1) The aim of this study was to develop a training method for pre-educational clinical pharmacy in a 6-year curriculum. In the evaluation of training in a prepractical pharmacy by pharmacy students after completing clinical training in a 4-year curriculum, the average scores for the necessity and usefulness of training in a prepractical pharmacy were 4.5 and 3.9, respectively (maximum score, 5; minimum score, 1).
2) The average scores for usefulness in the subcategories of knowledge, technique, and attitude were 3.5, 4.2 and 3.8, respectively. The percentages of scores of 4 or 5 in these subcategories were 60.1%, 83.2%, and 64.1%, respectively.
3) The students recognized the necessity and usefulness of training in a prepractical pharmacy, but dissociation was seen in both scores. Therefore, the amount of attitude education in training in a prepractical pharmacy was thought to be insufficient. The strong desire for education by clinical pharmacists and the development of educational programs are future challenges for the Faculty of Pharmaceutical Sciences.

  Recently, the number of outpatients who visit the hospital only for the examination is increased in Ofuna Chuo hospital.  It is important that the pharmacists manage the contrast media used to these outpatients for the rational drug therapy.  However, there are a few hospitals where the pharmacists work in the laboratory.  Therefore, we investigated the effect of the providing drug information by pharmacists to the patients received magnetic resonance cholangiopancreatography (MRCP) in the laboratory.  The subjects were consisted of 38 patients who were taken with Bothdel®Oral Solution 10 during receiving MRCP.  The pharmacist instructed the patients about Bothdel®Oral Solution 10 before MRCP.  The percentage of patients who were already treated with the other drugs was 92.0%.  The 4 patients were taken the drugs interacted with Bothdel®Oral Solution 10 and then were able to prevent the drug interaction by the pharmacist.  Also, the patients were taken the questionnaire form about the adverse events of this drug and sent it to the pharmacy by mail after more than 5 days.  As the results, the gastrointestinal symptoms such as a loose stool and a diarrhea were reported 28.5% of the patients.  In addition, as the adverse events other than listed in the package insert, epigastric distress, heaviness of the head and hot flash, were shown in each of a patient, respectively.  In conclusion, it was very important that the pharmacists provide the information of rational use of contrast media to the patients who received examination.