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Pharmaceutical care implementation represents a critical shift in the modern healthcare landscape, prioritizing patient-centered clinical outcomes over traditional medicine dispensing. As healthcare systems evolve, the readiness of pharmacy interns to handle these responsibilities becomes paramount. A recent cross-sectional study evaluated PharmD interns in Riyadh, Saudi Arabia, to understand their attitudes and identify significant pharmaceutical care implementation barriers they face during clinical practice.
The study utilized a comprehensive questionnaire covering sociodemographic factors, perceptions, and technical skills. Participants generally demonstrated a positive attitude toward the concept of pharmaceutical care. However, many interns expressed concerns regarding their proficiency in specific domains. Specifically, while communication and psychosocial skills were rated highly, interns felt less confident in administrative and technical aspects. Consequently, this gap suggests a need for more practical exposure in clinical settings.
To enhance patient safety, educators must address the various pharmaceutical care implementation barriers identified by future pharmacists. The research highlighted several key obstacles. For instance, interns cited a lack of access to patient medical records and insufficient time for thorough counseling as major hurdles. Moreover, some interns noted a lack of clear institutional support and professional autonomy. Addressing these systemic issues is vital because they directly impact the quality of care they provide to patients.
Furthermore, the study suggests that curriculum adjustments can significantly improve intern preparedness. Schools should focus on bridging the gap between theoretical knowledge and real-world application. Increasing hands-on training and mentorship during rotations can boost confidence. Ultimately, fostering a supportive environment and providing necessary resources will enable interns to transition smoothly into competent clinical practitioners.
The most common barriers include limited time for patient interaction, restricted access to clinical data, and a perceived lack of training in administrative tasks.
Interns generally report high confidence in their communication and psychosocial skills, identifying these as strengths in providing patient-centered care.
Experts recommend enhancing experiential rotations, providing better access to hospital databases, and integrating more technical and administrative training into the curriculum.
Disclaimer: This content is for informational and educational purposes only. It does not constitute medical advice or professional services. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Refer to the latest local and national guidelines for clinical practice.
References
Alshehri SH et al. Evaluation of attitudes, perceptions, and barriers to pharmaceutical care: insights from PharmD interns in Riyadh, Saudi Arabia: A cross-sectional study. Medicine (Baltimore). 2026 May 01. doi: 10.1097/MD.0000000000048146. PMID: 42065214.
Mahmoud MA et al. Preparedness and barriers to pharmaceutical care among final-year pharmacy students and recent graduates: a cross-sectional study in Saudi Arabia. BMC Med Educ. 2025 Mar 13;25(1):381. doi: 10.1186/s12909-025-06947-9.

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