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多基地联合培养的抗凝专业临床药师培训体系构建与效果评价

Construction and evaluation of a multi-base collaborative training system for anticoagulation specialty clinical pharmacists

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【作者】 董淑杰; 都丽萍; 张亚同; 丁征; 彭文星; 赵紫楠; 李潇潇; 杨丽;

【Author】 DONG Shujie;DU Liping;ZHANG Yatong;DING Zheng;PENG Wenxing;ZHAO Zinan;LI Xiaoxiao;YANG Li;Peking University Third Clinical Medicine;Dept. of Pharmacy,Peking University Third Hospital;Dept. of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College;Dept. of Pharmacy, Beijing Hospital/National Center of Gerontology/Institute of Gerontology, Chinese Academy of Medical Sciences;Dept. of Pharmacy, Fuwai Hospital, Chinese Academy of Medical Sciences;Dept. of Pharmacy, Beijing Anzhen Hospital, Capital Medical University;

【通讯作者】 杨丽;

【机构】 北京大学第三临床医学院; 北京大学第三医院药剂科; 中国医学科学院北京协和医学院北京协和医院药剂科; 北京医院药学部/国家老年医学中心/中国医学科学院老年医学研究院; 中国医学科学院阜外医院药剂科; 首都医科大学附属北京安贞医院药事部;

【摘要】 目的 提升抗凝专业临床药师的培训质量,解决单一培训基地的资源局限并促进培训质量的同质化。方法 构建北京地区多基地联合培养的抗凝专业临床药师培训体系。采用混合研究方法,通过成绩对比、问卷调查和质性访谈收集数据,比较联合培养模式(试验组,n=16)和传统教学模式(对照组,n=17)的差异。结果 构建的联合培养体系包括统一联合培养教学计划、打造联合培养教学团队、设置联合理论教学课程、开展联合病例讨论和文献汇报,以及加强联合培养过程考核。与对照组[理论考核(76.44±3.66)分、案例考核(84.31±3.27)分]相比,试验组学员在理论考核[(79.85±4.64)分]和案例考核[(88.70±5.51)分]中的成绩均更高(P<0.05)。通过问卷调研和质性访谈发现,试验组学员在理论学习、沟通能力、教学互动等方面对联合培养模式满意度高。结论 基于多基地联合培养的抗凝专业临床药师培训体系能整合优势资源,显著提升抗凝专业临床药师的培训效果,值得推广。

【Abstract】 OBJECTIVE To enhance the training quality of anticoagulation specialty clinical pharmacists, address the resource limitations of a single training base, and promote homogenization of training quality. METHODS A multi-base joint training system for anticoagulation specialty clinical pharmacists in the Beijing area was established. A mixed research method was employed, collecting data through performance comparisons, questionnaires, and qualitative interviews to compare the differences between the joint training model(experimental group, n=16) and traditional teaching model(the control group, n=17). RESULTS The established joint training system encompassed a unified joint training teaching plan, the formation of a joint training teaching team, the establishment of joint theoretical teaching courses, the implementation of joint case discussions and literature presentations, as well as strengthening the assessment throughout the joint training process. Compared to the control group [theoretical assessment of(76.44±3.66) points, case assessment of(84.31±3.27) points], the experimental group students achieved higher scores in theoretical assessment [(79.85±4.64) points] and case assessment [(88.70±5.51) points](P<0.05). Through questionnaires and qualitative interviews, the trainees in experimental group were highly satisfied with the joint training model in terms of theoretical learning, communication skills, and teaching interaction. CONCLUSIONS The multi-base collaborative training system for anticoagulation specialty clinical pharmacists can integrate advantageous resources and significantly enhance the training effectiveness of anticoagulation specialty clinical pharmacists, offering value for wider promotion.

【基金】 国家自然科学基金青年科学基金项目(No.72304009);2022年中国药学会医院药学专业委员会医院药学科研专项资助项目(No.国药会[2022]171号);2024年“聚火优才”全国药学服务科研项目(No.CMEAPC2024009);2024年度北京协和医学院研究生教育教学改革项目(No.2024yjsjg023)
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