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보건의료인을 위한 약물감시교육의 해외 동향 및 국내 현황

Educating Healthcare Professionals in Pharmacovigilance: Global Trends and Korea’s Status

박소희|박병주|신주영|정규혁|강동윤
연세대학교 의과대학 (Yonsei University College of Medicine)|2020.02|의학교육논단 (Korean Medical Education Review)|제22권 제1호|pp. 32-45|DOI https://doi.org/10.17496/kmer.2020.22.1.32

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키워드

CurriculumPublic healthDrug safety

초록

This narrative review introduces global trends in pharmacovigilance (PV) education for healthcare professionals and the status of PV education in Korea. Proactive participation of healthcare professionals, including physicians, pharmacists, and nurses in reporting suspected adverse events is the main driving force for effective operation of the spontaneous adverse event reporting system database, which in turn facilitates early safety signal detection of otherwise unknown suspected adverse events. The World Health Organization recognizes PV education curriculum as a key aspect in promoting awareness of PV and adverse event reporting among healthcare professionals, and multiple studies have demonstrated that PV educational interventions for healthcare professionals have increased overall adverse event reporting. Considering the global trends in PV education, the curriculum in Korean universities still has room for improvement in promoting PV obligation among future healthcare professionals. Further research is needed to develop PV education curriculum. We suggest a three-step project for innovating PV education in Korea to meet the global PV educational standards: a survey to gauge current PV competencies among healthcare professionals, reform of current PV academic curriculum, and evaluation and fine-tuning of the reformed curriculum.

Abstract

This narrative review introduces global trends in pharmacovigilance (PV) education for healthcare professionals and the status of PV education in Korea. Proactive participation of healthcare professionals, including physicians, pharmacists, and nurses in reporting suspected adverse events is the main driving force for effective operation of the spontaneous adverse event reporting system database, which in turn facilitates early safety signal detection of otherwise unknown suspected adverse events. The World Health Organization recognizes PV education curriculum as a key aspect in promoting awareness of PV and adverse event reporting among healthcare professionals, and multiple studies have demonstrated that PV educational interventions for healthcare professionals have increased overall adverse event reporting. Considering the global trends in PV education, the curriculum in Korean universities still has room for improvement in promoting PV obligation among future healthcare professionals. Further research is needed to develop PV education curriculum. We suggest a three-step project for innovating PV education in Korea to meet the global PV educational standards: a survey to gauge current PV competencies among healthcare professionals, reform of current PV academic curriculum, and evaluation and fine-tuning of the reformed curriculum.

참고문헌 (55)

  1. World Health Organization, "The safety of medicines in public health programmes: pharmacovigilance, an essential tool", orld Health Organization, ~ (2006)
  2. Kim YS, "Post-marketing surveillance", JPERM, 1(1), pp.8~12 (2008)
  3. Edwards IR, "Adverse drug reactions: definitions, diagnosis, and management", Lancet, 356(9237), pp.1255~1259 (2000)
  4. Witts LJ, "Adverse reactions to drugs", Br Med J, 2(5470), pp.1081~1086 (1965)
  5. World Health Organization, "The importance of pharmacovigilance", World Health Organization, ~ (2002)
  6. Shin JY, "Current status of pharmacovigilance regulatory structures, processes, and outcomes in the Asia-Pacific region : survey results from 15 countries", Pharmacoepidemiol Drug Saf, 28(3), pp.362~369 (2019)
  7. Chan CL, "A survey on pharmacovigilance activities in ASEAN and selected non-ASEAN countries, and the use of quantitative signal detection algorithms", Drug Saf, 40(6), pp.517~530 (2017)
  8. Suwankesawong W, "Pharmacovigilance activities in ASEAN countries", Pharmacoepidemiol Drug Saf, 25(9), pp.1061~1069 (2016)
  9. Shin SM, "An overview of MedWatch system", JPERM, 6(2), pp.73~78 (2013)
  10. Moore N, "The role of the clinical pharmacologist in the management of adverse drug reactions", Drug Saf, 24(1), pp.1~7 (2001)
  11. Egberts TC, "Can adverse drug reactions be detected earlier? : a comparison of reports by patients and professionals", BMJ, 313(7056), pp.530~531 (1996)
  12. Hall M, "The spontaneous reporting of adverse drug reactions by nurses", Br J Clin Pharmacol, 40(2), pp.173~175 (1995)
  13. Hornbuckle K, "Evaluation of spontaneous adverse event reports by primary reporter : a 15-year review(1983 to 1997)", Drug Inf J, 33(4), pp.1117~1124 (1999)
  14. 성종미, "세계보건기구 및 미국 FDA의 최신 약물감시체계 발전방향", 대한보건연구, 41(2), pp.19~28 (2015), 사단법인 대한보건협회[DOI]
  15. Van den Bemt PM, "Drug-related problems in hospitalised patients", Drug Saf, 22(4), pp.321~333 (2000)
  16. 송홍지, "약물부작용 감시와 가정의의 역할", Korean Journal of Family Medicine, 28(11), pp.815~823 (2007), 대한가정의학회
  17. Reumerman M, "Urgent need to modernize pharmacovigilance education in healthcare curricula : review of the literature", Eur J Clin Pharmacol, 74(10), pp.1235~1248 (2018)
  18. Shankar PR, "Teaching pharmacovigilance to medical students and doctors", Indian J Pharmacol, 38(5), pp.316~319 (2006)
  19. Smith MP, "Pharmacovigilance teaching in UK undergraduate pharmacy programmes", Pharmacoepidemiol Drug Saf, 22(3), pp.223~228 (2013)
  20. Cox AR, "Adverse drug reaction teaching in UK undergraduate medical and pharmacy programmes", J Clin Pharm Ther, 29(1), pp.31~35 (2004)
  21. John LJ, "Reporting of adverse drug reactions: an exploratory study among nurses in a teaching hospital, Ajman, United Arab Emirates", Daru, 20(1), pp.44~ (2012)
  22. Rajesh R, "An educational intervention to assess knowledge attitude practice of pharmacovigilance among health care professionals in an Indian tertiary care teaching hospital", Int J Pharm Tech Res, 3(2), pp.678~692 (2011)
  23. Beckmann J, "Teaching pharmacovigilance : the WHO-ISoP core elements of a comprehensive modular curriculum", Drug Saf, 37(10), pp.743~759 (2014)
  24. Van Eekeren R, "What future healthcare professionals need to know about pharmacovigilance : introduction of the WHO PV core curriculum for university teaching with focus on clinical aspects", Drug Saf, 41(11), pp.1003~1011 (2018)
  25. 안소현, "일반인에서의 의약품 부작용보고제도 인식도", 보건행정학회지, 24(2), pp.164~171 (2014), 한국보건행정학회[DOI]
  26. Choi NK, "A survey on attitudes and awareness of physicians and pharmacists regarding spontaneous reporting system and experience for adverse drug events in Goyang-si", JPERM, 1(1), pp.44~52 (2008)
  27. 경은정, "약물감시사업과 약물유해반응에 대한 인식도 조사", 한국임상약학회지, 23(3), pp.256~268 (2013), 한국임상약학회
  28. 이모세, "지역 약사의 자발적 부작용 보고에 대한 인식 및 태도와 영향요인 조사: 설문조사 결과를 중심으로", 한국임상약학회지, 29(2), pp.125~132 (2019), 한국임상약학회[DOI]
  29. Yu YM, "Impact of knowledge, attitude and preceptor behaviour in pharmacovigilance education", Basic Clin Pharmacol Toxicol, 124(5), pp.591~599 (2019)
  30. Hartman J, "A global view of undergraduate education in pharmacovigilance", Eur J Clin Pharmacol, 73(7), pp.891~899 (2017)
  31. "Syllabus of clinical pharmacology and clerkship" (2019)[URL]
  32. "Graduate curriculum, college of medicine" (2018)[URL]
  33. Durrieu G, "Perception of risk of adverse drug reactions : a 3-year follow-up of a cohort of medical students", Fundam Clin Pharmacol, 24(4), pp.423~427 (2010)
  34. Schutte T, "Feasibility and educational value of a student-run pharmacovigilance programme : a prospective cohort study", Drug Saf, 40(5), pp.409~418 (2017)
  35. Van Eekeren R, "Netherlands national education programme", Uppsala Rep, 70, pp.18~ (2015)
  36. Christensen ST, "Pharmacy student driven detection of adverse drug reactions in the community pharmacy setting", Pharmacoepidemiol Drug Saf, 20(4), pp.399~404 (2011)
  37. Tripathi RK, "Implementation of a module to promote competency in adverse drug reaction reporting in undergraduate medical students", Indian J Pharmacol, 48(Suppl 1), pp.S69~S73 (2016)
  38. Baniasadi S, "Increasing the number of adverse drug reactions reporting: the role of clinical pharmacy residents", Iran J Pharm Res, 13(1), pp.291~297 (2014)
  39. Sears EL, "Adverse drug reaction and medication error reporting by pharmacy students", Ann Pharmacother, 39(3), pp.452~459 (2005)
  40. Sullivan KM, "Adverse-drug-reaction reporting by pharmacy students in a teaching hospital", Am J Health Syst Pharm, 65(12), pp.1177~1179 (2008)
  41. Achike FI, "Advancing safe drug use through interprofessional learning(IPL) : a pilot study", J Clin Pharmacol, 54(7), pp.832~839 (2014)
  42. Arici MA, "Short and long-term impact of pharmacovigilance training on the pharmacovigilance knowledge of medical students", Indian J Pharmacol, 47(4), pp.436~439 (2015)
  43. Al-lela OQ, "New pharmacovigilance course at the International Islamic University Malaysia-IIUM", Am J Pharm Educ, 77(5), pp.106~ (2013)
  44. Subish P, "Introducing pharmacovigilance to postgraduate pharmacy students in Nepal", Am J Pharm Educ, 73(6), pp.114~ (2009)
  45. Pagotto C, "Impact of educational interventions on adverse drug events reporting", Int J Technol Assess Health Care, 29(4), pp.410~417 (2013)
  46. Gerritsen R, "Effectiveness of pharmacovigilance training of general practitioners : a retrospective cohort study in the Netherlands comparing two methods", Drug Saf, 34(9), pp.755~762 (2011)
  47. Jha N, "Effect of an educational intervention on knowledge and attitude regarding pharmacovigilance and consumer pharmacovigilance among community pharmacists in Lalitpur district, Nepal", BMC Res Notes, 10(1), pp.4~ (2017)
  48. Yu YM, "Enhanced knowledge of spontaneous reporting with structured educational programs in Korean community pharmacists : a cross-sectional study", BMC Med Educ, 17(1), pp.95~ (2017)
  49. Sarayani A, "A 3-armed randomized controlled trial of nurses’continuing education meetings on adverse drug reactions", J Contin Educ Health Prof, 35(2), pp.123~130 (2015)
  50. "Undergraduate curriculum, college of medicine" (2018)[URL]
  51. "Syllabus of human, society, and medicine" (2019)[URL]
  52. 임유철, "우리나라 약학대학의 홈페이지를 통해 고찰한 교육이념", 한국임상약학회지, 26(4), pp.291~297 (2016), 한국임상약학회
  53. Korean Association of Pharmacy Education, "Administrative and managerial pharmacy" (2018), Panmuneducation
  54. "Regional Drug Safety Center information" (2016)[URL]
  55. "Training for the next generation drug safety leader" (2019)[URL]

관련 논문AI추천

약물감시사업과 약물유해반응에 대한 인식도 조사경은정, 김은영, 류지현, 오민아한국임상약학회 · 한국임상약학회지2013 · 제23권 제3호지역 약사의 자발적 부작용 보고에 대한 인식 및 태도와 영향요인 조사: 설문조사 결과를 중심으로김나영, 신주영, 이모세, 이정민, 장보현, 전하림, 최아형한국임상약학회 · 한국임상약학회지2019 · 제29권 제2호약물유해반응 보고에 대한 개국약국 약사들의 태도 및 지식에 관한 연구김현아한국임상약학회 · 한국임상약학회지2009 · 제19권 제2호A Comparison of Active Surveillance Programs Including a Spontaneous Reporting Model for Phamacovigilance of Adverse Drug Events in a Hospital구명진, 김성은, 박은혜, 박중원, 윤일선, 이재현, 홍천수대한내과학회 · The Korean Journal of Internal Medicine2012 · 제27권 제4호원내 약물부작용 보고 유형별 분석김성은, 김재송, 박은혜, 석현주, 이현주, 임혜리한국병원약사회 · 병원약사회지2011 · 제28권 제2호Pharmacovigilance and Its Importance for Primary Health Care ProfessionalsAsma A’tiyah Abdul Hamid, Rashidah Rahim, Shyh Poh Teo대한가정의학회 · Korean Journal of Family Medicine2022 · 제43권 제5호

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