【摘要】 目的 构建与全院血糖管理需求相匹配的“糖药师”实践教学模式，解决传统临床药师培训在跨科室协作、全流程血糖管理中存在的系统性不足的问题。方法 基于入院评估与教育、在院方案制订与监护、出院方案审核与指导、院外随访设计，分阶段能力目标，构建四阶段药学服务教学框架；通过“认知奠基→技能孵化→决策进阶→能力认证”整合虚拟训练、真实病例及多学科治疗场景，建立四阶递进式教学路径；设定里程碑指标，如医嘱审核修正率≤30%、危急值响应时间≤5 min等，采用多维度考核，如药学问诊、医嘱审核、用药教育、陈述汇报等，开发量化考核体系。结果 成功构建包含三大核心组件的实践教学模式：① 全周期教学框架，规范血糖管理全流程药学服务教学内容；② 递进培养路径，实现从基础技能到复杂决策的阶梯式能力跃迁；③ 多维评价机制，构建基于量化指标与临床胜任力的客观评估体系。结论 该模式创新性融合“血糖管理连续性照护”理念与量化评估机制，为培养胜任跨科室血糖管理的“糖药师”提供系统解决方案，对推动慢性病管理药学教育转型具有示范价值。更多还原

【Abstract】 Objective To develop a “diabetes specialist pharmacist” training model aligned with hospital-wide glycemic management needs,and to address gaps in traditional pharmacist training for cross-departmental collaboration and integrated glycemic care.Methods A four-stage pharmaceutical service teaching framework was established with competency-based on admission assessment and education,in-hospital plan development and monitoring,discharge plan review and guidance,and post-discharge follow-up.A progressive four-step training pathway was established by integration of virtual training,real-case scenarios,and multidisciplinary team contexts under the sequence of cognitive priming to skill incubation to decision-making advancement to competency certification.A quantitative assessment system was developed using milestone indicators such as medication order revision rate ≤30% and critical value response time ≤5 min.Multidimensional evaluations covered pharmaceutical consultation,medication order review,medication education,and multidisciplinary team presentation.Results The successfully established training model comprised three core components:① A full-cycle teaching framework standardizing pharmaceutical service content across glycemic management workflow;② A progressive training pathway enabling stepwise competency transition from foundational skills to complex clinical decision-making;③ A multidimensional evaluation mechanism establishing objective assessment based on quantitative metrics and clinical competencies.Conclusion This model innovatively integrates continuous glycemic care with quantitative evaluation mechanism,and cultivates diabetes specialist pharmacist competent in cross-departmental glycemic management,thus transforming pharmacy education in chronic disease management.更多还原