reporting by students on a standardized data collection form. Cost analysis and peer review were performed on a subset of interventions.
The setting of the study included hospital clerkship sites (general medicine and specialty rotations) and an ambulatory care site (general medicine).
Six second-year Pharm.D. students.
Reports that were completed totaled 951, including 612 intervention, 335 information, and 4 unknown events. Most events were drug related and student initiated. Follow-up was predominantly to physicians. Intervention events primarily involved changes in drug therapy regimens (63.5 percent), changes in dose (29.5 percent), and identification of potential adverse drug reactions (7 percent). Acceptance rate of recommendations was 78.7 percent. Antibiotics, cardiovascular agents, and central nervous system drugs accounted for 55.5 percent of all interventions. Almost 80 percent of disease states encountered included cardiovascular, infectious, neurologic, pulmonary, gastrointestinal, and endocrine diseases. Overall, peer review scores tended to show a positive impact, with physician scoring higher than pharmacy faculty scoring. Medication-related costs were reduced modestly by accepted student interventions.
This study demonstrates substantial clinical involvement of two-year post-B.S. Pharm.D. students on clerkships. The results indicate that the curriculum of Pharm.D. programs should emphasize cardiology, infectious disease, neurology, and gerontology.
评估药学博士（Pharm.D.）学位后两年制学生在临床实习轮转期间提供的互动的类型、感知益处和成本影响。
通过学生自愿在标准化数据收集表上报告来获取信息。对一部分干预措施进行了成本分析和同行评审。
研究地点包括医院临床实习点（普通内科和专科轮转）以及一个门诊护理点（普通内科）。
六名药学博士二年级学生。
共完成951份报告，包括612次干预、335次信息提供和4次不明事件。大多数事件与药物相关且由学生发起。随访主要针对医生。干预事件主要涉及药物治疗方案的改变（63.5%）、剂量改变（29.5%）以及潜在药物不良反应的识别（7%）。建议的接受率为78.7%。抗生素、心血管药物和中枢神经系统药物占所有干预措施的55.5%。几乎80%遇到的疾病状态包括心血管、感染、神经、肺部、胃肠道和内分泌疾病。总体而言，同行评审得分往往显示出积极影响，医生的评分高于药学教员的评分。学生的可接受干预措施适度降低了与药物相关的成本。
本研究表明药学博士学位后两年制学生在临床实习中有大量临床参与。结果表明，药学博士项目的课程应强调心脏病学、传染病学、神经病学和老年医学。
