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在药学学生的临床推理中接受不确定性:基于模拟的方法
Theresa L Charrois1, Naomi Steenhof2
1Faculty of Pharmaceutical Sciences, University of British Columbia, 2405 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada.
Currents in pharmacy teaching & learning
|January 21, 2026
概括
基于模拟的反思训练有助于药学学生管理不确定性并提高临床推理技能. 这种方法加强了合理的决策可以与不可预测的患者结果并存.
科学领域:
- 药房 教育 教育 药房 教育
- 临床推理 临床推理
- 医疗保健模拟器 医疗保健模拟器
背景情况:
- 管理不确定性是药剂师的关键技能.
- 药房课程需要有效的方法来培养学生处理模两可的临床情况的能力.
研究的目的:
- 评估基于模拟的对模糊患者场景的暴露,加上结构化反思,是否能增强药学学生的临床推理.
- 评估学生在模拟的临床环境中管理不确定性的能力.
主要方法:
- 药学博士 (PharmD) 三年级学生参加了两周的两个模拟练习.
- 学生参与了共享决策 (模拟1) 并管理了意想不到的不利结果 (模拟2),随后进行了结构化的反思.
- 用描述性统计和诱导性主题分析分析了数据.
主要成果:
- 学生报告说,当面对新的,不确定的信息时,他们更有可能调整药物选择.
- 在模拟过程中经历了意想不到的不良结果引起了不适,但学生们最终信任了他们的临床推理过程.
- 来自加拿大两所大学的259名学生参加了这次活动.
结论:
- 结构化的模拟和反思有效地加强了不确定性中的临床推理.
- 学生们了解到,不可预测的结果并不意味着他们自动做出错误的决定,这增强了对自己判断力的信心.
- 这种教育方法支持药学学生培养有弹性的临床决策技能.
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