AKILCI İLAÇ KULLANIMI EĞİTİMİ UYGULAMA SÜRECİNDE TÜRKİYE’DEKİ TIP FAKÜLTELERİNDE FARMAKOLOJİ ANABİLİM DALLARININ DURUMUNUN İNCELENMESİ

Öz

Aim: We aimed to determine the success rate of the courses, which were planned to educate the trainers on problem based rational pharmacotherapy (RP) for the education of medical school students and evaluate the experiences of the pharmacology departments which performed this education. Methods: A questionnaire was sent to all pharmacology departments of the medical schools (n=42) between September 2006 - April 2007 and the data were recruited by the evaluation of those which were replied (n=37). In the questionnaire, educational substructures of the pharmacology departments and the experiences of RP trainers were inquired. To those departments unable to give RP education, the justifications for this failure and their future plans were asked. Results: We found that 27.8 % of the 288 staff members underwent RP trainer education, and 70.3 % of the pharmacology departments give RP education to medical students and69.2 % of the departments have started RP education relatively recent (less than 5 years); 69.2 % of them give this education to groups of 10 to 19 students; 63.6 % of them evaluate the education using objective structured clinical examinations; 95.5 % receive feedback from the students. The main reasons for the failure to give RP education were lack of educated staff members and discordant curriculum. Conclusion: It is evident that most of the staff members who had attended problem based RP trainer education have succeeded to perform this education in their schools. It would be useful to repeat the RP trainer education at certain intervals in order to make problem based RP education more widespread among medical students.

Anahtar Kelimeler

• Rational pharmacotherapy
• medical school
• pharmacology
• undergraduate education

AKILCI İLAÇ KULLANIMI EĞİTİMİ UYGULAMA SÜRECİNDE TÜRKİYE’DEKİ TIP FAKÜLTELERİNDE FARMAKOLOJİ ANABİLİM DALLARININ DURUMUNUN İNCELENMESİ

Öz

Amaç: Tıp fakültelerinde mezuniyet öncesi probleme dayalı akılcı ilaç kullanımı (AİK) eğitimi için düzenlenmiş olan eğitici eğitimlerinin hedefine ne ölçüde ulaştığı, farmakoloji anabilim dallarının (AbD) bu konuya yaklaşımları ve AİK eğitimi uygulayan farmakoloji AbD’nın deneyimlerinin incelenmesi amaçlandı. Yöntem: Veriler Eylül 2006 - Nisan 2007 tarihleri arasında ülkemizdeki tüm tıp fakülteleri farmakoloji AbD başkanlıklarına (n=42) iletilip yanıt alınan (n=37) anket sonuçlarının değerlendirilmesi ile elde edildi. Ankette özetle farmakoloji AbD’nın eğitimi ilgilendiren imkanları; AİK eğitimi verenlerin deneyimleri; AİK eğitimi veremeyenlerin gerekçeleri ve planları sorgulandı. Bulgular: Toplam 288 öğretim üye ve yardımcısının %27.8’inin AİK eğitici eğitimi aldığı ve farmakoloji AbD’larının %70.3’nün AĐK eğitimini mezuniyet öncesi eğitim içerisinde uyguladığı saptandı. Fakültelerde AĐK eğitimine nispeten “yeni” başlanmış olduğu (%69.2’si 5 yıldan az), çoğunluğunun 10-19 kişilik öğrenci gruplarında (%69.2) bu eğitimi uyguladığı ve %63.6’sının eğitimi objektif yapılandırılmış sınavlarla değerlendirdiği, %95.5’inin ise geri bildirim aldığı saptandı. AİK eğitimini uygulayamayanlar arasında “eğitici eğitimi almış öğretim elemanı yetersizliği”ni ve “fakültelerinin müfredatının yetersizliği”ni gerekçe gösterenlerin çoğunlukta oldukları görüldü. Sonuç: AİK eğitici eğitimi almış olanların fakültelerinde AİK eğitimini çoğunlukla uygulamayı başardığı görülmektedir. AİK eğitimi veremeyen farmakoloji AbD’larında da bu sürecin başlatılabilmesi için eğitici eğitimlerinin belirli aralıklarla tekrarlanması yararlı olacaktır.

Anahtar Kelimeler

• Akılcı ilaç kullanımı
• tıp fakültesi
• farmakoloji
• mezuniyet öncesi eğitim

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