The function of "vase" of clinical pharmacists should be changed

If we start from the "Interim Regulations on Pharmaceutical Administration in medical institutions" issued by the Ministry of health, China's large-scale clinical pharmacist "campaign" has gone through 10 years Due to the need of rational use of drugs, clinical pharmacists are pushed to the forefront Consultation, examination room, consultation, prescription review and various supervision and inspection related to rational use of drugs, all of which refer to clinical pharmacists Do our clinical pharmacists have such skills? No! Based on the facts: 1 In various academic seminars focusing on pharmacists and rational use of drugs, there are few special reports on drug treatment, or even no reports from clinical pharmacists; 2 There are few experiences and experiences of clinical pharmacists on clinical drug treatment in newspapers and magazines; 3 Few clinical pharmacists actually participate in the treatment of patients; 4 Compared with other clinical specialties, clinical pharmacists Lack of autonomy, no professional routine and operating procedures; 5 The current situation of small number, empty content and false head (head, refers to the head of the Department) is quite different from that of clinical disciplines; 6 "System", "responsibility", "guide", "consensus", "procedure", "specification" and even reference books are all fatal software of clinical pharmacy If clinical pharmacists want to become one of the mainstream clinical professions and have the same strength as clinicians to provide professional services to the public or patients, they must follow the path of clinicians' success Against clinical rules, haste is not achieved This has been proved in the past 10 years Many clinical pharmacists are impetuous and flashy, and they have become "vases" that can't be used in China Their clinical practical abilities and functions are not recognized by doctors and patients, nor by themselves It's not that our pharmacists are not professional, nor that their academic degrees are low It's because of the lack of real combination with clinical practice, which violates the law of clinical talents growth Efforts should be made to "sink" into clinical pharmacists' rounds, consultations, prescription comments, consultations, etc the level of which is closely related to the level of clinical drug treatment, mainly depending on or based on clinical level and experience Clinical pharmacists should be determined to "sink" down, take part in clinical drug treatment, acquire real knowledge and experience from clinical practice, and apply and consolidate their specialties Therefore, the following suggestions are put forward: 1 It is suggested that every clinical pharmacist should actively select 5-10 patients with more complex drug treatment every day for professional, systematic and routine drug analysis 2 Insist on "routine analysis report of drug treatment" The report shall at least include: indications, dosage, interaction, usage, adverse reactions, precautions, etc., and combine relevant medical examination parameters and clinical symptoms of patients 3 Realize the initiative and repetition of daily business work Only by long-term practice can we cultivate a good career habit and accumulate professional knowledge and experience Scientific and reasonable establishment of relevant "systems", "technical operation specifications, procedures", etc., is an important tool for career growth and maturity, and we should be determined to explore Pharmacodynamics, pharmacokinetics, genetics, pharmaceutics, pharmaceutics, pharmacology, pathology, evidence-based medicine, guidelines, expert consensus, etc are all professional knowledge that we must study and apply hard 4 Adhere to the original record of "routine report" for each patient, including: relevant basis, calculation process, formula, reference, communication record with doctors, etc in the routine report 5 Explore the design of technical operation specifications Including: drug indications, pharmacodynamic analysis, drug interaction analysis, adverse drug reactions, communication with doctors / patients, medication guidance, analysis report, consultation, consultation, ward round, reasonable medication operation guide, etc 6 The department director is the leader of the discipline, whose professional level represents the discipline level of the Department The department director should make up his mind to be the leader of clinical pharmacists, go to the clinic together with the majority of pharmacists, go to the patients, and make up his mind to have the same right of speech as clinical medical experts Only in this way can the clinical pharmacy of our country have hope 7 Vigorously develop the team of clinical pharmacists It's difficult for a few people to play games We should actively expand the team of clinical pharmacists to make as many pharmacists as possible participate in this work and become a powerful clinical department If clinical pharmacists want to become one of the mainstream clinical professions and have the same strength as clinicians to provide professional services to the public or patients, they must follow the path of clinicians' success Disobey clinical rules, but do not achieve speed