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将临床决策技能从重症监护药房的选修转化为必要的课程
Trisha N Branan1, W Anthony Hawkins2, Russ Palmer3
1University of Georgia College of Pharmacy, Department of Clinical and Administrative Pharmacy, Athens, GA, USA.
American journal of pharmaceutical education
|October 8, 2023
概括
完成重症监护药房选修课 (CCPE) 提高了学生在综合患者病例 (IPC) 中的表现,这是一门临床推理课程. 然而,选修课并没有显著影响药物治疗课程的成绩.
科学领域:
- 药房 教育 教育 药房 教育
- 发展临床推理 发展临床推理
- 健康 专业 教育 卫生 专业 教育
背景情况:
- 临床推理和决策是药学博士 (PharmD) 学生的关键技能.
- 专业选修课对核心课程绩效的影响需要调查.
- 重症护理药房为开发先进的临床技能提供了一个独特的环境.
研究的目的:
- 评估临床护理药房选修课 (CCPE) 对PharmD学生成绩的影响.
- 评估对强调临床推理和决策的课程的影响.
- 为了确定早期的临床实践是否能改善学术成果.
主要方法:
- 对377名PharmD学生 (2019-2021) 的回顾性队列研究.
- 完成CPE的学生与没有完成CPE的学生之间的比较.
- 主要结局:在药物治疗和综合患者病例 (IPC) 中表现出色 (≥90%级);使用后勤回归分析.
主要成果:
- 完成CCPE的学生更有可能在IPC中取得出色的成绩 (34%对23%).
- 在药物治疗III或IV中没有观察到突出的表现的显著差异.
- 调整后的分析表明,CPE完成几乎使IPC出色表现的几率翻了一番.
结论:
- 临床护理药房选修课对临床推理专注课程 (IPC) 的表现产生了积极的影响.
- 早期接触临床实践可能会提高临床决策能力.
- 对课程结构及其对学生成绩的影响进行进一步的研究是有必要的.
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