Syllabus
Bedside teaching is managing on different internal department and on psychiatric department. The students have chance to study medical documentation of selected patients, to select relevant data to be able to evaluate rationality of pharmacotherapy. They have opportunity to talk with some selected patient to learn how to excavate subjective data for analyzing of potential drug related problems. Tutors on ward are serving attending physicians and clinical pharmacists. During this stay each group will prepare 6 cases/3 students and group 5 cases/2 students and will analyze pharmacotherapy and do risk minimization analysis with algorithm “SAFE” and individual ADR with theory of “3 pillars” and prepare detailed written version of their analysis (including theory of identified problems) in word and power-point presentation. Both will be send to main tutor of course. In seminars students train 3 pillar theorry of selected adversa drug reaction and relevant medicines
On the seminars they will discussed with main tutor of course some drug related problems and how to solve them (with help of voting system) and later on each particular group of students will present their cases and their proposal for risk minimization and analysis of rational pharmacotherapy will be discuss in around rest of students from their study group.
Annotation
The goal of the subject is to receive skills and knowledge how to provide pharmacotherapy review with aim to optimize pharmacotherapy in sense of rational pharmacotherapy (maximization of pharmacotherapy and minimization risk of pharmacotherapy). The students must learn which data from medical documentation and from communication with patient are important to discover drug related problem and how to communicate it with physicians and clinical pharmacist. They receive from them feedback about their way to use and evaluate available data, which data are necessary and solve drug related problem. The cases will be finished as a home work to be able to study more detailed clinical pharmacy of particular disease and used medicine and make structured report about drug related problems regarding maximization of effect and minimization of risk by SAFE algorithm , 5Q Dg and 3 pillar theory and put it on the word file/or PowerPoint and to present them in from of another colleague
In interactive seminars students will focus on individual risk management theory e.g. 3 pillar theory (3PT) of I/ circulation failure; (1/ orthostatic hypotension, 2/ bradycardia, 3/ Torsade de Pointe) 3PTII/minerals failure of K, Mg; Na; Ca; III/ endocrinologic failure (hypoglycaemia, hyperglycaemia, hypothyroidism), case from geriatric department; IV/ dyspepsia and organ failure V/ CNS + neurologic failure.
Education contains bedside teaching in small groups (max.10 students) on the ward (30 h); seminars (32h) incl. presentation of cases. Subject is located in summer term of fourth class after finishing subject, which create majority of theoretical knowledge and skills for this disciplines: Pharmacology, Clinical pharmacy 1, Personalized medicine; Interpretation of basic results from clinical examination of patients (from 2018/19) and biopharmaceutical knowledge from pharmaceutical technology.