Department of Pharmacy Practice, Albany College of Pharmacy and Health Sciences, Albany, NY, USA.
Albany Medical Center Hospital, Albany, NY, USA.
J Oncol Pharm Pract. 2022 Jan;28(1):109-118. doi: 10.1177/1078155220985579. Epub 2021 Jan 20.
Student pharmacists contribute meaningfully to patient care during Advanced Practice Pharmacy Experiences (APPEs) in varied settings. We aimed to characterize and evaluate the impact of student participation in hematology-oncology (hem-onc) APPEs on the practice site, and on student professionalization.
For students completing hem-onc APPEs during 2016-2019, rotation activities and post-APPE self-reflections describing meaningful impact were reviewed; activities were categorized into direct and indirect patient care, and up to three reflection themes of professionalization impact were extracted from each self-reflection. Hem-onc preceptor cohort was surveyed to assess impact of student contributions on the practice site.
171 students completed hem-onc APPEs in ambulatory care (133) and/or inpatient (38) settings. Of 932 student-reported activities, the most common were: evaluating patient pharmacotherapy (209), providing education to medical staff (132), patient counseling [non-chemotherapy (99); chemotherapy (82)], and providing drug information (96); 89% involved direct patient care/education. Survey results from 16 of 33 preceptors identified the most impactful student activities as evaluating pharmacotherapy, medication education/adherence resources, and in-service presentations. Of 392 student self-reflections, themes of impact focused on professionalization/self-awareness (39.3%), counseling/communication skills (27.8%), practice skills development (20.4%) and collaborative teamwork (12.5%).
Pharmacy students make significant direct patient care contributions to hem-onc practice settings by evaluating pharmacotherapy and providing education to patients and healthcare personnel. Participation in hem-onc APPEs is highly influential to the professionalization of students, particularly in developing skills in oncology practice, patient interactions/communications, and developing self-awareness.
在不同环境下的高级执业药师体验（APPE）中，实习药师对患者护理做出了重要贡献。我们旨在描述和评估学生参与血液肿瘤学（血液肿瘤学）APPE 对实践场所的影响，以及对学生专业化的影响。
对 2016-2019 年期间完成血液肿瘤学 APPE 的学生，回顾了轮转活动和描述有意义影响的 APPE 后反思；活动分为直接和间接的患者护理，并从每份自我反思中提取出最多三个与专业化影响相关的主题。对血液肿瘤学导师群体进行了调查，以评估学生贡献对实践场所的影响。
171 名学生在门诊（133 名）和/或住院（38 名）环境中完成了血液肿瘤学 APPE。在 932 名学生报告的活动中，最常见的是：评估患者的药物治疗（209 次）、向医务人员提供教育（132 次）、患者咨询[非化疗（99 次）；化疗（82 次）]和提供药物信息（96 次）；89%的活动涉及直接的患者护理/教育。从 33 名导师中的 16 名获得的调查结果确定了最有影响力的学生活动是评估药物治疗、药物教育/遵医嘱资源和在职演讲。在 392 份学生自我反思中，影响主题集中在专业化/自我意识（39.3%）、咨询/沟通技巧（27.8%）、实践技能发展（20.4%）和协作团队合作（12.5%）。
实习药师通过评估药物治疗和向患者和医疗保健人员提供教育，为血液肿瘤学实践场所做出了重要的直接患者护理贡献。参与血液肿瘤学 APPE 对学生的专业化具有重要影响，特别是在发展肿瘤学实践、患者互动/沟通和发展自我意识方面。
