A comparison of medical and pharmacy students' knowledge and skills of pharmacology and pharmacotherapy

A comparison of medical and pharmacy students' knowledge and skills of pharmacology and pharmacotherapy
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DOI:
10.1111/bcp.12396
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发表时间:
2014-10-01
影响因子:
3.4
通讯作者:
Jansen, Paul A. F.
Jansen, Paul A. F.
中科院分区:
医学3区
文献类型:
--
作者:
Keijsers, Carolina J. P. W.;Brouwers, Jacobus R. B. J.;Jansen, Paul A. F.

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如果未来的药剂师和医生接受药理学和药物治疗学的联合教育计划,药物治疗可能会得到改进。本研究调查了药学和医学生本科培养后在药理学和药物治疗方面的知识和技能是否存在差异。方法采用横断面设计,对高等药剂学和医学生的知识和技能进行评估,包括三个领域(基本药理学知识、临床或应用药理学知识和药物治疗技能)和八个子领域(药效学、药代动力学、相互作用和副作用、解剖治疗化学分类组、处方、特殊群体处方、药物信息、法规和法律、处方写作)。结果2010年8月至2012年7月期间,共有150名医学专业学生和151名药学专业学生参加。有效率为81%。药学专业学生的基础药理学知识高于医科学生(77.0%vs.68.2%;P<0.001,d=0.88),而医科学生的处方书写技能(68.6%vs.50.7%;P<0.001,d=0.57)高于医科学生。两组学生的应用药理学知识相近(73.8%vs.72.2%,P=0.124,d=0.15)。结论药学专业学生的基础药理学知识高于医科学生,但应用药学知识的应用能力不如医科学生,而医科学生的处方书写能力高于医科学生。因此,专业知识和技能的差异很可能源于他们的本科教育。可以利用对这些差异的了解,为学生和专业人员制定跨学科的联合教育。(C)2014年英国药理学会
AIMPharmacotherapy might be improved if future pharmacists and physicians receive a joint educational programme in pharmacology and pharmacotherapeutics. This study investigated whether there are differences in the pharmacology and pharmacotherapy knowledge and skills of pharmacy and medical students after their undergraduate training. Differences could serve as a starting point from which to develop joint interdisciplinary educational programmes for better prescribing.METHODSIn a cross-sectional design, the knowledge and skills of advanced pharmacy and medical students were assessed, using a standardized test with three domains (basic pharmacology knowledge, clinical or applied pharmacology knowledge and pharmacotherapy skills) and eight subdomains (pharmacodynamics, pharmacokinetics, interactions and side-effects, Anatomical Therapeutic Chemical Classification groups, prescribing, prescribing for special groups, drug information, regulations and laws, prescription writing).RESULTSFour hundred and fifty-one medical and 151 pharmacy students were included between August 2010 and July 2012. The response rate was 81%. Pharmacy students had better knowledge of basic pharmacology than medical students (77.0% vs. 68.2% correct answers; P < 0.001, d = 0.88), whereas medical students had better skills than pharmacy students in writing prescriptions (68.6% vs. 50.7%; P < 0.001, d = 0.57). The two groups of students had similar knowledge of applied pharmacology (73.8% vs. 72.2%, P = 0.124, d = 0.15).CONCLUSIONSPharmacy students have better knowledge of basic pharmacology, but not of the application of pharmacology knowledge, than medical students, whereas medical students are better at writing prescriptions. Professional differences in knowledge and skills therefore might well stem from their undergraduate education. Knowledge of these differences could be harnessed to develop a joint interdisciplinary education for both students and professionals. (C) 2014 The British Pharmacological Society