Greene R J, Cavell G F, Jackson S H
Pharmacy Department, King's Healthcare, London, UK.
Med Educ. 1996 Mar;30(2):129-33. doi: 10.1111/j.1365-2923.1996.tb00730.x.
Pharmacists have become increasingly involved in influencing prescribing. Pharmaceutical education has changed accordingly, with increased teaching in therapeutics, partly on hospitals wards, giving students an insight into diseases and helping communication with clinicians. To extend this idea we have designed joint therapeutics teaching sessions with pharmacy and medical students. The scheme involves final year pharmacy students who have completed a course in clinical pharmacy and medical students who have completed their second MB. Interdisciplinary pairs of students are assigned a patient with common medical and therapeutic problems, such as arthritis, diabetes and cardiac failure; patients on multiple drug treatments are preferred. They jointly obtain a history: the medical student performs basic clerking, while the pharmacy student obtains the medication history. The medical student subsequently presents a brief medical history, with a summary of the patient's current problems. For each problem, the pharmacy student presents the current therapy, its rationale and how it is to be monitored. Experience with 73 students over 3 years has shown that almost all found sessions with students from another discipline useful. Few felt that members of the pairs contributed unequally. The main problem appeared to be insufficient time (although 2 1/2 h were allowed). Most students favoured more such sessions. Little difference in ability appeared between the two disciplines; there was considerable co-operation and little nascent 'professional rivalry'. The medical students were more comfortable interviewing patients, and the pharmacy students more confident analysing drug therapy. It is concluded that such interdisciplinary sessions are a successful method of clinical teaching and should be encouraged.
药剂师在影响处方开具方面的参与度越来越高。药学教育也相应地发生了变化，治疗学方面的教学有所增加，部分是在医院病房进行，这让学生对疾病有了深入了解，并有助于与临床医生进行沟通。为了拓展这一理念，我们设计了药学和医学专业学生联合治疗学教学课程。该计划涉及已完成临床药学课程的药学专业最后一年学生以及已完成医学学士学位第二年课程的医学专业学生。跨学科的学生配对被分配给患有常见医疗和治疗问题的患者，如关节炎、糖尿病和心力衰竭；优先选择接受多种药物治疗的患者。他们共同获取病史：医学生进行基本的病历记录，而药学专业学生获取用药史。随后，医学生简要介绍病史，总结患者当前的问题。对于每个问题，药学专业学生介绍当前的治疗方法、其原理以及如何进行监测。三年来对73名学生的经验表明，几乎所有人都认为与来自另一学科的学生一起上课很有用。很少有人觉得配对成员贡献不均。主要问题似乎是时间不足（尽管安排了2.5小时）。大多数学生希望有更多这样的课程。两个学科在能力上几乎没有差异；有相当多的合作，几乎没有新出现的“专业竞争”。医学生在询问患者方面更自在，而药学专业学生在分析药物治疗方面更自信。得出的结论是，这种跨学科课程是一种成功的临床教学方法，应该得到鼓励。
