J Am Pharm Assoc (2003). 2022 Jan-Feb;62(1):357-362. doi: 10.1016/j.japh.2021.09.005. Epub 2021 Sep 25.
In 2018, a Department of Veterans Affairs (VA) primary care service and a school of pharmacy collaborated to offer introductory pharmacy practice experiences (IPPEs) in population health. Working remotely from the VA facility, students spent 2 hours per week using information from VA clinical dashboards and electronic health records (EHRs) to perform population health activities. Beginning August 2020, women's health initiatives were incorporated.
The objective was to evaluate student learning and productivity in an established remote population health IPPE that included women's health initiatives during a coronavirus disease (COVID-19)-related university closure.
During 2 IPPE semesters, activities of second-year student pharmacists were tracked. The course is typically conducted remotely at the university; however, owing to COVID-19 restrictions, students completed the course from their homes. Students were granted remote access privileges to VA's EHR and precepted by VA clinical pharmacists using Microsoft Teams. Students performed prescription drug monitoring program activities; reviewed outside medical records for breast and cervical cancer screening results, laboratory test results for diabetes, and medication safety monitoring; and documented progress notes.
Population health IPPEs can be tailored each semester to include a variety of initiatives. Activities are conducted remotely, eliminating the need for space and computers at the VA facility. The remote design enabled students to continue the IPPE during COVID-19 restrictions.
Students completed a survey about their confidence performing population health activities at baseline and at the completion of the IPPE. Student workload data were collected over 2 semesters.
A total of 70 students reviewed 8865 health records and documented 5322 progress notes. Statistically significant improvements in student's reported abilities were reported from baseline to course completion such as explaining breast and cervical cancer screening recommendations.
Incorporating women's health initiatives into a remote population health IPPE assisted the VA facility with population health activities and increased students' perceived skill.
2018 年，退伍军人事务部（VA）的一项基础医疗服务与一所药学院合作，提供入门级药学实践经验（IPPE）的人口健康课程。学生们在 VA 设施远程工作，每周花 2 个小时使用 VA 临床仪表板和电子健康记录（EHR）的信息来执行人口健康活动。自 2020 年 8 月以来，已将妇女健康倡议纳入其中。
在与冠状病毒病（COVID-19）相关的大学关闭期间，评估一门既定的远程人口健康 IPPE 中包含妇女健康倡议的学生学习和生产力。
在两个 IPPE 学期中，跟踪了二年级学生药剂师的活动。该课程通常在大学远程进行；但是，由于 COVID-19 的限制，学生们在家中完成了课程。学生获得了对 VA 的 EHR 的远程访问权限，并由 VA 临床药剂师使用 Microsoft Teams 进行指导。学生执行药物监测计划活动；审查乳腺癌和宫颈癌筛查结果、糖尿病实验室检测结果和药物安全监测的外部医疗记录；并记录进度笔记。
人口健康 IPPE 可以根据需要每学期进行调整，以纳入各种倡议。活动是远程进行的，无需在 VA 设施中提供空间和计算机。远程设计使学生能够在 COVID-19 限制期间继续进行 IPPE。
学生们在基线和 IPPE 结束时完成了一项关于他们执行人口健康活动的信心的调查。在两个学期中收集了学生的工作量数据。
共有 70 名学生审查了 8865 份健康记录，并记录了 5322 份进度笔记。从基线到课程结束，学生报告的能力有了显著提高，例如解释乳腺癌和宫颈癌筛查建议。
将妇女健康倡议纳入远程人口健康 IPPE 有助于 VA 设施开展人口健康活动，并提高学生的感知技能。
