社区临床药师培训中内分泌专业带教的思考
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篇名: 社区临床药师培训中内分泌专业带教的思考
TITLE:
摘要: 目的:为社区临床药师培训中内分泌专业带教的规范和完善提供参考。方法:基于上海市社区临床药师培训大纲的要求,总结社区临床药师培训的特征和内容,结合实际分析我院内分泌专业的带教特点、效果评价及存在的问题。结果与结论:社区临床药师培训具有培训病种为慢病病种、培训周期短、培训有医联体平台的支持等特征,其培训内容为理论学习与业务知识培训、药学监护与用药教育、病例讨论、作业指导与点评;与其他专业相比,内分泌专业具有更加强调全面的药学监护(如糖尿病患者的药学监护不仅要关注降糖,还要关注降压、降血脂及并发症的监护)、注重药物治疗管理(MTM)教学(对患者提供用药教育、咨询指导、医疗重整等一系列专业化服务以提高用药的安全性、有效性和依从性、进而控制好血糖、延缓或避免并发症)、注重健康宣教能力的培养和沟通能力的培养等特点;培训效果评价包括对学员和对带教老师的评价,其中前者包括客观评价(理论知识测验、床旁用药教育考核和作业评分)和主观评价(考勤、态度、临床实践表现),后者主要由学员对老师评分(包括专业水平、教学态度、带教能力和教学内容四个方面);在培训过程中,发现了学员文献检索能力差、面对临床实际糖尿病患者思路不清晰、作业书写和排版不规范,带教教师经验少、无法做到因材施教和个体化培训等问题,培训带教模式有待继续完善。
ABSTRACT: OBJECTIVE: To provide reference for standardization and improvement of teaching model for endocrinology speciality in community clinical pharmacists training base. METHODS: Based on the requirments of community clinical pharmacists training in Shanghai,  the characteristics and contents of community clinical pharmacists training were summarized, and teaching characteriatiostics, effect evaluation and problems werer analyzed on the basis of the acutual situation in our hospital. RESULTS & CONCLUSIONS: Community clinical pharmacists training has the characteristics of training for chronic diseases, short training cycle, and support from the medical consortium platform. Its contents are theoretical learning and professional knowledge training, pharmaceutical care and medication education, case discussion, homework guidance and comment. Compared with other specility, endocrinology speciality has the characteristics of strengthening comprehensive pharmaceutical care (for example, pharmaceutical care of diabetic patients should pay attention not only to hypoglycemia, but also to hypobaric, hypolipidemic and complications), emphasizing medication treatment management (MTM) teaching (provide a series of professional services such as medication education, counseling and guidance, and medical reorganization for patients, so as to improve the safety, effectiveness and compliance of medication, and then control blood glucose, delay or avoid complications), emphasizing the cultivation of health education ability and communication ability. The evaluation of training effect included the evaluation of trainees and teachers. The former includes objective evaluation (theoretical knowledge test, bedside medication education assessment and homework assessment) and subjective evaluation (attendance, attitude, clinical practice performance). The latter is mainly scored by trainees on teachers (including professional level, teaching attitude, teaching ability and content). Through the training, it is found that the trainees’ literature retrieval ability is poor, the trainees have not clear idea to diabetic patients, the homework writing and typesetting are not standardized; the teaching teachers have less experience and teachers could not teach the students in accordance with their aptitude and provide individualized training. The training and teaching mode needed to be further improved.
期刊: 2019年第30卷第19期
作者: 高一萍,张蓉蓉,毛士龙
AUTHORS: GAO Yiping,ZHANG Rongrong,MAO Shilong
关键字: 社区临床药师;培训带教;内分泌专业;药学服务
KEYWORDS: Community clinical pharmacists; Training and teaching; Endocrinology speciality; Pharmaceutical care
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