PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
Meet the Executive Director of Experiential Education, Talisha Ratliff Talisha Ratliff, PharmD, joined the Office of Experiential Education at Presbyterian College School of Pharmacy in July 2020. Talisha had been an active preceptor for PCSP and other schools in the state and was awarded PCSP Preceptor of the Year in 2019. Though her ability to visit many sites and preceptors during this year will be limited, she is already reaching out to many via phone, teleconference, and email. We are excited to have Dr. Ratliff lead our team!
What made you decide to pursue a career in experiential education? I have precepted a band of students over the years and have a genuine love for leading the next generation. In my former job, I only had the opportunity to encourage and uplift two students per month, but I felt that I had more to give. I embarked on this new adventure because I can share my passion with many more students and get to include preceptors.
What is your vision for experiential education at PCSP? Although COVID-19 seemed to cancel "everything,“ it can't cancel progress! I want to see the experiential education department's presence continue to grow throughout our state. I would like to build on the preceptor development that is already established and help create new opportunities. I joined PCSP because of its small-town, family appeal. As preceptors for our school, I want you to know that you are also a part of this happy family.
What are your goals for the preceptors and students? I would like to see the creation of lifelong connections. Students will take a little piece of each preceptor that they encounter, and it will eventually make a whole pharmacist. I encourage preceptors to give students the best version of themselves. Be honest. Be transparent. Be mentors. Be the pharmacist that you would look up to and admire.
Hear more from Talisha in her own words
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
September 2020
Precepting in the Midst of a Pandemic Precepting Pearls
Emily Russell, PharmD Pharmacist Family Pharmacy, Aiken, SC
One aspect of our daily "normal" that COVID-19 has affected has been with our pharmacy school students. Prior to COVID-19, the only student policies we had involved business professional attire, close-toed shoes, and a name tag. Due to state policies and regulations for COVID-19, however, we have had to warn students of new policies during the initial communication 4 weeks prior to the rotation and again on Day 1 of the rotation. We inform students that we do wear masks, we utilize delivery and curbside services, and that we have frequent disinfection and handwashing procedures. Students are encouraged to be vocal about any concerns they have about safety while on rotation with us. I think it's important to be clear in communicating the operations of your rotation location so that students can decide independently if they feel it will be a safe environment in which to practice.
The Journal of the Pharmacy Society of Wisconsin recently published a set of pharmacist tips for virtual precepting. You can find the resource, “I am a Pharmacy Professional and a….Virtual Teacher,” here: https://www.jpswi.org/i-am-a-pharmacy-professional-and-a-virtual-teacher.html
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
Naloxone Training by SCORxE Academic Detailing Service A group of volunteer P2 students participated in Naloxone training (via Zoom) during their Fall Week IPPE in August. Students received information about expanded access to naloxone along with patient education on how to prevent overdose. Student then educated their own preceptors about what they learned.
Thank you to our preceptors who allowed these students to attend!
Student
Preceptor
Shelby Powell
Kunta Patel
Claire Stuckey
Eric Strauss
Shelby Andrysczyk
Brooke Barnes
Melissa Rogers
Forrest Adair
Kaileigh Collins
Eric Strauss
Mark Suddreth
Jerry Stoddard
Marwa Hassan
Anna Lavotchin
Precepting Resources "Innovative Teaching and Learning Models in the COVID-19 Era: Parts I & II“ (Free to ASHP Members/Not Available to Non-Members) “On Demand: The Art of Dialogue: A Stepwise Approach to Effective Communication” (Free to ASHP Members/Not Available to Non-Members) On Demand: Precepting Millennials: The How with Generation Why (Free to ASHP Members/Not Available to Non-Members) ASHP National Pharmacy Preceptors Virtual Conference (October 22-23, 2020)
Reward for Reading! Thank you for reading our preceptor newsletter! For a fun contest, answer the following question & submit to mdsmith@presby.edu to win an official PCSP Scotty the Scotsman doll! Winner will be announced in the next newsletter!
What is the last day of P3 IPPE in the fall semester?
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
September 2020
2020-2021 Master Preceptor Application Open
Master Preceptors are recognized at the White Coat Ceremony annually and are eligible for adjunct faculty appointment. The deadline to submit the required materials is November 1st.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
IPPE Workbook Updates There were several updates to the IPPE workbooks for the 2020-2021 year, including: • • • •
Better differentiation between community and hospital activities in the P2 workbook Smaller size; fits in the white coat pocket! Activities and calculations based on opiate prescribing Activities based on well-being and resilience
Copies of the IPPE workbooks are available on your eValue home page.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
My Rotation Experiences Brooks Darazs, Class of 2021 While on an academia rotation in August, P4 students were tasked with writing an article for the PCSP Preceptor Newsletter to reflect on their rotations throughout pharmacy school.
My favorite IPPE rotation was at a Walmart with Dr. Chheuy during my third year. Before arriving, my preceptor asked about my previous experience so that he could gear the rotation to the areas I felt I needed for completing my understanding of the retail setting. For me, this included a heavy emphasis on counseling and verifying the accuracy of prescriptions. From day one, I could tell it was going to be a great rotation based on how my preceptor interacted with his team. I could see that he created a healthy work environment that supported the encouragement of learning. He always was available for educating others and I could see the confidence that patients felt after speaking with him about their medications. After I felt comfortable shadowing his counseling sessions, we switched places and he shadowed me. Following every encounter, he would give me feedback on my delivery, content, and any pearls I might have missed. During the rotation I had mini-projects, such as topic discussions and a SOAP note, which furthered my presentation skills and use of academic resources. I was able to verify prescriptions with him as he asked questions like: “Is this an appropriate drug for the disease, what are the common side effects/counseling points, and are there alternative treatments?” He incorporated questions tailored towards the material I was currently learning and offered study tips that helped him. Through this and his supportive feedback, I was able to build confidence in my clinical decision-making skills and connect the bridge of pharmacy curriculum to real-world practice. Even in the retail setting, where we were constantly moving, he always saw a learning opportunity in the prescriptions, counseling sessions, and stock bottles he picked up. Throughout my rotations, the preceptors I learned from the most were life-time learners who remembered the struggles of being a student themselves. They gave feedback and asked for feedback in return on how they could better help the student learn. These preceptors recognized the importance of sharing their knowledge and experiences in order to “sharpen another’s iron,” as their students will pick up their tools going forth to provide patient care.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
My Rotation Experiences JP Lewis, Class of 2021 While on an academia rotation in August, P4 students were tasked with writing an article for the PCSP Preceptor Newsletter to reflect on their rotations throughout pharmacy school.
My best rotation experience was my first APPE with Jerry McBride at Chapin Pharmacy. It was a community rotation at a chain of independents where I was able to see and be involved in the operations at three different stores. As a student who is interested in having a career in community pharmacy, but also considering residency, I couldn’t have asked for a better experience. Early on, Jerry asked me what I wanted to get out of the rotation and gave me free rein to figure out the pharmacy system on my own. Jerry was always happy to answer questions when I had them. I was assigned multiple mini projects that improved my knowledge in community pharmacy. Specific examples include over-the-counter recommendations as well as less commonly seen injectable antipsychotic dosing.
From my experience, a rotation that is more concerned about learning and less about the grade will provide the most comfort and support for a student pharmacist. For me, it is more rewarding when my preceptor shows confidence in my ability and shares his/her expectations early in the rotation. I want to see every rotation as its own unique experience, and great preceptors are the ones that make them that way. It was great to have: ● A precise schedule ● A list of expectations ● An alternative plan ● A preceptor that got to know his/her student
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
My Rotation Experiences Chris Plummer, Class of 2021 While on an academia rotation in August, P4 students were tasked with writing an article for the PCSP Preceptor Newsletter to reflect on their rotations throughout pharmacy school.
One of my best rotations so far has been an APPE at Internal Medicine Associates of Aiken. While my preceptor, Dr. Taylor Pennisi, did an excellent job of teaching, one of the strengths of that rotation was that it gave me the chance to work closely with other professionals in the clinic, allowing me to learn from multiple perspectives. The importance of interprofessional communication is stressed at PCSP. However, this can be a hard topic to understand, and getting a quality experience in interprofessional communication can be difficult. Dr. Pennisi made a strong effort to allow me to spend time with the physicians, nurses, and nurse practitioners that made up the clinic. Having a more indepth view from so many perspectives within the healthcare team has been invaluable.
Another area where experience can be hard to gain is in presenting, whether it’s a journal club, a patient case, or otherwise. Many have the opinion that being ‘thrown into the fire’ is the best way to learn these practical skills. This can be a very quick way to gain many skills, but in my experience thus far, the best way for me to learn is to split the difference. A skill that most of my best preceptors have in common is the ability to clearly communicate their expectations. This can be especially helpful for a presentation assignment. In addition, having the opportunity to give a presentation to the preceptor before giving it to other professionals has been an extremely helpful strategy employed by a few of my preceptors. My best preceptors have been excellent at asking hard questions during one-on-one ‘mock presentations’ so that I could be over-prepared (if there is such a thing) when giving the real presentation a few days later. That method of learning seems to retain most of the effectiveness of being thrown into the fire, while also relieving a lot of the stress that comes with presenting. I think there is an important balance to maintain between keeping stress for the student reasonable to prevent burnout, while still providing a lot of challenging new experiences. Much of the responsibility to deal with stress falls on the student, but some the best preceptors I’ve had really worked with me to add longevity and enjoyment to the learning process, throughout those rotations.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
My Rotation Experiences Emily Vandiver, Class of 2021 While on an academia rotation in August, P4 students were tasked with writing an article for the PCSP Preceptor Newsletter to reflect on their rotations throughout pharmacy school.
My favorite rotation was my Elective Pharmacy in Veterinary Medicine APPE at Spears Creek Veterinary Clinic with Dr. Wendy King. Dr. King has her Doctorate in Veterinary Medicine and runs the clinic with two veterinarians and seven veterinary technicians. They all welcomed me into their clinic with open arms and I quickly became part of their “fur baby family.� Aside from the small projects that I was asked to complete, my daily tasks included all tasks of the veterinary technicians. In addition to daily cleaning and maintenance tasks, I was also responsible for completing patient appointments, measuring/recording weights and temperatures, collecting and reading stool/skin/ear samples for bacteria/fungi/parasites, collecting and sending off serum samples to laboratories, drawing up and administering vaccinations, documenting uses of controlled medications, filling prescriptions, providing counseling, maintaining inventory, and adding charges to patient profiles Although my patients were not humans, this rotation allowed me to learn numerous life skills and the basic concepts of small business owning. This rotation was the most rewarding because it reminded me to keep my mind open when it comes to choosing a career. It is not always healthy to have a set plan for yourself because you may find yourself doing something that you enjoy much more. I jumped out of bed and eagerly drove an hour and ten minutes every morning to be at this rotation and then fought with rush hour traffic for an hour and ten minutes to get back home but I did so without hesitation because I wanted to be at this rotation. I wanted to be around my patients and around the other technicians so much so that Dr. King has allowed me to continue to volunteer at the clinic past completion of my rotation. She has constantly showed how appreciative she is of my help and gladly allows me to be there during my free time. Since the clinic essentially operates on the same schedule each day, Dr. King had me follow more of a routine schedule, rather than a schedule for the whole month. This was good for me because I always knew what was expected of me and I was always able to complete my daily tasks without being asked to do so. I showed up early each day and began preparing for the day so that we were ready to begin once the clinic opened for appointments. If anyone caught a mistake that I made, they would tell me right away so that I wouldn’t make it again. Their feedback was always formative and allowed me to not make the mistake again. I encourage all students to take this rotation if their schedule allows. They will not regret it. Everyone at the clinic is eager to learn about the students on rotation, and they all put time into becoming friends with students while maintaining professionalism. Dr. King and her staff are the most extraordinary people, and I am so incredibly lucky to have had this opportunity to learn in this loving and encouraging environment.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
IPPE CALENDAR 2020-2021 The school discontinued IPPE training on March 16, and as a result, P1 and P2 students were not able to complete the Spring-2 rotation. (P3 students completed IPPEs remotely with faculty preceptors to prevent delay starting the APPE year.) This new schedule provides time for the Class of 2023 to finish the P1 IPPE prior to starting the P2 fall week IPPE in August. The Class of 2022 will finish P2 rotations in August before the P3 Fall-1 IPPEs begin in September. Summer 2020
P1
Summer Week (dates subject to change)
Fall/Sim Week
Fall 2020
P1
Fall-1
P2
P3
August 10-14
August 21 & 27
Monday-Friday 32 hours total
September 3 8 hours/day
(Make-up of PHRM 5201)
(Make-up of PHRM 6201)
August 17-21
August 17-20
Monday-Friday 8 hours/day
Monday-Thursday 8 hours/day
P2
P3
August 25-October 1
September 10-October 15
Tuesday or Thursday 4 hours/day, mornings
Thursday 8 hours/day
Make-Up Week: P2: October 5-9 if needed based on weather during Fall-1; P3: no make-up week available Fall Break: October 12-13, 2020 October 15-November 24 Fall-2
October 22-December 3
Tuesday or Thursday 4 hours/day, mornings
Thursday 8 hours/day
Thanksgiving Break: November 25-27, 2020 Note: P2 students are assigned to IPPEs in Fall-1 and Fall-2; P3 students are assigned to either Fall-1 or Fall-2
Spring 2021 Spring-1
P1
P2
P3
January 12-February 19
January 12-February 18
January 14-February 18
Tuesday, Wednesday or Friday 4 hours/day, afternoons
Tuesday or Thursday 4 hours/day, mornings
Thursday 8 hours/day
Make-Up Week: February 22-26 if needed based on weather during Spring-1 Spring-2
March 2-April 23
March 2-April 15
March 4-April 15
Tuesday, Wednesday or Friday 4 hours/day, afternoons
Tuesday or Thursday 4 hours/day, mornings
Thursday 8 hours/day
Spring Break: March 15-19, 2021 Easter Break: April 2 & 5, 2021 Note: P1 & P2 students are assigned to IPPEs in Spring-1 and Spring-2; P3 students are assigned to either Spring-1 or Spring-2
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
There’s a lot in the literature about trends and improvements in experiential education. So we’ve created an easy way for you to keep up: The Journal Monitor. In each preceptor newsletter, we’ll provide you a brief look at some current articles. And we’ll provide the source information as well so you can take a look at the entire article yourself.
Using Debates to Mimic Clinical Discussion in Experiential Education Nisly, S. A., Kingdon, L. K., Janzen, K. M., & Dy-Boarman, E. A. (2017). Using Debates to Mimic Clinical Discussion in Experiential Education. INNOVATIONS in Pharmacy, 8(4), 9. doi:10.24926/iip.v8i4.935
Types of Debates to Utilize: - Lincoln-Douglas -
Traditional and well-established debate format Two people or two teams argue one side of a dichotomous topic Helps with application of clinical trial data to patient care scenarios Improves presentation skills and ability to critically evaluate literature Example: Apixaban vs. Warfarin in patients with a mechanical valve
- Four Corner Debates -
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Learners personally evaluate their opinions of a statement and move to the 4 corners of the room: “Strongly agree,” “Agree,” “Disagree,” and “Strongly disagree” Each group prepares to support and defend their belief Requires a large group of learners and promotes teamwork in each group May work best with ethical topics without a clear dichotomy Example: Pharmacists should be eligible to prescribe oral contraceptives
- Think-Pair-Share Debates -
Learners think individually and work in pairs to create lists of reasons to support both sides Two pairs work together to come to a consensus Each step (Think, Pair, Share) should only take one minute Example: Determining a treatment plan for patient
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- Fishbowl Debates -
Debaters (at least 2-3 different positions) are arranged in a circle Each debater presents their position Audience members actively ask questions Works well for multiple preceptors and levels of learners Example: Dosing recommendations for medication with unclear guidelines
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- Role Play Debates -
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Learners represent a stakeholder in a particular issue A person acts out or performs a role and the debater is required to represent their stakeholder in the discussion Works best with difficult patient situations and stakeholder roles can include patient, caregiver, physician, hospital administration, etc. Encourages empathy and interpersonal communication skills Example: Parent concerns about MMR vaccine
Assessing debate performance • • • • • •
Self-assessment Critical thinking skills Thorough evaluation of evidence-based literature Interpersonal communication Empathy Public speaking
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
Important Dates
Preceptor Development While live preceptor workshops are on hold for the year, we are still working to offer new and innovative ways to develop our preceptors. One recent activity invited preceptors from Prisma Midlands – Richland to participate in simulated student feedback sessions via Zoom. The students (volunteers from the academia APPE) met one-on-one with preceptors for a 10-15-minute feedback session. The preceptors gave simulated feedback, such as a midpoint evaluation, just like they would provide for a real student on rotation. The student then completed a form that included their strengths, areas of opportunity, and what grade they believed they would be given. These forms were sent back to the preceptors to see if the feedback provided was received accurately. If you’re interested in participating in a similar activity, email Mary Douglass Smith (mdsmith@presby.edu) to coordinate.
2020 August 25-October 1 September 30 (approx.) September 10-October 15 October 12-13 October 13 October 15-November 24 October 22-December 3 November 25-27 December 1 December 7-16
P2 Fall-1 2021-2022 APPE availability requested P3 Fall-1 Fall Break P4 Capstone P2 Fall-2 P3 Fall-2 Thanksgiving Break Final grades due* Final Exams
2021 January 12-February 18 February 17 (approx.) February 22-26 March 2-April 23 March15-19 April 2-5 May 1 May 1 May 7
P1/P2/P3 Spring-1 2021-2022 IPPE availability requested Makeup Week for weather/closings P1/P2/P3 Spring-2 Spring Break Easter Break Final grades due* Class of 2022 begins APPEs Class of 2021 Graduation
*These two time periods are particularly important to get grades into the registrar’s office (December to get all APPE grades in for residency applications and May to certify graduation).
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
September 2020
eValue Tip: Educator-Entered availability • Near the end of September, you will receive an invitation to log into eValue and enter your APPE availability directly. • If you have the role of site director, you will be able to enter availability for all preceptors at your site. You will only see the rotations to which you are linked. • Please contact our eValue Guru Susi Carbonneau, scarbo@presby.edu, to update your rotation types or if you have questions about them.
eValue Tip: Educator-Entered availability • Many preceptors only log into eValue when it's time to complete an evaluation and use the auto-login link that comes in your reminder email. This is great! But if you've lost that email and do not remember your password, here are your options: • Navigate to www.e-value.net and click "Forgot Your Password." • You will get an email at the address we have on your profile. (For some of you, this might be your store/work email.) The email will include a link to use to reset your password. • Please note that this link will expire after 24 hours. • Note: If you're using your phone to access eValue, you may have to click "Go to Full Site" in order to see the link for "Forgot Your Password." • Contact Susi Carbonneau, scarbo@presby.edu, for assistance. Susi can generate an email with a link to reset your password. This link also expires in 24 hours.