梁秀群　李健哲　陆翠林

[摘要] 回顾笔者在临床实践中学习和探索到的工作模式和方法，总结以临床实践为基础的呼吸科临床药师培养模式，为该科临床药师的初期培养提供参考。笔者认为培训学员的初期培养应采取以教科书为基础，以问题为导向的案例式教学方法，结合相关指南和专家共识，有计划地进行医学知识与药学知识的学习，参与药物治疗，帮助医师选择更合理的药物治疗方案，逐渐建立临床思维与临床药学思维，提高应用药物的能力。同时通过查找文献，规范教学药历、病例分析、文献阅读报告等药学文书的书写，提高口头表达与交流沟通能力。通过不断完善培养模式和考核标准，能更好地培养适合临床需要的临床药师。

[关键词] 呼吸科；临床药师；培养模式；初期培养；探索

[中图分类号] R974 [文献标识码] A [文章编号] 1673-7210（2018）05（a）-0121-05

The explore in training mode of clinical pharmacists in Department of Respiration

LIANG Xiuqun LI Jianzhe LU Cuilin CHEN Qingjie LI Zhenfu LIU Sixiang

Department of Pharmacy， Ruikang Hospital， Guangxi University of Chinese Medicine， Guangxi Zhuang Autonomous Region， Nanning 530011， China

[Abstract] To provide reference for the training of clinical pharmacist in Respiratory Department， the author reviewed the work patterns and method in clinical practice， and summarized the training mode of respiratory clinic pharmacist based on clinical practice. The author think the initial training of clinical pharmacists in Respiratory Department should take a textbook-based and problem-oriented case teaching method， and combine the relevant guidelines and expert consensus to systematically study medical knowledge and pharmacy knowledge， participate in drug treatment and help physicians choose more rational drug treatment programs， and gradually establish clinical thinking and clinical pharmacy thinking， improve the ability of the application of drugs. At the same time， through the search of literature， standard medicine calendar， case analysis， literature reading reports and other pharmaceutical instruments to improve oral expression and communication skills. By continuously improving the training mode and assessment standards， we can better cultivate clinical pharmacists suitable for clinical needs.

[Key words] Respiratory Department； Clinical pharmacists； Training mode； Explore

隨着医院药学的发展，药师深入临床参与药物治疗已成为医院药学对临床药师提出的基本要求[1]。为了顺应医院药学以“病人为中心”的新型服务理念，突破以往传统的教学和培训模式，加强临床药师队伍建设，提高临床药师药学专业技术服务能力，加速医药结合临床应用型药学专业技术人才的在职岗位培养，自2006年起原国家卫生计生委启动了国家临床药师培训基地项目，以满足当前医药卫生事业发展急需以合理用药为中心的药学服务技术人才的迫切需求[2]。2002年，原国家卫生计生委和国家中医药管理局颁布的《医疗机构药事管理暂行规定》明确规定：药学部门要建立以患者为中心的药学服务模式，开展以合理用药为核心的临床药学工作，建立健全临床药师制。……