在设计和评估关于药理动力学个体间变异的教育干预中解决种族问题
Jennifer A Koenig1, Olusola Olafuyi2, Rakesh Patel3
1School of Medicine, University of Nottingham, Nottingham, UK.
教育干预可以减少学生在药理动力学中将遗传学与种族联系在一起的误解. 提出多样化,非遗传因素有助于纠正对种族药物代谢差异生物基础的信念.
科学领域:
- 药理动力学 药理动力学
- 医学教育 医学教育
- 遗传学和种族 遗传学和种族
背景情况:
- 药理动力学的个体间变化受到遗传学,生活方式和病理学的影响.
- 研究经常将遗传机制与药理动力学中的种族差异联系起来,这可能会强化有关种族的误解.
- 当前的教育方法可能无意中暗示了种族的生物学基础.
研究的目的:
- 设计一个关于个人间的药理动力学变异的教育干预措施.
- 在干预前后探索学生对种族和遗传差异的看法.
- 评估干预对有关种族和遗传相似性的误解的影响.
主要方法:
- 利用问卷和焦点小组收集学生的看法.
- 进行了一项教育干预,重点关注药理动力学变异.
- 对比干预前后的数据,以评估学生理解的变化.
主要成果:
- 学生们最初将种族与文化/起源联系在一起,与文献中的种族群体定义形成鲜明对比.
- 干预减少了学生对药物代谢中种族差异遗传机制的期望.
- 对高血压和一般种族的看法基本上没有受到影响,这表明需要更广泛的课程变化.
结论:
- 教育干预可以有效地解决关于药理动学的遗传和种族联系的误解.
- 突出多样化,非遗传因素对于纠正错误的生物学假设至关重要.
- 医疗课程必须重新评估,以清楚地呈现种族是社会构造,而不是生物决定因素.
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