PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
Jan – Apr 2015
E*Value User Conference Dr. McKelvey, Dr. Smith, Mrs. Carbonneau and Ms. Mandy Funderburk (Director of Assessment) traveled to Minneapolis for the E*Value User Conference in October. They attended sessions on: •Building Evaluations •Leveraging Rules in the Optimization Plan to Achieve Scheduling Goals •Meeting Accreditation Standards with E*Value •Round Table discussions and consultations with our customer service technicians
What we’ve been up to since this fall: P3 APPE Interviews The Office of Experiential Education interviewed each current P3 student in September and October. The purpose of these meetings is to explain the process of APPE preferences, take notes on the student’s post-graduate and career goals, and give details of rotation opportunities best suited for the student. We are proud that we provide individualized attention to each student and deliver a unique opportunity for the student to have input in his or her APPE schedule. We also pay special attention to students interested in residency programs to ensure that their fourth year schedules make them competitive in the residency application process.
Evaluations Dr. Smith gathered and released IPPE and APPE Evaluations for preceptors from January 2011 – May 2014. This information included: • An analysis of the preceptor’s performance on each metric of the evaluation; • Comments from students about the rotation; • A comparison of the preceptor’s metrics to the IPPE Preceptor Group as a whole. We hope that this information will be used to refine and improve your rotation. For the future, we plan on releasing evaluations twice a year.
Prospective Student Interviews Our preceptors can participate in interviewing students for admission to PCSP. Interviews are held on Tuesday and Wednesday afternoons from 2pm – 4:30pm. If you are interested in taking part in these interviews during the 2015-2016 academic year, please contact Deanie Kane, Director of Admissions (kjkane@presby.edu).
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
Jan – Mar 2015 Site Visits Dr. McKelvey and Dr. Smith have been visiting several rotation sites to get to know the preceptors, share information and see our students in action. We recently enjoyed meeting preceptors at: •Herold’s Pharmacy •Ralph A. Johnson VA Medical Center •Spartanburg Regional Hospital •Mary Black Health System •Walgreens Pharmacy, The Parkway,
Rotation Experience
as written for the student blog: http://rxtolifeatpcsp.blogspot.com/
-Rebecca, P2 - Class of 2017 Here at Presbyterian School of Pharmacy, you start your first rotation the spring semester of your P1 year, in the retail setting, and you continue to do 2 locations per semester, once weekly. As a P1 I got to see 2 very different retail settings, a large chain pharmacy and an independent pharmacy. I cannot even explain how much information made more sense after my time at each location! “Ah-ha” moments galore! As a P2, your rotations shift from community retail settings to hospital pharmacy. I honestly, was not excited. I’ve always thought of myself as a retail or corporate pharmacist, pretty much set on a distinct path! Then, I started a rotation at Newberry Hospital and I LOVE EVERYTHING about it. I thank my school every day for pushing me into these new experiences of pharmacy, because I almost missed out on a great career opportunity due to having a closed mind! At this rotation, I am treated as a team member and I really feel encouraged to learn and participate! They have shown me what’s it like to play a providers role as a pharmacist and it’s been awesome! From counseling patients on anticoagulant therapy at discharge to preparing IV solutions STAT for the emergency department, I have been encouraged to learn! Rotations are a great motivator in the middle of a hectic week and guess what? Your preceptors, they’ve been in your shoes! They understand what’s it like and they are more than willing to provide extra encouragement or even reinforcement that assures you becoming a pharmacist, was the right decision!
Greenville •Hospice of Laurens County •Palmetto Dialysis •Greenville Hospital System
E*Value Tip: How To Change Your Login Name and Password in E*Value It seems that E*Value goes out of its way to create hard to type/remember user names: R*$Smith) R%Hall S+Jones! H]Anderson And passwords can be just as brutal: B8447+Jon@3 Lt58*#78 R560O~ But you can change both by clicking on My Profile\Password Change in E*Value and then create a new login and password. There are some requirements, of course, but it really is possible to be compliant (and secure) without having to use some of those hard-to-find symbols!
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR Experiential Program Review Committee (EPRC)
Jan – Mar 2015 2014-2015 EPRC Members: Aaron Dobrin, Walgreens Pharmacy (Preceptor)
Responsibilities:
Ashley Castelvecchi, VA Outpatient Clinic – Greenville
•Provide a forum for discussion and collaboration between the Office of Experiential Education, faculty, and preceptors
(Preceptor)
Christine Latham, G.W. Bryan Psychiatric Hospital (Preceptor) Eddie Grace (PCSP Faculty)
•Advise and offer insight and input into the development of policies for the experiential program.
Eileen Ward (PCSP Faculty) Forrest Adair, Adair Apothecary (Preceptor)
•Advise the OEE on matters relative to the preceptor quality assurance process.
Heather Hughes, Greenville Hospital System (PCSP Preceptor)
•Consult, collaborate, and recommend solutions on issues identified through surveys and other mechanisms related to experiential education. Surveys include biennial AACP preceptor survey, annual PCSP OEE preceptor survey, and annual AACP graduating student survey.
Lisa D. Murphy, Palmetto Heart (Preceptor)
Jim Pitts, Patrick B. Harris Psychiatric Hospital (Preceptor)
Interested in being a member of the EPRC in 2015-16? Contact Dr. Mary Douglass Smith at mdsmith@presby.edu
Michael Fadeyi, American Outcomes Management (Preceptor) Michael Ferguson, Spartanburg Regional Healthcare System (Preceptor)
Nancy Pedigo (PCSP Faculty) Paul Alford, Carolina Pines Regional Medical Center (Preceptor) Shuler Spigener (Student) Megan Tran, Self Regional Healthcare, (Preceptor)
Welcome Lynn Lynn Thompson joined the OEE this fall and is the Coordinator for Experiential Education. She is responsible for our affiliation agreements with rotation sites, pre-rotation requirements for students and many other administrative and financial duties of the OEE. She enjoys gardening, exploring antique shops, travel and spending time with her family. “I enjoy being outside, especially gardening. My husband and I always have something growing year round, vegetables, flowers, and landscaping plants. We hope to retire to a large working farm some day in the mountains.”
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
Jan – Mar 2015
Preceptor Spotlight: Dr. Sean Tran, PharmD Dr. Tran is a 2009 graduate from South Carolina College of Pharmacy and works as Clinical Pharmacist at Self Regional Healthcare System in Greenwood, SC. He serves as preceptor for both IPPEs and APPEs for PCSP and won Preceptor of the Year in 2014.
1. What rotation experiences inspired you most while you were in school? I was fortunate to have several enjoyable rotation experiences when I was in school, but there were three in particular that really defined who I wanted to be as a practitioner. Each experience offered me a glimpse of the kind of clinician I strive to be both personally and professionally. The first such rotation was with an Oncology Pharmacy Specialist at Palmetto Health Richland. This particular pharmacist works tirelessly each day to ensure that his patients receive safe and appropriate care in the inpatient setting. The compassion he has for his patients transcends the work environment. I have heard stories about him working from home and during vacations because he won't stop thinking about his patients. Thus he is respected by his coworkers and patients alike. As a student on his rotation, this pharmacist exemplified the compassion that I wanted to show towards my patients. The second rotation that inspired me was with the Pediatric Intensive Care Unit at Palmetto Health ChildrensHospital. This was one of my first experiences rounding with a teaching service on a critical care unit. I had the good fortune of spending the month with an excellent preceptor and a PGY-1 resident. The resident personally took my fellow student and me under her wing and ensured that we were prepared for the intense daily rounds. A few times we outshone the medical residents and students with some drug information questions. This experience helped prepare me for residency and clinical rounding services early in my training. My third inspiring rotation was actually not with a pharmacist, but with a nurse practitioner with a Cardiology Group in Columbia. Together we rounded in the office and in three different hospital campuses. This rotation was (and continues to be) one of the most challenging experiences offered, due to the heavy amount of literature evaluation, early rounds, and clinical application of drug information. This also helped prepare me for residency and the variety served me well in clinical practice.
2. What are the most difficult aspects of being a preceptor? And how do you overcome these barriers? Being a preceptor has many challenges. Precepting a student can be a huge time commitment because there needs to be time devoted to prepare for the student before the rotation and to evaluate the student during and after the rotation. Rotations are constantly being tweaked based on learning what didn't work well each month and feedback from students. It is also important to stay up-to-date on current practice so that students are learning the appropriate material. Yet the challenges of precepting are also what makes it gratifying. Students constantly challenge you to stay current and learn new things. Often times a student teaches me something that is being taught in school that I never had the opportunity to learn. Thus precepting is often self-rewarding.
3. How do you judge a student's success on your rotation? One of the things that I believe about precepting is that everyone has a different learning style and each student is progresses at his or her own rate during their training. I never have an expectation beyond the minimum level of competence for any of my students, unless they are almost at the end of their training. Once we have established the students' baseline strengths and weaknesses, we can then create personal goals for them. In general a student's success is dependent on their ability to progress towards and sometimes exceed their own specific goals each month. My goal is to provide a unique experience for each student that I precept.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
Jan – Mar 2015
Alumni Spotlight:
Dr. McCall Anderson, PharmD Dr. Anderson is a graduate of the first class from PCSP (2014) and is from Sumter, SC. She is completing a community residency at Medicine Mart in West Columbia, SC.
1. What have been the most difficult parts of being a new practitioner? And what do you do to overcome these barriers? Working at a small, independent pharmacy, I find it hard as a new pharmacist to gain the trust of the patients. The patients are use to calling into the pharmacy and speaking to one of the two older male pharmacists. So have a young female answering the phone really throws a curve ball into the mix. I am able to meet most of the patients that come into the pharmacy to pick up their medications. So for the patients that we deliver to, I spent 2 days with our delivery driver visiting the different delivery sites and meeting the patients that live there. In addition, I signed up to administer flu shots to our 3 biggest delivery sites. So one way or another, I have had the opportunity to meet most of our patients. Once the patients are able to put a face and personality with the voice they are speaking with on the phone, most of them have started to trust me as a pharmacist. In addition, there are several patients that I have gone the extra mile for in terms of going to their house to administer a flu shot or spending an hour with them discussing their 2015 Medicare options. Once the patients see that my number one concern is their health, they seem happy to talk with me and some even ask for me specifically.
2. What rotation experiences inspired you to pursue a community residency? I was fortunate enough to have 3 ambulatory rotations. I absolutely love the idea of working one-on-one with the patients. After rotating through a doctor office in my home town, I quickly realized that finding an ambulatory position with the level of responsibility that I had at the VA Outpatient Clinic was going to be a challenge. After completing one of my community rotations at a Piggly Wiggly pharmacy, I was excited to see just how much the patients valued their pharmacist. I quickly realized that pharmacists are a huge part of patient health care. I believe this to be especially true in independent pharmacies since the patients have the opportunity to really get to know their pharmacist. With that being said, I believe independent pharmacists can do so much more for their patients than just fill their prescriptions. I choose to pursue a community residency to expand my knowledge in patient care as well as the business component. I plan to take what I have learned about immunizations, MTM services, pharmacogenomic testing, and patient counseling and try to implement it in other small community pharmacies.
3. Describe one of your favorite moments in patient care. I met with an 83 year old patient, Karl, a couple of weeks ago to give him a pneumococcal vaccine. While he was in the office, we talked a little and got to know each other a bit. The following week Karl called into the pharmacy requesting to speak to McCall. He informed me that his daughter was in town and she wanted to meet with me to discuss problems with Karl’s medications. We concluded that the patient was getting too much zinc from his vitamins and was the possible cause of the diarrhea he was experiencing. Karl was experiencing bladder control loss and having to sleep in a depend diaper. After explaining that this could be a side effect of the diazepam that he is taking, the patient decided to stop taking the diazepam. And last but not least, after requesting a omeprazole prescription from the doctor, I was able to save the patient about $30 a month since he no longer had to buy the OTC product. As I mentioned earlier, one of my biggest challenges has been gaining the trust of the patients. So it really made my day to know that I was the first person that Karl thought of to discuss his medication problems. It is a huge accomplishment to get a patient to stop taking a benzodiazepine especially if they have been taking it for years. So not only was the patient happy that I saved him money and identified possible causes of his diarrhea and loss of bladder control, but I was just as happy to know that the patients are putting their trust into me and we have one less elderly patient taking a high risk medication.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
Jan – Mar 2015
Student Spotlight: Edana Holliday Edana is a current P3 student from Orangeburg, SC. She is interested in pursuing a residency following graduation and is passionate about patient care in ambulatory care settings. She is involved with the student chapters of: Academy of Managed Care Pharmacy (AMCP), Pharmacy Student Governance Association (PSGA), Student National Pharmaceutical Association (SNPhA) and serves on the Student Development Ad Hoc Committee. 1. What has been your most valuable rotation so far and why? Over the course of my three years I have had the pleasure of experiencing a number of wonderful rotation sites. The most valuable was through Greenville Health Systems at the main hospital. This rotation exposed me to several aspects of hospital pharmacy that I was not previously aware of. My initial response to hospital pharmacy was that it was not for me and I did not want to be in a basement. However, GHS exposed me to many patient specific roles that changed my perspective. Each rotation increased my awareness of patient interaction and pharmacy advancement. I had the opportunity to see pharmacists in action on a patient specific level as well as put my knowledge to work. 2. How do you balance the demands of your rotations with your school work? Each rotation has specific requirements and expectations. Realizing that these expectations are to perfect the professional I am becoming decreases the difficulty of balance. I personally schedule times to complete my rotation requirements along with my course work. Treating my assignments as if they are in fact school work, insures that I will complete them in a timely manner. The art of scheduling with the use of a planner has truly been influential in my pharmacy school career including but not limited to my rotation and course work. 3. What is something you have learned about yourself on rotation? During my pharmacy journey I have experienced 9 different rotation sites and each one has taught me valuable information. During these rotations I learned that I prefer patient interaction and contact. Each opportunity I have encountered gave me the opportunity to put my acquired knowledge to use. I prefer the ability to personally make a difference in the outcome of a patient through counseling and direct care.
Did You Know‌ PC School of Pharmacy is on Instagram! http://instagram.com/pc_pharmacy/