台灣大學臨床藥學教育的濫觴

Implementation of Clinical Pharmacy Education at National Taiwan University

林慧玲(Fe-lin Lin Wu) ； 何蘊芳(Yunn-Fang Ho) ； 陳瓊雪(Karin C.S. Chen Liu)

《Journal of Medical Education》 6卷3期 (2002/09) Pp. 273-289

https://doi.org/10.6145/jme.200209_6(3).0003

摘要

我國高等藥學教育須涵蓋藥物研發、製藥工業、醫院藥學與社區藥學等領域，在大學部四年制之教學無法提供完整之臨床藥學訓練。台大藥學研究所於1993年增設醫院藥學組，提供內容更適切於臨床藥學教學與研究之課程，以銜接大學部有限之專業訓練。本研究係針對台大藥學系臨床藥學教學的開端與發展經過以及施行成果，蒐集了自1993年至2001年間的相關資料。研究結果顯示，大學醫學院附設醫院之藥學專業執業水準與藥學系專業課程的教學息息相關。台大大學部之藥學基本執業相關課程相當紮實，因此藥學專業核心課程可維持在大學部完成，而研究所之醫院藥學組則著重於臨床實習，進一步的培養專業執業知識及判斷能力。分析醫院藥學組論文之研究領域，都著重在臨床導向、與藥事執業相關的主題，並針對解決執業上所遭遇的問題，深入探討解決的方案。醫院藥學組畢業生四成任職醫院藥師、直接從事臨床服務，約三成在國際性藥品公司學術部門工作，參與新藥臨床試驗計劃。此外，台大藥學系亦於1996年開辦國內之臨床藥學專業研修。本研究結果亦顯示，現階段台灣臨床藥學教育發展所面臨的主要問題有：藥學課程中專業執業及臨床相關課程比重偏低、各學校臨床藥學教學師資匱乏及高等教育學府延攬專業教師之制度無法突破巢臼，導致教育內容面臨瓶頸。

關鍵字

臨床藥學 ； 教育

並列摘要

Starting from 1993, the implementation of the Hospital Pharmacy Division at the Graduate Institute of Pharmaceutical Sciences at the National Taiwan University(NTU), aiming at fostering competent pharmacists in clinical practice, has led the way to incorporating clinical pharmacy-education programs into curricula of pharmacy schools. The goal of the present study is to evaluate the launch, development, and outcomes of the master-level clinical pharmacy-education program at the NTU, by reviewing data collected from 1993 throughout 2001. The results have revealed that the quality and content of pharma-ceutical-care services available at University-affiliated hospitals is highly interrelated with the standards of pharmacy profession-related educational programs offered by various Taiwanese academic institutions. Given that the undergraduate pharmacy curriculum at NTU includes most of the basic courses relevant to pharmacy practies, graduate courses at the Hospital Pharmacy Division, NTU was, therefore, designed to accentuate the clinical clerkship element in order to reinforce professional competence in a clinical setting. Most mandatory thesis projects undertaken by the graduates are clinically oriented, targeting the resolution of issues encountered during pharmaceutical-care practice. To this time, nearly all graduates undertake careers that require professional knowledge and training attained from their graduate study in a clinical-pharmacy realm. Forty per cent of the graduates practice in Taiwanese hospitals, providing patient-focused pharmaceutical care. More than 30% of graduates work for well-renowned pharmaceutical companies, and often participate in the clinical trial of new drugs. Our study also reveals that the relatively low proportion of different courses applicable to the pharmacy profession in an undergraduate Pharmacy curriculum, the relative paucity of faculty members' expertise in clinical pharmacy, and the stringent constraints applicable when recruiting qualified practitioners as faculty members by the current higher-education system are three major impediments to the development of future clinical pharmacy education in Taiwan.

並列關鍵字

Clinical Pharmacy ； Education

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