OEE Newsletter May - Aug. 2017 | Presbyterian College School of Pharmacy

PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

PRECEPTOR

pharmacy.presby.edu | 864.938.3900

May – August 2017

Fall Preceptor Workshop Thursday, October 12th It is already time for the Fall 2017 Preceptor Workshop!

We are excited to have a dynamic speaker, Dr. Amy Werremeyer, PharmD, BCPP, speaking on how evaluations shape your precepting. From student evaluations to self reflections, she will help participants create strategies for improvement in their own precepting. Participants can attend either the morning or afternoon session and lunch will be provided for all attendees. The event will be held at The Children’s Museum of the Upstate right in downtown Greenville.

Objectives:  Explain what factors students value most of preceptors and those that they value the least  Evaluate and weigh feedback from student evaluations and decide what changes to make in the rotation  Compare data from student evaluations to data from site visits and self evaluations  Create strategies to improve on areas of development determined by student, site visit, and self evaluations

Amy Werremeyer, PharmD, BCPP

Associate Professor of Practice/Department of Pharmacy North Dakota State University

The Children’s Museum of the Upstate BIG IDEA CONFERENCE ROOM 300 College Street Greenville, SC MORNING SESSION 9AM – 12PM LUNCH FOR ALL ATTENDEES 12PM AFTERNOON SESSION 1PM – 4PM

We hope you will join us!

Please RSVP to Lynn Thompson

by Friday, October 6th lthompson@presby.edu 864-938-3865 Include which session you would like to attend (morning or afternoon) and any dietary restrictions

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PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

pharmacy.presby.edu | 864.938.3900

May – August 2017

PRECEPTOR

Time to submit APPE Availability Scheduling for the 2018-2019 APPE year will occur a little earlier this year, so availability will be gathered in September.

This year, you will be able to enter your APPE availability for 2018-2019 directly into E*Value.

This is the same method that some of you may have used last year for other pharmacy schools.

As soon as this feature is fully set up in our program, we will provide additional details.

If you are a preceptor for another pharmacy school, we can link your E*Value accounts. The only requirement is that you use the same email address for both programs. And having your accounts linked will make it even easier to enter your APPE availability for both programs because you can quickly toggle between programs to compare and coordinate your entries.

Please contact Susi Carbonneau at PCSP, scarbo@presby.edu, to have your E*Value accounts linked.

2017 – 2018 IPPE Calendar Fall 2017

P1

P2

P3

Fall-1

August 22 – September 28 Tuesday or Thursday 4 hours/day, morning

August 24 – September 28 Thursday 8 hours/day

Fall-2

October 3 – November 14 Tuesday or Thursday 4 hours/day, morning

October 5 – November 16 Thursday 8 hours/day

Fall Break

October 16-17

IPE Event

P3 students will not attend IPPE on November 9th (for an Interprofessional Education event) and will resume the following week.

Spring 2018 Spring-1 Make Up Week

Spring-2

P1

P2

P3

January 9 – February 16 Tues, Wed, or Friday 4 hours/day, afternoon

January 9 – February 15 Tuesday or Thursday 4 hours/day, morning

January 11 – February 15 Thursday 8 hours/day

February 19-23, if needed based on weather during Spring-1 February 27 – April 20 Tues, Wed, or Friday 4 hours/day, afternoon

February 27 – April 12 Tuesday or Thursday 4 hours/day, morning

Spring Break

March 5-9

Easter Break

March 30 – April 2

March 1 – April 12 Thursday 8 hours/day

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PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

PRECEPTOR

pharmacy.presby.edu | 864.938.3900

May – August 2017

There is 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.

Strategies for Improving Learner Metacognition in Health Professional Education Am J Pharm Educ. 2017; 81(4): 78.

Many will remember Dr. Melissa Medina who presented at the Fall 2016 Preceptor Workshop. She has just published a journal article about metacognition and its important place in pharmacy education.

TEACHING METACOGNITION: Cognitive apprenticeship is “learning through guided apprenticeship” and includes four dimensions:  Content knowledge (concepts, facts, procedures) and strategic knowledge (heuristic, metacognitive, learning)  Demonstrating metacognition (externalizing the thought process)

 Scaffolding and sequencing (increasing task complexity, diversity of problems, migrating from global to local skills)  Sociology of learning (situated learning, a community of practice, intrinsic motivation, exploiting cooperation) STRATEGIES TO ENHANCE METACOGNITION IN THE EXPERIENTIAL SETTING:  Mastery goal structures (environments that emphasize developing competence, mastering new skills, and learning to understand)  Immediate feedback regarding technique and reflection afterwards.(“What did you learn about yourself today?” “What did you learn that you can consistently replicate well?”)  Clinical documentation with explanation (Including an additional page for SOAP notes that documents the rationalization and resources used to arrive at the plan).  Rotation structure (scaffolding and progressive problem solving to develop expertise)

Book Review: The Effective Pharmacy Preceptor

By Mate M. Soric, Stacey R. Schneider, S. Scott Wisneski ASHP has just published a practical and comprehensive guide to precepting students and residents. The advice given in the book is practical and realistic.

Some of my favorite portions of the book include: • Guidance on making the “Layered Learning Model” work without creating a large, unwieldy entourage following you around the hospital.

• Crafting a Teaching Philosophy Statement and how to adjust over time and experience as a preceptor • Practical methods to quiz and assess learners at each stage: IPPE, APPE, PGY1, PGY2 • The nuanced differences between assessment and feedback – and when to provide each during the rotation. Also, what to write instead of, “The student is doing really well.”

The book is available from store.ashp.org and is $39.00 ($35.00 for ASHP members)

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PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

PRECEPTOR What we’ve been up to….

Class of 2017

pharmacy.presby.edu | 864.938.3900

May – August 2017 o This year’s graduation and hooding ceremony was held on May 12, 2017 o Marie Chisholm-Burns, PharmD, MPH, MBA, FCCP, FASHP, dean of the College of Pharmacy at the University of Tennessee Health Science Center (UTHSC) gave a motivating keynote speech to the graduates o Belk Auditorium was filled with proud parents, spouses, children, friends, and even preceptors o Class of 2018’s graduation and hooding ceremony is planned for Friday, May 11, 2018 – all preceptors are invited!

Several awards were presented at the Hooding Ceremony: Presbyterian College Mortar and Pestle Award Distinguished Graduating Student Speaker Mylan Excellence in Pharmacy Award Natural Medicines Comprehensive Database Recognition Award Merck Manuals Award for Academic Excellence Merck Manuals Award for Academic Excellence Lilly Achievement Award Wolters Kluwer Health Award of Excellence in Clinical Communication Teva Outstanding Student Award

Mallory Moore John Mark Dias Anna Lavotchin Amber Murphy Chris Nappi Aurezu Zareei Nicole Bennett Jimmy Pruitt Rebecca Foster

Nominations are gathered from preceptors for current APPE students from the E*Value final evaluation

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PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

pharmacy.presby.edu | 864.938.3900

PRECEPTOR

May – August 2017

Preceptor Spotlight: Lee Jacobs Dailey, PharmD, BCPS, BCGP Manager of Pharmacy Services Laurens County Memorial Hospital, Laurens, SC

Lee is originally from Clinton, South Carolina. She attended the University of South Carolina, where she earned a Bachelor of Science in Pharmaceutical Sciences and a Doctor of Pharmacy. She worked throughout pharmacy school and immediately following pharmacy school at Eckerd in the Columbia area. In 2003, she and her husband, GW moved back to Clinton. They currently live in her childhood home with their three beautiful daughters, Mary Catherine (12), Chandler (10), and Libby (8), and their dog, Prince. She worked at Self Regional Hospital for six years and is currently the manager of pharmacy services at Laurens County Memorial Hospital, where she has worked for the last eight years. Lee is a Board Certified Pharmacotherapy Specialist (BCPS) and a Board Certified Geriatric Pharmacist (BCGP). Lee offers both APPE and IPPE rotations in her acute care setting and serves over 20 students per year.

1. What are the most difficult aspects of being a preceptor? And how do you overcome these barriers?

I find it difficult to schedule all of the opportunities and topics that I want to be sure my students experience during their rotations. Since I can’t possibly predetermine the dates and times for my students to attend a code, see a patient with a specific disease state, or be present during a survey or other inspection, I started utilizing a daily calendar. The calendar specifies a topic of the day so that my students at least have the opportunity to discuss a topic even if they don’t get to experience the topic firsthand.

2. What do you value most about being a preceptor?

Being a preceptor benefits me much more than it benefits my students. Being a preceptor has afforded me the opportunity to grow as an authority figure. I’ve been able to experience the frustration of handling failing students and the reward of dealing with students who grow tremendously both personally and professionally during their time here. I also benefit professionally, as most students keep me on my toes and force me to stay abreast of the constantly changing pharmacy world.

3. How do you judge a student's success on your rotation?

Success is different, depending on the student. For some students, success can be measured in a before and after comparison. For others, success can be measured by their professional growth.

Still others succeed when their final case and project meets or exceeds my expectations. Most students experience some form of success, and I do my best to point out their strengths during our final evaluation discussion. I want students to learn from the examples set by my entire staff, especially when it comes to dedication to our patients and our profession. If students share that same passion, they will be successful in their chosen career path.

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PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

pharmacy.presby.edu | 864.938.3900

PRECEPTOR

May – August 2017

Student Spotlight: Darien Campbell Darien is from the small town of Cottageville, South Carolina, and has lived there most of his life. Prior to attending Presbyterian College School of Pharmacy, he received a BS in Chemistry from Savannah State University. In school, he has been involved with Student National Pharmaceutical Association (SNPhA), Student Society of Health-System Pharmacists (SSHP), Rho Chi Honor Society, Honor Council, Ambassadors, and Kappa Epsilon. He also served as the past Vice President of SNPhA and PSGA Treasurer. He works as a pharmacy intern at CVS.

1. What has been your most valuable rotation so far and why?

My most valuable rotation to date was my acute critical care rotation at Greenville Memorial Hospital. This rotation was by far the most challenging and rewarding due to the knowledge and skill needed. I was forced to recall information from a variety of complex disease states at the drop of a dime. I was able to have direct involvement by participating on multidisciplinary rounds, working up patient plans, and making recommendations to physicians. Clinical pharmacy is a career interest of mine and this rotation allowed me to get insight on the day to day responsibilities. Through this rotation I realized some of my strengths as well as the areas in which I need to improve on as I further myself. Lastly, this rotation was most valuable because I had a supportive, yet tough preceptor in Dr. Foushee. She expected high quality performance with daily progressions towards becoming a more wholesome pharmacist.

2. How do you balance the demands of your rotations with your school work?

Fortunately, since this is mid-August a lot of the major deadlines for school are not within the immediate thirty days. However, I have found it less stressful to work on school assignments periodically throughout rotations. I set myself deadlines every few weeks to prevent a pile up of the assignments that are due in October. Because the day to day schedule of rotations is unpredictable and extra tasks can arise at any moment, I tackle scheduled projects as soon as they are assigned or as early as possible. It is extremely difficult to function at an efficient level when projects are started last minute. Once you get the busy work out of the way, you open up time to hit the long term goals for yourself.

3. What is something you have learned about yourself on rotation?

First and foremost, I have learned to become more confident in my abilities. In the beginning, I was a little apprehensive about participating as member of the care team at each institution. To be quite honest I was surprised at what I could recall from learning in class. Now I know that despite the fact that I am still a student pharmacist, I still play a role as a member of the team. I also quickly realized that I need my sleep. It is exceptionally hard to operate on a daily basis with less than 6 hours of sleep. Despite balancing rotations, a job, and school assignments amongst other obligations, I learned to cherish naptime whenever I can get it!

4. What are your career goals?

As of right now, I am interested in pursuing a career in pediatrics. I love being around and interacting with children. However, my mind is open to all opportunities. I have had some interesting rotations that have opened my eyes to other niches of pharmacy that I have enjoyed and could see myself doing long term. Therefore, my immediate goal is to complete a PGY1 residency to allow myself more time and further exposure to different areas of pharmacy.

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PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

pharmacy.presby.edu | 864.938.3900

PRECEPTOR

May – August 2017

Alumni Spotlight: Caleb R. Wallace, PharmD Caleb R. Wallace, PharmD, is a clinical pharmacist at the William Jennings Bryan Dorn Veterans Affairs Medical Center in Columbia, South Carolina.

Caleb earned his Doctor of Pharmacy degree from PCSP in 2016. Prior to pharmacy school, he attended Campbell University for pre-pharmacy.

While at PCSP, he served as president of SSHP and a Junior Board Member for the SCSHP. He continues his involvement with ASHP this year as a member of the New Practitioners Forum and Section of Ambulatory Care Practitioners Advisory Group.

1. What have been the most difficult parts of being a new practitioner? And what do you do to overcome these barriers?

I began my career as pharmacist-in-charge at a retail pharmacy. My biggest trouble as a new practitioner was delegating tasks; I was horrible at it. I quickly learned that no matter how hard one tries, it is impossible for one person to handle everything. In fact, it is almost arrogant to try. I found myself spending several hours each week catching up on work that could have been delegated. It didn’t take long for me to realize that I was spending a substantial amount of time doing something which another pharmacy employee could do. Since I didn’t have to spend an hour or so each week filing paperwork, I had more time for pharmacist-only tasks, such as completing medication therapy management reviews with patients, engaging in more thorough counseling sessions with patients, and working more collaboratively with providers in the area.

2. What rotation experiences inspired your current career?

I am glad that I had a rigorous APPE schedule because it prepared me for life as a pharmacist. On more than one occasion, I have pulled knowledge from my experiential education and incorporated it into my practice.

Ultimately, I would say that my rotations at the William Jennings Bryan Dorn VAMC inspired my current career. Because both of my grandfathers are veterans, with one of them being a World War II veteran, I was particularly drawn to serving this patient population. It helped me feel connected to my grandfathers in some way. I loved working with the veterans as a VALOR student, and it made me happy to work with them again as an APPE student. I am overjoyed that I have found a permanent home serving the veterans at the William Jennings Bryan Dorn VAMC as a clinical pharmacist.

3. Describe one of your favorite moments in patient care.

I noticed a significant drug-drug interaction between a patient’s hypertension and dyslipidemia medications. I asked him if he was experiencing any of the expected side effects from the drug combination. He answered negatively, but upon further investigation, I realized that based on the patient’s age and cardiovascular history, his cholesterol-lowering medication needed to be changed to a more potent agent per clinical practice guidelines. Ultimately, I was able to get him started on a new cholesterol-lowering agent that not only was more appropriate for him because of his level of cardiovascular risk, it also avoided the drug-drug interaction with his hypertension medication.

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PRESBYTERIAN COLLEGE SCHOOL OF PHARMACY

PRECEPTOR

pharmacy.presby.edu | 864.938.3900

May – August 2017

E*Value Tip A Guide to the E*Value Emails There are 3 types of reminder emails that we use to communicate with preceptors with these subject lines:  Curriculum Documents for ____________________ (title of that rotation course) This email generates one month before the start date for IPPE rotations and two months for APPEs. Attached to that email is a quick reference guide to some of our policies & procedures.

The purpose of this email is to remind you that you have a student scheduled in the near future since it may have been several months since you actually submitted that availability. For APPEs, it could have been 18 months ago that you submitted your availability! If your schedule has not changed, no response is needed to this email.  Evaluation to be Completed This email generates when the midpoint and final evaluations open. Although it is not due until the middle of the rotation, the midpoint reminder goes out early in case you want to review it as the rotation progresses. This year, the APPE midpoint is totally different from the APPE final so we encourage you to utilize it to provide feedback to both the student and our office.  E*Value Schedule Change Notification This email generates each night when applicable to notify you that we have made changes to your schedule as they are made. In most cases, we have already communicated the need for the change. This email serves as confirmation when that change is made. Preceptors and students alike receive the email. For some organizations, your pharmacy manager, student coordinator, or district manager also receives this email.

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