Introduction and Evaluation of Clinical Reasoning Education for Pharmacists

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  • Sato Takuya
    WELCIA YAKKYOKU CO., LTD.
  • Goto Ryohei
    Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba
  • Matsushita Aya
    WELCIA YAKKYOKU CO., LTD.
  • Kataoka Yoshihiro
    Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba
  • Tsutsumi Madoka
    Himawari Home Clinic
  • Azehara Atsushi
    Master's Program in Medical Sciences, Graduate school of Comprehensive Human Sciences, University of Tsukuba
  • Maeno Tetsuhiro
    Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba

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  • 薬局薬剤師に対する臨床推論教育の導入とその効果の検証

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Abstract

<p>To allocate limited medical resources efficiently in the aging society, promotion of self-medication is an urgent matter. To solve this problem, appropriate recommendations for consultation by pharmacists are necessary. The pharmacist should be able to determine which patients require consultation. However, pharmacist education in clinical reasoning is insufficient and its efficacy has not been clarified. Therefore, we developed an educational program for improving pharmacist clinical reasoning skills, such as history-taking and physical assessment. This study aimed to evaluate the efficacy of the educational program. The subjects were pharmacists working for a pharmacy chain. A questionnaire was distributed to the participants before and after the educational program. The questionnaire asked about learning achievement (12 questions) and recommendation for consultation in the practice (9 questions). Questions about learning achievement consisted of clinical reasoning and physical assessment skills. Questions about recommendation for consultation consisted of frequency of the recommendation and impression about the recommendation. As a result, 43 pharmacists participated, and there were 36 respondents (84％). The number of pharmacists who were unsure whether they should recommend consultation decreased significantly after the program (25 pharmacists [69％] before vs. 13 pharmacists [36％] after, P = 0.002). Pharmacists gained confidence in conducting clinical reasoning by participating in this educational program. In addition, it is suggested that the pharmacistʼs desire to convey the results of the work to the customer may increase.</p>

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