PDF(Pubmed)
Abstract：
Pharmacists are increasingly involved in medication history taking, medication reconciliation, and review in their daily practice. The objectives of this study were to investigate third-year pharmacy students\' self-assessed competency in medication reviews and gather their feedback for further development of medication review training in their curriculum. The study was conducted as a self-assessment of third-year pharmacy students at the completion of their second three-month internship period in a community pharmacy in 2017-2018. The students were assigned to review medications of a real patient under the supervision of a medication review accredited pharmacist during their internship. The self-assessment was carried out via an e-form, which was created for this study. Recently established national medication review competence recommendations for pharmacists were used as a reference. Students (n = 95, participation rate: 93%) self-assessed their competency as good or very good in 91% (n = 28) of the competency areas listed in the self-assessment. The highest proportion of competencies that were self-assessed as good or very good included using medication risk management databases and evaluating the clinical importance of the information (97%, n = 92). The lowest proportion of competencies was found in applying clinical information from the key laboratory tests to patient care and knowing which laboratory tests are most important to monitor in each condition and medication (36%, n = 34). The students suggested that their pharmacy education should contain more medication review assignments as group work and that an elective course on medication reviews should be compulsory for all pharmacy students.
摘要：
药剂师越来越多地参与服药史，药物和解，并在日常实践中复习。这项研究的目的是调查三年级药学专业学生在药物审查中的自我评估能力，并收集他们的反馈意见，以进一步发展其课程中的药物审查培训。该研究是在2017-2018年在社区药房完成第二个三个月的实习期间对三年级药学学生进行的自我评估。在实习期间，学生被分配在药物审查认可的药剂师的监督下审查真实患者的药物。自我评估是通过电子表格进行的，这是为这项研究而创建的。最近为药剂师建立的国家药物审查能力建议被用作参考。学生（n=95，参与率：93％）在自我评估中列出的91％（n=28）的能力领域中自我评估为良好或非常好。自我评估为良好或非常好的能力的最高比例包括使用药物风险管理数据库和评估信息的临床重要性（97％，n=92）。在将关键实验室测试的临床信息应用于患者护理以及了解在每种情况和药物中哪些实验室测试最重要的监测方面，能力比例最低(36%，n=34）。学生建议他们的药学教育应包含更多的药物审查作业作为小组工作，并且所有药学专业的学生都必须选修药物审查课程。
