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新型“翻转药房”实践转型教练进阶药学实践经验的优势和局限性。

Strengths and limitations of a novel "Flip the Pharmacy" practice transformation coach advanced pharmacy practice experience.

机构信息

Purdue University College of Pharmacy, 640 Eskenazi Avenue, Indianapolis, IN 46202, United States.

HonorHealth Scottsdale Shea Medical Center, 9003 East Shea Boulevard, Scottsdale, AZ 85260, United States.

出版信息

Curr Pharm Teach Learn. 2023 Aug;15(8):761-768. doi: 10.1016/j.cptl.2023.07.005. Epub 2023 Jul 25.

DOI:10.1016/j.cptl.2023.07.005
PMID:37500304
Abstract

BACKGROUND AND PURPOSE

Flip the Pharmacy (FtP) helps community pharmacies "flip" from dispensing- to patient-centered care models with assistance from practice transformation coaches ("coaches"). Purdue University College of Pharmacy created a novel advanced pharmacy practice experience (APPE) positioning students to serve as FtP coaches with oversight from four faculty coaches. This communication describes the APPE's design, characterizes preliminary student coaching outcomes, and identifies the APPE's strengths and limitations.

EDUCATIONAL ACTIVITY AND SETTING

Twelve pharmacies were coached by APPE students. The APPE was designed to enhance student knowledge and skills in the scaled implementation of advanced patient care services through structured weekly activities: Week 1, student orientation and training; Week 2, preparing for pharmacy visits; and Weeks 3 and 4, conducting pharmacy visits. Students also performed recurring tasks each week, including managing social media accounts.

FINDINGS

Twenty-eight students completed the APPE. Students conducted 81 in-person and 105 virtual visits. Faculty coaches were estimated to need 40 to 50  hours each month for coaching-related activities; involving student coaches reduced faculty coach time by approximately 50%, with faculty spending 20  hours on average per month vs. students spending 50.84  hours. APPE strengths included intentional weekly structuring and oversight and careful student transitions; limitations included minimal pharmacy vendor knowledge and limited rapport-building with pharmacies.

SUMMARY

Early experiences demonstrated several benefits, including optimized faculty coach time and student exposure to practice transformation. Future endeavors to implement similar APPEs should incorporate strategies to enhance pharmacy vendor knowledge and strengthen relationship-building with participating pharmacies.

摘要

背景与目的

Flip the Pharmacy(FtP)在实践转型教练(“教练”)的协助下,帮助社区药房“从配药模式转变为以患者为中心的护理模式”。普渡大学药学院创建了一种新颖的高级药学实践经验(APPE),让学生担任 FtP 教练,由四位教师教练进行监督。本通讯介绍了 APPE 的设计,描述了初步的学生辅导结果,并确定了 APPE 的优势和局限性。

教育活动和环境

有 12 家药房接受了 APPE 学生的辅导。APPE 的设计目的是通过结构化的每周活动,增强学生在高级患者护理服务的规模化实施方面的知识和技能:第 1 周,学生的入职培训;第 2 周,准备药房访问;第 3 周和第 4 周,进行药房访问。学生还每周进行重复任务,包括管理社交媒体账户。

结果

28 名学生完成了 APPE。学生进行了 81 次面对面访问和 105 次虚拟访问。估计每月每个月,教师教练都需要花费 40 到 50 个小时来进行辅导相关的活动;让学生教练参与进来,将教师教练的时间减少了大约 50%,平均每月教师教练花费 20 小时,而学生则花费 50.84 小时。APPE 的优势包括每周的结构化和监督,以及学生的顺利过渡;局限性包括对药房供应商知识的了解有限,以及与药房建立关系的能力有限。

总结

早期的经验表明了一些好处,包括优化了教师教练的时间和学生接触实践转型的机会。未来实施类似 APPE 的努力应该纳入增强药房供应商知识和加强与参与药房关系的策略。

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