PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
January – April 2017
Preceptor Orientation and Development – All in One Place Dear Preceptor, We would like to introduce you to our new preceptor website that will eventually serve as your home for all things related to experiential education for PC School of Pharmacy students. During phase one of the rollout, the website will house preceptor education resources such as our preceptor orientation, workshop recordings, and newsletter archives. During phase two, we will move the announcements section of E*Value (syllabi templates, evaluation tools, etc.) to the new site, providing you with one place to go to access our resources. The website is up and running now, and we recently posted our workshop from March 3rd which provides valuable training on the new 2017-2018 IPPE and APPE evaluations, so be sure to view! ACPE Standard 20.0, Preceptor Education and Development, states that a school must “orient preceptors to the program’s mission, the specific learning expectations for the experience outlined in the syllabus and effective performance evaluation techniques before accepting students.” We are happy to introduce a series of nine preceptor education modules that cover not only our school’s mission, but also the curriculum, preceptor pearls, and tips on dealing with student problems. All preceptors are required to complete these orientation modules-each one presented as a brief video followed by a short quiz. To successfully complete the module, the preceptor must achieve a grade of 80 percent or higher on each quiz. Overall, the modules total less than 1.5 hours, and the system saves your progress for easy return at any time.
Please take a moment and go to www.pcspoee.com and register for an account to view these videos. Our goal is to have all preceptors complete the program by the end of 2017.
Over the upcoming months, you will continue to see our preceptor website evolve, so please be on the lookout for new content! We recommend that you bookmark the web address for easy access or you can just look for the link on your E*Value homepage. Thank you for all you do for PC, our students, and our profession. Kate Moore Executive Director of Experiential Education
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
January – April 2017
The Pharmacists’ Patient Care Process: How it influences your practice and your precepting There has been a paradigm shift in pharmacy practice from a focus on products to a focus on patients. The Joint Commission of Pharmacy Practitioners (JCPP) is a working group made of representatives from national pharmacy organizations. The mission of JCPP in developing the Pharmacists’ Patient Care Process (PPCP) was to create an approach to patient care that is the same, regardless to patient setting or situation. This patient-centered approach utilizes the collaboration of other providers on the health care team to optimize patient health and medication outcomes. Pharmacists are involved in a patient-pharmacist relationship that encourages effective communication, documentation, and engagement to provide high quality, cost-effective and accessible health care. There are 5 key steps to the PPCP: o Collect o Assess o Plan o Implement o Follow up, Monitor & Evaluate Include students in each step of the PPCP during your rotation:
Provide follow-up and evaluate appropriateness of therapy and clinical outcomes
Collect & assess patient’s past medical history, medication history and allergies
Provide effective oral communication with patient and healthcare providers
Assess the pathophysiology of a patient’s disease state & conditions
Develop a patientcentered therapeutic plan
Document therapeutic plan and patientspecific clinical information
Provide drug information
Work with interprofessional care team members
Incorporate the medical literature to provide evidencebased supported best practice clinical care
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
January – April 2017
Interprofessional Education at PCSP March 17, 2017 Over 200 P2 PharmD, DO, and BSN students met in Spartanburg, SC for the Interprofessional Education (IPE) Kick-Off event to learn and work together. It was a great start to the formal and fully fleshed-out IPE program that has been developed by Presbyterian College, the Edward Via College of Osteopathic Medicine Carolinas Campus, and the USC Upstate Mary Black School of Nursing over the course of the past several years. This program will allow students from each professional program to learn and work together to care for simulated patients in a meaningful way so that, when the times comes for them to care for real patients, they will already feel comfortable working and interacting as a part of an interdisciplinary team which will improve healthcare for us all. The program will continue over the next few semesters for these students. Students will complete two assignments during the course of the IPE program:
1. Working in assigned interprofessional groups, students will record a group discussion to address their assigned ethical case. The group discussion can be held virtually and recorded for faculty to review and grade. 2. During Fall 2018, the students will work in the same groups to complete a virtual progressive case for a simulated patient with either a PE; MI; or acute, decompensated HF.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR 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 whole article yourself.
Factors Associated with Students’ Perception of Preceptor Excellence Am J Pharm Educ. 2014 Apr 17; 78(3): 53.
OBJECTIVES: To identify factors associated with preceptor excellence based on ratings by student pharmacists. Also to assess the correlation of excellent ratings with experience as pharmacist, specialty certification, and faculty appointment status. METHODS: Retrospective analysis of student evaluations of preceptors over 3 year period RESULTS: Significant factors associated with preceptor excellence included: Showing interest in teaching (P <0.001) Relating to the student (P <0.001) Encouraging students to actively participate (P <0.01) Providing good direction and feedback (P <0.01) Serving as a role model (P <0.001) Well organized activities and structured rotation (P <0.01) CONCLUSIONS: Qualifications of preceptors (faculty appointment, board certification, terminal degrees) were not significant factors of preceptor excellence from the students’ perspectives. This finding reinforces that students value personal attributes of a preceptor rather than his/her credentials.
pharmacy.presby.edu | 864.938.3900
January – April 2017 Assessment of core knowledge during ambulatory care APPEs using online modules and pre- and post-testing Currents in Pharmacy Teaching and Learning 8 (2016) 213-219
INTRODUCTION: Pre- and posttesting is a way of assessing a student’s knowledge, identifying deficiencies, and creating objective, uniform, and standardized assessments. Once the individual weaknesses have been identified, the APPE can be customized to focus on improving knowledge in these areas. METHODS: A 54 multiple-choice and matching questions test was administered on the first and last days of the APPE. Ten core knowledge areas were included: anticoagulation, asthma/COPD, diabetes, dyslipidemia, hypertension, infectious disease, mental health, preventative health, statistics/drug literature evaluation, and women’s health. A score of 60% was required to pass each knowledge area. Learning modules for each knowledge area were developed and included clinical guidelines, treatment algorithms, landmark literature, clinical pearls, treatment of the condition in special populations, and patient education resources. Students who score less than 60% in a knowledge area were required to complete the online learning module. RESULTS: The mean change in pre- and post-test scores were 65.1% +/9.6% and 86.3% +/- 9.3%, respectively. The mean change was significant (p < 0.001). CONCLUSIONS: The pre- and post-test provided rotation standardization and preceptors reported that the pretest helped to identify student’s weaknesses.
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
January – April 2017
Spring Preceptor Workshop
What we’ve been up to…. SCSHP Annual Meeting, March 2017 Our OEE and preceptors have been very involved in SC Society of Health-System Pharmacists lately! Dr. Kate Moore served as chair of the Education Committee with Dr. Jennifer Bair, preceptor for PCSP. Dr. Mary Douglass Smith is currently serving as Secretary on the Executive Board, along with preceptors Dr. Jennifer Thompson, Dr. Nancy Goodbar, Dr. Jennifer Clements, Dr. John Pearson. And several preceptors serve as board members, Dr. Sean Tran, Dr. Kathryn Nash.
o The Spring Preceptor Workshop was held on campus at PCSP on Friday, March 3rd. o The morning session explained the IPPE workbooks and how they are being used to standardize IPPEs for all students. o The afternoon session described the new APPE evaluation tools and preceptors participated in grading APPE students using video vignettes.
Our students are able to see professionalism and service to the profession in action by all of these contributing members! Thank you!
NEW EVALUATION TOOLS New APPE evaluation tools begin MAY 2017 New IPPE evaluation tools begin AUGUST 2017 Spring Awards Ceremony Preceptor of the Year: Susan Eagerton Faculty Preceptor of the Year: Tiffaney Threatt
Information and training on the new tools can be found on PCSPOEE.COM
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
January â&#x20AC;&#x201C; April 2017
NEW PRECEPTOR EVALUATION TOOLS In addition to the new student evaluations, we are also rolling out new Preceptor Evaluations. The evaluation includes statements from the ACPE 2016 Standards about the requirements and characteristics of preceptors. There is also a Preceptor Self Assessment to assist you in selfreflection of your precepting. This self-assessment is only to guide your teaching and we will just be using the comment section to help create our preceptor development programs. This assessment contains the same questions from the student assessment and a summary will be sent to you from the Office of Experiential Education at the end of each semester. Comparing your self assessment with the student's assessment may assist in your continuous professional development.
ADMISSIONS INTERVIEWS If you are interested in participating in admissions interviews, contact Deanie Kane, Director of Admissions 864-938-3913 kjkane@presby.edu
EXPERIENTIAL PROGRAM REVIEW COMMITTEE The mission of the Experiential Program Review Committee is to: o
o
o
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Provide a forum for discussion and collaboration between the OEE, faculty, and preceptors Advise and offer insight and input into the development of policies for the experiential program Advise the OEE on matters relative to the preceptor quality assurance process Consult, collaborate, and recommend solutions on issues identified through surveys
In order to facilitate the presence of four PCSP pharmacist preceptors from diverse practice settings at each meeting, a slate of willing preceptors will be maintained by the Office of Experiential Education. Four members from this slate from different practice settings will be randomly selected for participation prior to each meeting. If a selected preceptor member is unavailable, another member will be chosen at random to attend the meeting instead. If you are interested in becoming part of the slate of preceptors, contact Mary Douglass mdsmith@presby.edu 864-938-3868
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
January – April 2017
Preceptor Spotlight:
Rob Daniels, PharmD Clinical Pharmacist - Pediatric Infectious Disease Co-Director, Antimicrobial Stewardship Program Palmetto Health Children's Hospital, Columbia, SC Dr. Daniels works at Palmetto Health Children’s Hospital as a clinical pharmacist specializing in pediatric infectious disease. He graduated with his PharmD in 2005 from the University of South Carolina College of Pharmacy. He then went onto train at The Children’s Hospital of Philadelphia (CHOP) in 2006. Dr. Daniels then returned to Columbia, SC to Palmetto Health Children’s Hospital where he was charged with implementing the first pediatric antimicrobial stewardship program in the Carolinas. He currently serves as the co-director as well as chair of the Infectious Disease Drug Specialty Team at Palmetto Health. His areas of interest include antimicrobial resistance, cystic fibrosis, and neonatal infections. 1. What are the most difficult aspects of being a preceptor? And how do you overcome these barriers? Finding a good balance between daily demands of patient care and the ability to teach students while on rotation. It can sometimes seem that, as the patient load increases, the time to sit down and teach decreases. I try to incorporate as much teaching into our daily patient care rounds as I can. Our service usually consists of medical residents, medical students, pharmacy residents, and pharmacy students. This allows for great interdisciplinary teaching on a daily basis without the need to schedule topic discussions that may get cancelled or rushed based on other acute patient care demands. I have found that students also are much more engaged if they are discussing an infection that we are actively treating. 2. What do you value most about being a preceptor? I enjoy getting an opportunity to teach students a subspecialty they don’t get much exposure to in their didactic courses. Most students start my rotation with a very basic database when it comes to pediatric infectious disease. I always enjoy seeing the progression students make throughout the month in their ability to work up and present the patients that they are following on rounds. Being able to train students in pediatric infectious disease and allow them the opportunity to take the knowledge they gain while on rotation to any practice setting is a valuable experience for me. 3. How do you judge a student's success on your rotation? I think, for myself, it’s very simple. If a student leaves my rotation with more knowledge and appreciation of pediatric infectious diseases then they had when they started the rotation, I feel that the month was a success. Most students who are successful on my rotation are excited to learn every day and take advantage of the opportunities that present themselves in pediatric infectious disease.
Be on the lookout! Evaluations for December 2016 – April 2017 will be released to each preceptor in May!
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
pharmacy.presby.edu | 864.938.3900
PRECEPTOR
January – April 2017
Student Spotlight: Courtney King Courtney is a current P2 student from Sumter, SC. She is very active in student organizations: she serves as the PresidentElect for SSHP, Co-Recruitment Director for St. Jude Up Til Dawn at PC, an active member of Operation Diabetes (a subcommittee of APhA-ASP), and a member of Kappa Epsilon. She is very interested in clinical pharmacy after finishing pharmacy school.
1. What has been your most valuable rotation so far and why? My most valuable rotation so far has been at Union Medical Center. The preceptors there worked together to make sure I had the best hospital experience possible. Some of my most valuable conversations to date have been with Dr. Dusty Harmon. We particularly discussed the ways in which the evaluative tests we learned about in our Measuring Therapeutic Parameters class related to real life. The timing of the class and rotation was very beneficial to me. 2. How do you balance the demands of your rotations with your school work? The best way that I conquer the multitude of tasks that add up between rotations and school work is to make to-do lists. It's important to me to have everything laid out so I can measure the amount of work that needs to be completed. This way I have everything at my fingertips and can get all tasks accomplished. Plus, it helps to listen to some upbeat and encouraging tunes while I'm at it! 3. What is something you have learned about yourself on rotation? I have affirmed yet again that I love to help out wherever is needed. When workflow becomes daunting, I have no issue stepping in and helping. I also love to dig deep to find the true meaning of why something has happened to a patient. Asking an abundance of questions onsite helps me process both the patient's situation and things that we've learned in class to compose an ultimate reason about why that thing has happened.
Ever wonder how other acute care preceptors grade on “pharmaceutical care to patients?” Want to share with other preceptors how you schedule your students’ project time? Share ideas and ask questions on our new Preceptor List-Servs! Email Mary Douglass (mdsmith@presby.edu) to be added!
PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY
PRECEPTOR
pharmacy.presby.edu | 864.938.3900
January – April 2017
E*Value Tip Want to see who your students are? Did you know that you can create a roster, or schedule report, that includes photos of your students? Here’s how: Reports\Schedule Report. If you are prompted to select a role, select “preceptor.”
1. Select a specific curriculum if desired. Example: APPE 2017-2018 for next academic year’s P4 roster. 2. Dates automatically default to a one-year period, starting today. Adjust as needed. Example: 05-01-17 to 04-30-18 for the next P4 academic year. 3. Select “yes” to include student photos.
The resulting roster will include a thumbnail photo of your student. If you click on the student’s name, you’ll see a larger picture as well as contact info.