案例教学法在临床药学教育中的探索
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摘要
临床药学是一门实用性非常强的学科。填鸭式的教学方法较少强调学以致用和在应用中学习知识,在课堂上仍以照本宣科为主,要求学生记忆和背诵知识点,此类教学方法会影响学生的学习热情与积极性。案例教学则是以临床真实案例为学习对象,通过组织学生讨论一系列的典型案例,提出解决问题的方案,从案例的学习过程中学生通过积极思考,主动寻求答案,学习相关知识点,从而更容易掌握相关的知识、理论和技能,也提高了他们解决临床实际问题的能力。为此,我们探索将案例教学法应用于临床药学的教学当中。本文以接受华法林抗凝治疗的患者为案例,通过对案例问题的解答,让学生逐步掌握抗凝相关的用药知识。
Clinical pharmacy is a highly practical subject. Cramming has less emphasis on applying knowledge to practice, and students are required to memorize knowledge points, which influenced the students' study enthusiasm. Case analysis is a study of real clinical cases, which organizes students to discuss a series of typical cases and propose corresponding solutions to these problems. Students are more likely to master relevant knowledge, theories and skills by active these thinking, seeking answers, learning important knowledge points, and improving their ability to solve clinical problems. We explored the role of case analysis in clinical pharmacy teaching,in this study, a patient who received warfarin anticoagulation therapy. Through discussing the questions on the case, students mastered the knowledge of anticoagulant related medication.
Clinical pharmacy is a highly practical subject. Cramming has less emphasis on applying knowledge to practice, and students are required to memorize knowledge points, which influenced the students' study enthusiasm. Case analysis is a study of real clinical cases, which organizes students to discuss a series of typical cases and propose corresponding solutions to these problems. Students are more likely to master relevant knowledge, theories and skills by active these thinking, seeking answers, learning important knowledge points, and improving their ability to solve clinical problems. We explored the role of case analysis in clinical pharmacy teaching,in this study, a patient who received warfarin anticoagulation therapy. Through discussing the questions on the case, students mastered the knowledge of anticoagulant related medication.
引文
[1]Gage B,Eby C,Johnson J,et al. Use of pharmacogenetic and clinical factors to predict the therapeutic dose of warfarin[J]. Clin Pharmacol Ther,2008,84(3):326-331.
[2]The International Warfarin Pharmacogenetics Consortium.Estimation of the warfarin dose with clinical and pharmacogenetic data[J]. N Engl J Med,2009,360(8):753-764.
[3]Schwarz UI,Ritchie MD,Bradford Y,et al. Genetic determinants of response to warfarin during initial anticoagulation[J]. N Engl J Med,2008,358(10):999-1008.
[4]Rieder MJ,Reiner AP,Gage BF,et al. Effect of VKORC1 haplotypes on transcriptional regulation and warfarin dose[J]. N Engl J Med,2005,352(22):2285-2293.
[5]李新刚,余克富,霍记平,等.对临床药学专业学生应加强精准用药教育[J].中国临床药理学杂志,2017,33(4):369-371.
[6]宋再伟,谈志远,董淑杰,等.微信订阅号用于华法林用药教育的先导研究[J].中国临床药理学杂志,2018,34(1):60-62.
[7]蒋捷,谢秋芬,向倩,等.药师干预对华法林抗凝患者治疗认知度的影响研究[J].中国临床药理学杂志,2015,31(13):1315-1317.
[8]许珍珍,喻俊峰,张坡,等.长期服用华法林抗凝患者的药学监护[J].中南药学,2018,16(6):860-862.
[9]张浪,陶晓璇,张增珠,等.基因分型指导肺栓塞患者的华法林个体化药物治疗[J].中南药学,2017,15(8):1178-1181.
[10]朱蓓琳,张渊,潘慧,等.长期服用氯吡格雷患者加服甲硝唑芬布芬致消化道出血的案例分析[J].中南药学,2018,16(8):1169-1171.
[11]丘岳,刘滔滔,张宏亮,等.临床药师参与258例会诊病例分析及典型案例介绍[J].中南药学,2018,16(5):699-704.
[12]陈婷,龚善初,李东.多黏菌素B雾化治疗泛耐药鲍曼不动杆菌的临床案例分析[J].中南药学,2017,15(11):1629-1631.
[2]The International Warfarin Pharmacogenetics Consortium.Estimation of the warfarin dose with clinical and pharmacogenetic data[J]. N Engl J Med,2009,360(8):753-764.
[3]Schwarz UI,Ritchie MD,Bradford Y,et al. Genetic determinants of response to warfarin during initial anticoagulation[J]. N Engl J Med,2008,358(10):999-1008.
[4]Rieder MJ,Reiner AP,Gage BF,et al. Effect of VKORC1 haplotypes on transcriptional regulation and warfarin dose[J]. N Engl J Med,2005,352(22):2285-2293.
[5]李新刚,余克富,霍记平,等.对临床药学专业学生应加强精准用药教育[J].中国临床药理学杂志,2017,33(4):369-371.
[6]宋再伟,谈志远,董淑杰,等.微信订阅号用于华法林用药教育的先导研究[J].中国临床药理学杂志,2018,34(1):60-62.
[7]蒋捷,谢秋芬,向倩,等.药师干预对华法林抗凝患者治疗认知度的影响研究[J].中国临床药理学杂志,2015,31(13):1315-1317.
[8]许珍珍,喻俊峰,张坡,等.长期服用华法林抗凝患者的药学监护[J].中南药学,2018,16(6):860-862.
[9]张浪,陶晓璇,张增珠,等.基因分型指导肺栓塞患者的华法林个体化药物治疗[J].中南药学,2017,15(8):1178-1181.
[10]朱蓓琳,张渊,潘慧,等.长期服用氯吡格雷患者加服甲硝唑芬布芬致消化道出血的案例分析[J].中南药学,2018,16(8):1169-1171.
[11]丘岳,刘滔滔,张宏亮,等.临床药师参与258例会诊病例分析及典型案例介绍[J].中南药学,2018,16(5):699-704.
[12]陈婷,龚善初,李东.多黏菌素B雾化治疗泛耐药鲍曼不动杆菌的临床案例分析[J].中南药学,2017,15(11):1629-1631.