Pharm 305 Preceptor Course Review

Pharm 305 Preceptor Course Review
Marlene Gukert mgukert@ualberta.ca Experiential Education Program Faculty of Pharmacy and Pharmaceutical Sciences; UofA MARCH 2014

Pharm 305 - The course Involves 7 learning outcomes Following slides highlight these Professional* Communicator* Care Provider* Collaborator* Advocate Scholar* Manager* * Assessments are on these 6

Core skills Overarching across all activities Professionalism ethical behaviours appropriate appearance patient accountabilities demonstrates initiative Communicator with patients, staff, other health care professionals written; computer notes, assignments

Care Provider Patient Medication History: primary placement activity Minimum of 3; one prior to midpoint - for feedback & assessment Assist with patient recruitment – at least first Preceptor should directly observe first session at beginning of placement & provide feedback. Dermatology; only therapeutic module completed Following the session; student should develop patient assessment & review with preceptor (prior to giving patient advice unless it is very obvious (ie change to snap caps from safety caps) Resources in manual Medication Review Tool, Blank care plan worksheets Student completes Medication Record in a MedRec pamphlet; consider as a BPMH. Vaccination/other medical information can also be added to the record. Document finding on patient profile – brief and for continuity

Care Provider Primary focus: assess students ability to gather information. Students should: determine adherence, administration, patient goals, medical conditions address effectiveness and safety: Do you think this medication is working for you? develop a care plan, including DRPs and documentation likely need preceptor support beyond assessment Focus is on determination of DRPSs related to above , medical conditions and patient goals Other columns are beyond their abilities…but they can try! write up as many care plan worksheets as needed for practice preceptor review helpful document care onto computer profile - note form i.e. DAP

Care Provider – other activities Rx Counseling of Topical Prescriptions all types of topicals: role play if needed OTC Counseling of OTC Dermatological Preparations – role play if needed Pharmacy Care Plan worksheet use for all 3 care provider activities to develop systematic process skills

Care provider assignment Part One : Post 1 care plan (not marked by Faculty) Part Two: Include ONE DRP statement a. state why you chose this DRP. 2. Include ONE patient goal a. was this a realistic goal? b. were you able to achieve this goal? c. What was the patient’s stage of change for this goal? What aspect of the patient care process do you think you need to focus on next year as a result of your patient interactions & why? What area of care plan development did you find the most challenging & why. i.e determination of DRPs, alternatives, follow- up etc Posted on eClass at end of placement; portfolio component

Collaborator Introducing concept of inter-professional practice early Discussions with techs, etc about role & scope of practice Complete a self assessment that builds on the IP self assessments they were doing in Pharm 300 ACTIVITY: Identify healthcare practices in the community that are available to patients i.e. dialysis clinics, physiotherapists, chiropractors, acupuncturists, well baby clinics, diabetic educators, dieticians, etc. either visit or phone the practice to see if they would be able to have a 10-15 min visit/phone call regarding healthcare professional collaboration.

collaborator Use the Guide to Inter-professional Shadowing card (green card) for planning & activity card is perforated to give to HCP provides goals of the interaction and suggested discussion points. Such as: what is the professional’s role and scope of practice? What are their professional concerns? How does that professional communicate with other health care professionals? Do they collaborate with other healthcare professionals? Do they experience any challenges or barriers to collaboration? Discuss their findings with you and complete IP Reflective Assignment (Portfolio)

Advocate ACTIVITY Prepare or participate in a health promotion initiative at the pharmacy OR in the community Examples include: creating a display about sun safety or first aid having a diabetes or blood pressure screening day at the pharmacy giving a presentation to a seniors group or a school

Scholar Students should be completing all drug information questions Drug Information form in manual ACTIVITY: Provide preceptors with an overview of the library resources and a minimum of one example of a search strategy for the selected UofA Library Database(s) now accessible to preceptors.

Manager Dispensing activities completeness of prescriptions and profiles Not formally assessed on dispensing proficiency and compounding feedback helpful Expected to understand medication safety processes discussions with pharmacy team

Medication use & safety activities ACTIVITY: Complete the Patient Information section of the Institute for Safe Medication Practices (ISMP) Self-Assessment for Community/Ambulatory Pharmacy DISCUSSION ACTIVITY: Discuss findings from the Patient Information Self-Assessment with preceptor. purpose is to have a positive discussion regarding the requirements of practice as well as some of the challenges in getting and maintaining patient information not to determine aspects of practice that need to be “fixed.”

Medication use & safety activities ACTIVITY: complete the Quality Processes and Risk Management Section of the ISMP (Institute for Safe Medication Practices) Medication Safety Self- Assessment for Community/Ambulatory Pharmacy. DISCUSSION ACTIVITY: Discuss entire self-assessment (characteristics 166-198 with preceptor. - Following the discussion choose 5 characteristics from the assessment to include in Medication Assignment (portfolio)

Pharm 305 Preceptor Course Review