Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States.
Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR 72205, United States.
Curr Pharm Teach Learn. 2020 Nov;12(11):1360-1364. doi: 10.1016/j.cptl.2020.06.004. Epub 2020 Jul 3.
Community pharmacy practice is transforming from traditional dispensing roles, and advanced pharmacy practice experiences (APPEs) could be a viable mechanism to assist pharmacies during transformation. A new type of APPE is described and the design, outcomes, and feedback from the first students and pharmacies piloting this rotation are discussed.
A four-week elective APPE was designed to position fourth-year students as facilitators for community pharmacy transformation activities. The first transformation activity was clinical documentation using electronic care plans (eCare plans). Students spent a majority of the rotation in the pharmacy with only the first week and one day a week thereafter at the college of pharmacy. Students assessed current pharmacy workflow, developed an implementation plan, trained pharmacy staff, and created protocols and resources.
Four student pharmacists completed the rotation during May, June, and August 2019. Student knowledge was assessed through a 12-question pre- and post-quiz on implementation science and the pharmacist eCare plan. Following orientation activities, students' scores increased from an average 44% to 86%. Course evaluations showed students learned about pharmacy business management and recognized challenges in teaching staff new concepts. All students indicated appreciation for innovative activity involvement and helping a pharmacy advance its practice.
Early findings from this elective indicate a successful learning experience for students and pharmacy owners. The students gained skills in teaching, facilitation, and practice management, while pharmacy owners benefitted from staff training and implementation resources.
社区药房实践正在从传统的配药角色转变，而高级药学实践经验（APPE）可能是帮助药房转型的一种可行机制。本文介绍了一种新型 APPE，并讨论了第一批学生和试点药房在该轮转中的设计、结果和反馈。
设计了为期四周的选修 APPE，让四年级学生担任社区药房转型活动的推动者。第一个转型活动是使用电子护理计划（eCare 计划）进行临床文件记录。学生大部分时间都在药房，每周只有一周的第一天和一周的一天在药学院。学生评估当前的药房工作流程，制定实施计划，培训药房工作人员，并创建协议和资源。
在 2019 年 5 月、6 月和 8 月，有 4 名药学专业学生完成了轮转。学生通过实施科学和药剂师 eCare 计划的 12 个问题的预测试和后测试来评估知识。在进行了定向活动后，学生的分数从平均 44%提高到了 86%。课程评估显示，学生了解了药房业务管理，并认识到向员工传授新概念的挑战。所有学生都表示赞赏参与创新活动并帮助药房提升实践水平。
从该选修课程的早期结果来看，学生和药房所有者都获得了成功的学习体验。学生获得了教学、促进和实践管理方面的技能，而药房所有者则受益于员工培训和实施资源。
