周 鹏，厉世笑，陈 晖

(温州医科大学附属台州医院，浙江 临海 317000)

·教学研究与管理·

医改新政下医院药学实习教学改革的实践及效果

周 鹏，厉世笑，陈 晖

(温州医科大学附属台州医院，浙江 临海 317000)

目的：适应新形势的需求，探讨医院药学实习教学改革对学生综合学习能力的影响。方法将台州医院2010级药学实习生设为对照组，2011级为实验组，对照组采用传统以药房发药为主的带教模式，实验组采用全程以临床药学为核心的教学新模式。通过问卷调查和测试成绩评价教学改革效果。结果新模式有效调动了学生的学习兴趣和学习主动性，培养了学生综合能力，提升了实习效果。实验组学生的测验平均成绩明显高于对照组 (P<0.05)。结论以临床药学为核心的实习带教模式有助于锻炼医院药学实习生的各项学习能力，适应当前医院药学发展的趋势，值得进一步深入研究和完善。

医院药学；实习生；改革

Abstract: [Objective]To explore the hospital pharmacy practice teaching reform on the comprehensive learning ability of students to meet the needs of the new situation,[Method]Pharmacy interns of 2010 in Taizhou Hospital was selected as control group and students of 2011 was enrolled as experimental group. The control group adopted the traditional model of pharmacy, and the experimental group adopted the new teaching model with clinical pharmacy as the core. The effect of teaching reform was evaluate through questionnaires and test scores. [Result]The new model effectively mobilizes the students 'interest in learning and learning initiative, cultivates the students' comprehensive ability and improves the practice effect.The average score of the students in the experimental group was significantly higher than that of the control group (P<0.01). [Conclusion]The practice mode can help improve the learning ability of pharmacy interns and adapt to the current trend of hospital pharmacy development, which is worth further study and perfection.

Keywords: hospital pharmacy; pharmacy?trainees; teaching reform

为适应医改新政下药师工作主题的更改，对台州医院药学专业实习生的实习教学工作进行改革，收到较好效果。现将改革后教学大纲的整体设计方案及实施效果报告如下。

1 药学实习教学改革的动因

随着医改推进、药房自动化和临床药师制的普遍开展以及网络医院的兴起，医院药房的工作模式面临重大改变，医院药房调剂药师将逐步转型为临床药师，工作方向将从药房转到临床科室。美国卫生系统药师协会《药学未来预测》提出至少50%的药师将全部参与药物治疗团队中去[1]，特别是近期每百张床位配备1名临床药师的提出，亟需对医院药学实习生的传统带教方式进行改革。

纵观浙江省内及部分省外高校的医院药学实习大纲要求，实习方向都以药房发药为主，而在临床药学环节实习目标很高，无法真正达到大纲要求。……