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Education around medication review and deprescribing: a survey of medical and pharmacy students’ perspectives

机译：围绕药物审查和剥夺教育：医学和药学学生的观点调查

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Research into the practice of medication review is developing across the world in response to the ever-increasing burden of inappropriate polypharmacy. Education, training and support of undergraduates and novice practitioners to equip them to participate in the medication review process could lead to long-term shifts in practice. The purpose of this study was to explore the awareness of pharmacy and medical undergraduates about medication review, deprescribing and polypharmacy, in order to inform improvement strategies. In November 2016, all final-year medical and pharmacy students at a London (UK) university were invited to complete a short questionnaire survey. Qualitative analysis inductively themed free-text comments and quantitative analysis used descriptive statistics to summarize responses, with chi-square tests used to indicate differences between the groups. The overall response rate was 34% (171/500). The terms ‘medication review’ and ‘polypharmacy’ were known to the students, whilst the term ‘deprescribing’ was unfamiliar with no difference between the groups. The term ‘medication review’ meant different things to the groups: pharmacy students suggested a focus on adherence and patient understanding, whilst medical students focused on interactions and whether medicines were still indicated. The groups differed in their perceptions of who they thought undertook reviews, who identifies potentially inappropriate medicines, who makes the final decision to deprescribe and the frequency of medication reviews. Both groups reported that on qualification they would not be comfortable stopping a medicine without discussion with a senior colleague, but would be comfortable prompting a senior colleague to review. Both groups had some awareness of medication review tools. The meaning of the term ‘medication review’ differed between the student groups. While medical students focused on clinical aspects, pharmacy students emphasized patient experience. Both groups anticipated a lack of confidence in deprescribing without senior support, highlighting the need for alignment between education and professional development syllabi in a way that combines the variety of professional perspectives. Prompts by juniors could lead to more medication reviews within existing practice, and may give them invaluable experience in reviewing medicines in their future careers as seniors.
机译：用于治疗药物评论的实践是在世界各地发展的，以应对不适当的不适当的不适当性的不适当的负担。本科生和新手从业者的教育，培训和支持将他们提供参与药物审查过程可能会导致实践中的长期转变。本研究的目的是探讨药房和医学大学生关于药物审查，贬低和多药学的认识，以便于改善策略。 2016年11月，伦敦（英国）大学的所有最后一年的医疗和药房学生都被邀请完成一项简短的问卷调查。定性分析归功性主题的自由文本评论和定量分析使用描述性统计来总结响应，用于表示组之间的差异的Chi-Square测试。整体反应率为34％（171/500）。学生们所知，术语“药物评论”和“多耕地”，同时术语“贬低”是陌生的，而这些群体之间没有差别。 “药物评论”一词对这些团体意味着不同的东西：药房学生建议重点遵守和患者的理解，同时医学生专注于相互作用以及药品是否仍然表明。这些团体在他们对他们思考的审查中进行了审查的看法有所不同，他识别出潜在的药物，他们使最终决定贬低和药物评论的频率。两组均报告说资格，在没有高级同事的情况下，他们不会舒适地停止药物，但促使高级同事们审查促使高级同事会舒适。这两组对药物审查工具有一些意识。学生群体之间的“药物评论”一词的含义。而医学生专注于临床方面，药房学生强调患者体验。两组群体预计在没有高级支持的情况下对贬低缺乏信心，突出了在与各种专业视角之间的方式方面对教育和专业发展教育部的一致意见。小学提示可能导致现有惯例中更多的药物审查，并可能在审查其未来职业生涯中审查药物的宝贵经验。

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