Volume 6
Issue 1 (Spring) 2010

Contents

Peer-Reviewed Articles
A Pilot Study: The Design and Preliminary Evaluation of Web-based Materials to Teach Pharmacist-Physician Collaboration During Community-based Advanced Pharmacy Practice Experiences
Margie E. Snyder, Susan M. Meyer, Melissa Somma McGivney and Randall B. Smith

Pharmacy Student Involvement in a Pilot Study for a Medicare Part D Fair Results in Patient Satisfaction and an Opportunity to Develop Professional Competencies
Pearl Wong, Rafia S. Rasu, Ksenija Kovac and Maureen E. Knell

Gauging Family Practice Physicians' Application of Evidence-based Medicine (EBM) and Acceptance of Pharmacists as an EBM Resource
Peter J. Hughes, Maisha Kelly Freeman, Michael G. Kendrach, and Stacy A. Lauderdale

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A Pilot Study: The Design and Preliminary Evaluation of Web-based Materials to Teach Pharmacist-Physician Collaboration During Community-based Advanced Pharmacy Practice Experiences

Abstract

Objectives: To develop a pilot program consisting of 5 Internet-based educational modules to teach knowledge, attitudes, and skills relevant to developing relationships between pharmacists and physicians in the community and to evaluate these modules in a select group of student pharmacists completing advanced pharmacy practice experiences (APPEs) in community pharmacies.

Methods: Five Internet-based educational modules were developed in spring/summer 2008. Features of both published literature and currently unpublished research findings that describe relationships between pharmacists and physicians were used as a guide for module development. Three of the modules contained video- and audio-recordings of community pharmacists and their physician colleagues discussing their experiences with collaboration.

The educational modules were then evaluated in the fall of 2008 in a small group (n=6) of student pharmacists completing APPEs in community pharmacies. Outcome measures for this evaluation included student and preceptor satisfaction with the modules and their suggestions for improvement. Secondary outcomes were student attitudes towards collaboration and evidence of student knowledge and skill attainment.

Student satisfaction was assessed via an activity rating feature and 2 course evaluations. Preceptor satisfaction was evaluated through one course evaluation. Both evaluations also collected the users' suggestions for how to improve the modules. Student attitudes towards collaboration were assessed using a 14-item Likert-type scale adapted from the Interdisciplinary Education Perception and the Readiness of Healthcare Students for Interprofessional Learning Scales. Data on student knowledge and skill development were not collected.

Results: Students were most satisfied with Modules 3 (which featured a 40-minute video with 3 pairs of pharmacists/physicians sharing their experiences) and 4 (which featured one video of pharmacists and one video of physicians discussing their experiences in collaboration, with a focus on communication skills). Students’ comments revealed that high satisfaction with these modules was due to the use of the video- and audio-recordings featuring “real relationships” between pharmacists and physicians. The preceptor respondent indicated overall satisfaction with the modules; however, he/she reported that inadequate time was available to discuss assignments with students. Problems with the Web site itself (e.g., requiring students to re-set their passwords frequently) were reported and perceived as a learning barrier.

Conclusions: Further assessments of the modules are needed in order to draw any conclusions on the impact of the learning materials on student attitudes, knowledge or skills. However, the ongoing use and further development of multimedia resources featuring examples of practicing professionals appears to be warranted.

Keywords: interprofessional care, pharmacist-physician relationships, collaborative working relationships, community pharmacy, pharmacy education


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Pharmacy Student Involvement in a Pilot Study for a Medicare Part D Fair Results in Patient Satisfaction and an Opportunity to Develop Professional Competencies

Abstract

Objectives: To evaluate patient satisfaction and map professional competencies associated with the implementation of a pilot Medicare Part D fair into an Introductory Pharmacy Practice Experience (IPPE) and Advanced Pharmacy Practice Experience (APPE).

Methods: Students were trained and participated in a half-day Medicare Part D informational fair. Patient attitudes about the fair were assessed through a voluntary questionnaire. Descriptive and bivariate analyses were performed to evaluate study objectives. In addition, development of student-specific professional competencies and activities were mapped to demonstrate the potential educational value of this project.

Results: A total of 60 patients attended the fair, and of the 42 questionnaires returned, 89% of the patients reported they were either satisfied or highly satisfied with the fair. Following the fair, 93% (N=39) of the 42 patients that returned their questionnaires felt that the information provided by the pharmacy students helped/would help in selecting a Medicare Part D plan (P <.05). The project also evaluated the development of a number of professional standards and activities related to Accreditation Council for Pharmacy Education (ACPE) accreditation standards and guidelines in order to determine which curricular objectives could be addressed through this project.

Conclusions: Based on positive patient satisfaction results, this pilot study demonstrates that pharmacy students completing pharmacy practice experiences can play a beneficial role in assisting patients with Medicare Part D selection. In addition to providing this important service to the community, students can also benefit by engaging in a project directed toward developing professional competencies based on the ACPE accreditation standards and guidelines.

Key words: Medicare Part D, patient satisfaction, introductory pharmacy practice experience, advanced pharmacy practice experience, professional competencies


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Gauging Family Practice Physicians' Application of Evidence-based Medicine (EBM) and Acceptance of Pharmacists as an EBM Resource

Abstract

Objectives: The objective of this research is to gauge acceptance of Alabama Family Practice Physicians (FPP) toward the medical concept of evidence-based medicine (EMB) and assess FPP acceptance of pharmacist-led EBM tutorials.

Methods: A survey was mailed to all FPPs licensed in the state of Alabama who were members of the Medical Association of the State of Alabama (n=744). As an incentive to participate, recipients were notified that one participant submitting a completed survey would be randomly chosen to receive a gift card. All survey responses were analyzed using descriptive and analytical methods. With a state population size of 744 family practice physicians, 254 completed surveys would be required (34% return rate) in order to interpret the data with a confidence level of 95% ± 5%.

Results: The response rate was 21%. Approximately 72%, 75%, and 74% of responders, respectively, agreed or strongly agreed that biomedical trends affect clinical decision-making processes, that EBM application correlates with positive patient outcomes, and that pharmacists specializing in biomedical literature analysis can effectively teach FPPs. Approximately 90% of FPPs with pharmacists employed in their practice setting agreed or strongly agreed that pharmacists are trusted sources of drug information.

Conclusions: The majority of FPP respondents value and implement evidence-based strategies. The majority of Alabama FPPs indicated that clinical pharmacists are qualified to teach EBM concepts to other FPPs. Practice opportunities exist for clinical pharmacists to expand their role to encompass this clinical function.

Key words: family practice, evidence-based medicine, pharmacists, physicians

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