中国药学界唯一公开发行的
高等教育研究学术期刊
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基于胜任力模型的临床医师药学素养内涵与评价

Constructing the Connotation and Evaluation of Clinicians' Pharmacy Competency Based on Competency Model

  • 摘要: 住院医师规范化培训和继续医学教育作为医学教育的重要组成部分,旨在培养具有扎实医药学知识、技能与素养的临床医师。我国临床医师培养过程中"重医轻药"问题较为突出,临床医师药学能力的系统性培训及考核有待完善。本研究对33名住院医师和临床医师进行半结构化访谈,并基于胜任力模型归纳出药学素养内涵框架,主要包括药学理论知识、用药监测能力、用药指导能力、与药师合作能力5个方面。本研究设计问卷评估了66名住院医师和临床医师的药学素养现状,结果显示他们在药学理论知识、与药师合作、自主学习维度得分较低,需提高其药学专项能力。药学素养纳入临床医师胜任力培训体系,有助于提升其药学知识储备,保障患者合理用药,促进医疗服务整体质量提升,满足社会对高质量医疗的现实需求。

     

    Abstract: Standardized residency training and continuing medical education constitute key components of medical education,aiming to cultivate clinicians with solid knowledge,skills,and competencies in both medicine and pharmacy.In China,an imbalance favoring medicine over pharmacy remains prominent in clinician training,and the systematic development and assessment of pharmaceutical competencies remain insufficient.This study conducted semi-structured interviews with 33 residents and clinicians and,guided by a competency-based framework,proposed a conceptual structure of pharmacy competency.The framework encompasses five core dimensions:pharmaceutical theoretical knowledge,medication monitoring ability,medication guidance ability,collaboration with pharmacists,and autonomous learning capacity.A questionnaire was subsequently developed and administered to 66 residents and clinicians to assess the current status of their pharmacy competency.The results revealed significant shortcomings in theoretical pharmaceutical knowledge,interprofessional collaboration with pharmacists,and self-directed learning.These findings highlight the need to enhance the training system and strengthen targeted pharmaceutical competencies.Incorporating pharmacy competency into the competency-based training system for clinicians is essential to improving their pharmaceutical knowledge base,ensuring rational drug use,enhancing the overall quality of healthcare services,and meeting the growing societal demand for high-quality medical care.

     

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