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上海市社区临床药师在职规范化培训现状调研及优化对策
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| 篇名： | 上海市社区临床药师在职规范化培训现状调研及优化对策 |
| TITLE： | Investigation on the current status and optimization strategies for the standardized on-the-job training for community clinical pharmacists in Shanghai |
| 摘要： | 目的 系统考察上海市社区临床药师在职规范化培训的实施现状与实际效果，为进一步优化培训设计提供科学依据。方法采用问卷调查法，收集2016－2024年参加上海市社区临床药师在职规范化培训的学员和带教药师的基本信息、对培训方案和培训效果满意度的评价以及改进建议，并进行数据汇总分析。结果共回收420份问卷，其中学员340份、带教药师80份。参加培训前仅有30.29%的学员承担或分管临床药学相关工作，在培训后这一比例上升至73.24%。大部分带教药师具备比较丰富的临床药学工作经验（从事临床药学工作≥5年者占76.25%）和带教经验（参与≥3期带教工作者占78.75%）。65.59%的学员和55.00%的带教药师认为混合式培训的学习效果最好；超过80.00%的学员和带教药师认为培训总时长、理论学习时长、基地实践时长合理；超过95.00%的学员和带教药师认为作业和考核方案合理。学员对培训内容与实际工作的相关性评价较高（相关性均分＞4.5分），其对慢性疾病患者药物治疗管理模块的难度评分显著高于处方审核与点评模块、居家药学服务模块（P＜0.05）。学员和带教药师对各项目的培训效果满意度平均评分均在4分以上，整体满意度较高。教学资源供给不足成为学员与带教药师共同关注的核心改进方向。结论上海市社区临床药师在职规范化培训在提升社区药学服务水平方面取得了一定成效，其持续改进需聚焦于内容设计、资源建设和师资培养。 |
| ABSTRACT： | OBJECTIVE To systematically investigate the current status and effectiveness of the standardized on-the-job training program for community clinical pharmacists in Shanghai， and to provide a scientific basis for optimizing the training scheme. METHODS A questionnaire survey was conducted to collect the data from trainees and mentor pharmacists who participated in the program between 2016 and 2024. The survey examined their basic information， evaluations of the training scheme， satisfaction with training outcomes， and suggestions for improvement. Statistical analyses were also conducted. RESULTS A total of 420 valid responses were collected， including 340 from trainees and 80 from mentor pharmacists. Before training， only 30.29% of trainees were engaged in clinical pharmacy-related work， whereas this proportion increased to 73.24% after training. Most mentor pharmacists had extensive experience in clinical pharmacy （76.25% with ≥5 years of experience） and mentoring （78.75% with ≥3 teaching sessions）. Totally 65.59% of trainees and 55.00% of mentor pharmacists believed that blended training yielded the best learning outcomes. Over 80.00% of both trainees and mentor pharmacists considered the overall training duration， theoretical study time， and practical training time to be reasonable. More than 95.00% of trainees and mentor pharmacists agreed that the homework and assessment schemes were appropriate. Trainees rated the relevance of training content to their actual work highly （with an average relevance score ＞4.5）， though they perceived the chronic disease medication therapy management module as significantly more challenging than the prescription review and evaluation module and the home-based pharmaceutical care module. The average satisfaction score of trainees and mentor pharmacists with the training effectiveness of each project was above 4 points， indicating a high overall satisfaction. Inadequate provision of teaching resources was unanimously recognized by trainees and mentor pharmacists as the key area requiring improvement. CONCLUSIONS The standardized on-the-job training program for community clinical pharmacists in Shanghai has contributed to improving pharmaceutical services in community healthcare settings. However， ongoing improvements must concentrate on content design， resource development， and faculty cultivation. |
| 期刊： | 2025年第36卷第13期 |
| 作者： | 向阳佳一；盛菁；王利苹；罗列；袁媛；张晓丹；李燕；王斌；李光慧 |
| AUTHORS： | XIANG Yangjiayi， SHENG Jing，WANG Liping，LUO Lie，YUAN Yuan，ZHANG Xiaodan，LI Yan，WANG Bin，LI Guanghui |
| 关键字： | 社区临床药师；在职规范化培训；社区药学服务；问卷调查 |
| KEYWORDS： | community clinical pharmacist； standardized on-the-job training； community pharmaceutical services； questionnaire |
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