新冠肺炎前、中、后高等药学实习生临床干预的变化

IF 3.8 4区教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

American Journal of Pharmaceutical Education Pub Date : 2025-06-25 DOI:10.1016/j.ajpe.2025.101447

Kari Vavra Janes , Dane Shiltz , Minji Sohn , Margaret de Voest

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引用次数: 0

摘要

目的：了解新冠肺炎大流行前、期间和之后，高级药学实践经验（APPE）学生临床干预的差异，包括干预的数量、特征和接受程度。方法：2018年5月至2024年4月，一家大型城市社区医疗中心三名住院内科APPEs教师导师的四年级药学学生在在线数据库中记录了临床干预措施。该数据库捕获了与APPE块、受体、干预类别、干预描述、潜在益处、结果和参考文献有关的信息。从数据库中提取每个APPE区块的数据，并将其分为以下几组：COVID-19前（2018年5月- 2020年3月）、COVID-19（2020年5月- 2022年4月）和COVID-19后（2022年5月- 2024年4月）。将COVID-19前和COVID-19后的临床干预措施进行比较。结果：在covid -19之前，共有59名学生记录了1752项干预措施（平均每名学生29.7项）；在COVID-19期间，有62名学生记录了1402项干预措施（平均每个学生22.6项）；在covid -19后时期，有60名学生记录了1266项干预措施（平均每个学生21.1项）。与covid -19后相比，平均每个学生在covid -19前接受的干预措施明显更多；冠状病毒感染后与新冠病毒感染后无显著差异。结论：covid -19干预后的人数未恢复到covid -19前的水平。进一步的定性分析可以解释学生干预的持续下降趋势。

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Changes in Advanced Pharmacy Practice Experience Students’ Clinical Interventions Before, During, and After COVID-19

Objective

To describe the differences in advanced pharmacy practice experience (APPE) students’ clinical interventions, including the number of interventions, characterization, and acceptance, before, during, and after the COVID-19 pandemic.

Methods

Fourth-year student pharmacists for 3 faculty preceptors on inpatient internal medicine APPEs at a large, urban community medical center documented clinical interventions in an online database from May 2018 through April 2024. The database captured information related to the APPE block, preceptor, intervention category, intervention description, potential benefits, outcomes, and references. Data were extracted from the database for each APPE block and assigned into the following groupings: pre–COVID-19 (May 2018-March 2020), COVID-19 (May 2020-April 2022), and post–COVID-19 (May 2022-April 2024). Pre–COVID-19 and COVID-19 clinical interventions were compared to post–COVID-19.

Results

The pre–COVID-19 period included 59 students who documented 1752 interventions (mean 29.7 per student); the COVID-19 period had 62 students who documented 1402 interventions (mean 22.6 per student); and the post–COVID-19 period had 60 students who documented 1266 interventions (mean 21.1 per student). Compared to the post–COVID-19 period, pre–COVID-19 had significantly more interventions per student on average; however, the post–COVID-19 and COVID-19 periods were not significantly different.

Conclusion

Post–COVID-19 intervention numbers have not returned to pre–COVID-19 levels. Further qualitative analysis is warranted to explain this continued downtrend in student interventions.

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来源期刊

American Journal of Pharmaceutical Education 医学-学科教育

CiteScore

4.30

自引率

15.20%

发文量

114

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