医学部の大学生のための薬剤療法短期コースの効果:国際的ランダム化対照試験
T P de Vries1, R H Henning, H V Hogerzeil
1Department of Clinical Pharmacology, Faculty of Medicine, University of Groningen, Netherlands.
Lancet (London, England)
|December 2, 1995
まとめ
問題に基づく薬剤療法コースは,医学生の合理的な処方スキルを向上させました. このトレーニングは6ヶ月後に知識の持続的な記憶と移転を証明し,治療的推論を強化しました.
科学分野:
- 医療教育 医療教育について
- 薬剤療法 薬剤療法について
- グローバル・ヘルス グローバル・ヘルス
背景:
- 不合理な処方箋は,変えるのが難しい習慣であり,予防戦略が必要である.
- 世界保健機関 (WHO) の必須医薬品に関する行動プログラムは,医学部生のための薬剤療法教育を改善することに重点を置いています.
研究 の 目的:
- 医学生の合理的な処方能力に対する問題に基づく薬剤療法研修コースの影響を評価する.
- 学習したスキルの時間の経過による保持と移転を評価する.
主な方法:
- 219人の大学院医学生を対象とした国際マルチセンターランダム化対照研究.
- WHOのマニュアルと,合理的な処方と薬剤療法推論のための6段階の問題解決ルーチンを使用しました.
- 訓練前,直後に,および訓練後6ヶ月間に行われたテストを通じて,生徒のパフォーマンスを評価しました.
主要な成果:
- 訓練を受けた学生は,患者の問題を解決する上でコントロールグループを大幅に上回った (p <0.05).
- 学生は,知識を保持し,新しい未知の問題にスキルを適用する能力を実証しました.
- 医学部留学と技能移転に対する肯定的な影響は,参加した7つの医学部で少なくとも6ヶ月間持続しました.
結論:
- 問題に基づく薬剤療法訓練は,合理的な処方法を教えるのに有効な方法であり,特に,利用可能な医薬品の膨大な数を考慮すると,特に有効です.
- このアプローチは,医学生の治療的推論能力を効果的に高めます.
- この研究は,薬剤療法教育における伝統的な知識移転ではなく,問題に基づく教育への移行を提唱しています.
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