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1.
J Interprof Care ; 37(sup1): S53-S62, 2023 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-29641943

RESUMEN

Assessment of interprofessional education (IPE) frequently focuses on students' learning outcomes including changes in knowledge, skills, and/or attitudes. While a foundational education in the values and information of their chosen profession is critical, interprofessional learning follows a continuum from formal education to practice. The continuum increases in significance and complexity as learning becomes more relationship based and dependent upon the ability to navigate complex interactions with patients, families, communities, co-workers, and others. Integrating IPE into collaborative practice is critical to enhancing students' experiential learning, developing teamwork competencies, and understanding the complexity of teams. This article describes a project that linked students with a hospital-based quality-improvement effort to focus on the acquisition and practice of teamwork skills and to determine the impact of teamwork on patient and quality outcome measures. A hospital unit was identified with an opportunity for improvement related to quality care, patient satisfaction, employee engagement, and team behaviours. One hundred and thirty-seven students from six health profession colleges at the Medical University of South Carolina underwent TeamSTEPPS® training and demonstrated proficiency of their teamwork-rating skills with the TeamSTEPPS® Team Performance Observation Tool (T-TPO). Students observed real-time team behaviours of unit staff before and after staff attended formal TeamSTEPPS® training. The students collected a total of 778 observations using the T-TPO. Teamwork performance on the unit improved significantly across all T-TPO domains (team structure, communication, leadership, situation monitoring, and mutual support). Significant improvement in each domain continued post-intervention and at 15-month follow-up, improvement remained significant compared to baseline. Student engagement in TeamSTEPPS® training and demonstration of their reliability as teamwork-observers was a valuable learning experience and also yielded an opportunity to gather unique, and otherwise difficult to attain, data from a hospital unit for use by quality managers and administrators.


Asunto(s)
Relaciones Interprofesionales , Estudiantes del Área de la Salud , Humanos , Mejoramiento de la Calidad , Reproducibilidad de los Resultados , Curriculum , Grupo de Atención al Paciente
2.
Am J Pharm Educ ; 88(8): 100728, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38851431

RESUMEN

The 2023-2024 Academic Affairs Committee was charged to create a sense of urgency around the concept of Competency-Based Pharmacy Education and develop a "readiness for change" instrument that is based on the 5 essential elements that make up the definition of Competency-Based Pharmacy Education. This report describes the process undertaken by the committee to determine the societal needs of pharmacists and current state of pharmacy practice and pharmacy education. The practice gaps in pharmacy education and the key drivers needed to close these gaps are evaluated. To complete the charges, the committee conducted evidence-based literature reviews and completed a series of focus groups with stakeholders and thought leaders with experience in competency-based education.


Asunto(s)
Educación Basada en Competencias , Educación en Farmacia , Farmacéuticos , Educación en Farmacia/normas , Educación en Farmacia/métodos , Humanos , Competencia Clínica/normas , Curriculum , Grupos Focales
3.
Am J Pharm Educ ; 87(8): 100558, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37423389

RESUMEN

The American Association of Colleges of Pharmacy (AACP) Academic Affairs Committee was charged with revising both the 2013 Center for the Advancement of Pharmacy Education (CAPE) Educational Outcomes (EOs) and the 2016 Entrustable Professional Activities (EPAs). The Committee changed the document name from the CAPE outcomes to COEPA, (Curricular Outcomes and Entrustable Professional Activities) since the EOs and EPAs would now be housed together. A draft of the COEPA EOs and EPAs was released at the AACP July 2022 Annual meeting. After receiving additional stakeholder feedback during and after the meeting, the Committee made additional revisions. The final COEPA document was submitted to and approved by the AACP Board of Directors in November 2022. This COEPA document contains the final version of the 2022 EOs and EPAs. The revised EOs have been reduced to 3 domains and 12 subdomains (from 4 domains and 15 subdomains previously in CAPE 2013) and the revised EPAs have been reduced from 15 to 13 activities.


Asunto(s)
Educación en Farmacia , Servicios Farmacéuticos , Farmacias , Farmacia , Humanos , Estados Unidos , Curriculum , Competencia Clínica , Educación Basada en Competencias
4.
Am J Pharm Educ ; 87(8): 100562, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37423390

RESUMEN

The 2021-2023 American Association of Colleges of Pharmacy Academic Affairs Committee (AAC) was charged with and completed the revision of the 2013 Center for the Advancement of Pharmacy Education Outcomes and the 2016 Entrustable Professional Activity (EPA) statements for new pharmacy graduates. This work resulted in a new combined document, the Curricular Outcomes and Entrustable Professional Activities (COEPA) that was unanimously approved by the American Association of Colleges of Pharmacy Board of Directors and was published in the Journal. The AAC was also charged with providing stakeholders with guidance about how to use the new COEPA document. To achieve this charge, the AAC created example objectives for all 12 Educational Outcomes (EOs) and example tasks for all 13 EPAs. Although programs are asked to retain the EO domains, subdomains, one-word descriptors, and descriptions, unless they are adding more EOs or increasing the taxonomy level of a description, colleges and schools of pharmacy can expand or edit the example objectives and example tasks to meet local needs, as these are not designed to be prescriptive. This guidance document is published separately from the COEPA EOs and EPAs to reinforce the message that the example objectives and tasks are modifiable.


Asunto(s)
Educación en Farmacia , Servicios Farmacéuticos , Farmacias , Farmacia , Humanos , Educación en Farmacia/métodos , Curriculum , Competencia Clínica
5.
Am J Pharm Educ ; 87(8): 100560, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37479116

RESUMEN

The 2022-2023 Academic Affairs Committee (AAC) was charged to (1) complete the Center for the Advancement of Pharmacy Education Outcomes and Entrustable Professional Activities (EPAs) revisions (now renamed as COEPA - Curriculum Outcomes and Entrustable Professional Activities) after receiving feedback at the 2022 American Association of Colleges of Pharmacy (AACP) Annual Meeting; (2) offer guidance on how the revised COEPA education outcomes and EPA statements should be used by member institutions, faculty, preceptor, and students; (3) guide input into the ongoing revision of the Accreditation Council for Pharmacy Education (ACPE) standards for the Doctor of Pharmacy program. The published report of the 2021-2022 AAC outlines the work of the Committee through the spring of 2022.1 This 2022-2023 AAC report focuses on the work related to finalizing the COEPA educational outcomes, EPAs, preamble, and glossary and formally receiving approval from the AACP Board of Directors.2 This report also describes the creation of a COEPA guidance document, including educational outcomes example learning objectives, and EPA example tasks for the Academy, however, the actual guidance document will be published separately. Finally, this current report outlines the feedback the AAC sought, received, synthesized, summarized, and prioritized from key interested and affected parties about the ACPE 2016 standards revisions for the ACPE 2025 draft standards.3 The Committee offers revisions for 1 AACP policy statement pertaining to diversity, equity, inclusion, accessibility, justice, and anti-racism. One new policy statement is also offered that urges ACPE to create accreditation standards for pharmacy education that support diversity, equity, inclusion, accessibility, justice, and anti-racism, despite presence of laws, executive orders, and policies that oppose these concepts.


Asunto(s)
Educación en Farmacia , Humanos , Curriculum , Aprendizaje , Docentes de Farmacia , Docentes
6.
Am J Pharm Educ ; 87(1): ajpe9453, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-36781184

RESUMEN

EXECUTIVE SUMMARY. The 2021-22 Academic Affairs Committee was charged to 1) Update the Center for the Advancement of Pharmacy Education (CAPE) Outcomes and Entrustable Professional Activity (EPA) statements for new pharmacy graduates; 2) Nominate at least one person for an elected AACP or Council Office; and 3) Consider ways that AACP can improve its financial health. This report primarily focuses on the process undertaken by the committee to revise the CAPE Educational Outcomes and EPAs. Proposed changes to the current outcomes are discussed and the reasoning behind these revisions are described. AACP members will have the opportunity to provide feedback prior to the final document being approved and published later this year.


Asunto(s)
Educación en Farmacia , Servicios Farmacéuticos , Farmacia , Humanos , Curriculum , Competencia Clínica , Educación Basada en Competencias
7.
Am J Pharm Educ ; 86(5): 9195, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35764415

RESUMEN

It is not often that a group of health executives, educators, and professionals gather with the goal of identifying a preferred future for their profession and the patients they serve. It is even more rare when such an assembly results in a clear and actionable plan to follow to achieve that desired future. Nevertheless, the Bridging Pharmacy Education and Practice (BPEP) Summit, an unprecedented collaborative event in June 2022 that involved six sites across the country and more than 300 participants, was just such a convening. In this Commentary we provide a brief overview of this extraordinary summit and the events that led up to it.


Asunto(s)
Educación en Farmacia , Humanos
8.
J Gerontol Nurs ; 37(7): 17-22, 2011 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-21667891

RESUMEN

Osteoporosis is a disease that results in decreased bone mass and quality of bone, which may lead to fracture. Clinicians need to counsel individuals on appropriate intake of calcium and vitamin D, increasing weight-bearing exercise, limiting alcohol and caffeine, and avoiding smoking. A variety of nonhormonal pharmacological options are available for prevention and treatment of osteoporosis, including bisphosphonates, calcitonin (Miacalcin®), raloxifene (Evista®), teriparatide (Forteo®), and denosumab (Prolia®). The National Osteoporosis Foundation and the American Association of Clinical Endocrinologists have recently published new guidelines, and it is important for clinicians to be familiar with the evidence behind each of these treatment modalities. It is paramount for nurses to make evidence-based, cost-effective decisions about pharmacological therapy based on individual patient-specific factors.


Asunto(s)
Medicina Basada en la Evidencia , Osteoporosis/terapia , Conservadores de la Densidad Ósea/uso terapéutico , Humanos , Estilo de Vida , Osteoporosis/tratamiento farmacológico , Osteoporosis/fisiopatología , Educación del Paciente como Asunto
9.
Am J Pharm Educ ; 85(10): 8716, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34301580

RESUMEN

EXECUTIVE SUMMARY The 2020-2021 Academic Affairs Committee was charged to (1) Read all six reports from the 2019-20 AACP standing committees to identify elements of these reports that are relevant to your committee's work this year; (2) Determine what changes made in colleges and schools of pharmacy during the COVID-19 pandemic should be continued to advance pharmacy education; (3) Develop a realistic model for colleges and schools of pharmacy to share resources to meet the curricular needs of member schools; (4) Create strategies by which colleges and schools of pharmacy can meet current and future workforce development needs particularly in light of the changes in healthcare delivery as a result of the COVID-19 pandemic; (5) Identify salient activities for the Center To Accelerate Pharmacy Practice Transformation and Academic Innovation (CTAP) for consideration by the AACP Strategic Planning Committee and AACP staff. This report provides an overview of changes made in schools and colleges of pharmacy implemented in response to the COVID-19 pandemic that may be continued to advance pharmacy education; a realistic model for colleges and schools of pharmacy to share resources to meet the curricular needs of member schools; and strategies by which schools and colleges of pharmacy can meet current and future workforce development needs, particularly in light of the changes in healthcare delivery as a result of the COVID-19 pandemic. The committee is proposing one policy statement for consideration by the 2021 AACP House of Delegates, four suggestions for consideration by schools and colleges of pharmacy (including two endorsements for suggestions from the 2020-21 Argus Commission), and one recommendation for consideration by AACP for CTAP to implement and oversee.


Asunto(s)
COVID-19 , Educación en Farmacia , Estudiantes de Farmacia , Humanos , Pandemias , SARS-CoV-2 , Facultades de Farmacia , Estados Unidos , Recursos Humanos
10.
Am J Pharm Educ ; 84(10): ajpe8203, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33149340

RESUMEN

The 2019-2020 Academic Affairs Committee was charged with identifying promising practices in academic-practice partnerships and professional pharmacy organization initiatives that are accelerating the transformation of a workforce prepared to assume responsibility for society's medication use needs in 2030 and determining the role AACP can plan in supporting these partnerships and initiatives. The committee identified a set of ideal principles, characteristics, and design elements of a high-quality, large-scale workforce development program. The committee also categorized current mechanisms for professional workforce development, in addition to identifying their strengths and weaknesses, with the realization that novel approaches are needed to accomplish the goal of large-scale workforce transformation. This report also highlights two existing initiatives aligned with accelerating the transformation of the workforce (ie, the Community Pharmacy Enhanced Services Network (CPESN) ACT (Academia-CPESN Transformation) Pharmacy Collaborative and the American Pharmacists Association ADVANCE platform) and is proposing a policy statement affirming AACP's support. Furthermore, the committee is proposing another policy statement supporting colleges and schools of pharmacy taking an active role in implementing innovative and novel approaches for the development of the current workforce. In order to truly understand the many factors influencing large-scale workforce transformation, the committee is also proposing a stakeholder conference with a wide range of participants and a targeted set of questions focused on current and future needs.


Asunto(s)
Comités Consultivos , Servicios Comunitarios de Farmacia/tendencias , Necesidades y Demandas de Servicios de Salud/tendencias , Fuerza Laboral en Salud/tendencias , Farmacéuticos/tendencias , Comité Farmacéutico y Terapéutico , Sociedades Farmacéuticas , Predicción , Humanos , Factores de Tiempo , Estados Unidos
11.
Am J Pharm Educ ; 84(7): ajpe7281, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32773821

RESUMEN

Objective. To characterize shared governance in US schools and colleges of pharmacy and recommend best practices to promote faculty engagement and satisfaction. Findings. The literature review revealed only one study on governance in a pharmacy school and some data from an AACP Faculty Survey. Of the 926 faculty members who responded to the survey, the majority were satisfied or very satisfied with faculty governance (64%) and the level of input into faculty governance (63%) at their school. Faculty members in administrative positions and those at public institutions were more satisfied with governance. The forum resulted in the development of five themes: establish a clear vision of governance in all areas; ensure that faculty members are aware of their roles and responsibilities within the governance structure; ensure faculty members are able to join committees of interest; recognize and reward faculty contributions to governance; and involve all full-time faculty members in governance, regardless of their tenure status. Summary. Establishing shared governance within a school or college of pharmacy impacts overall faculty satisfaction and potentially faculty retention.


Asunto(s)
Educación en Farmacia/organización & administración , Farmacia/organización & administración , Facultades de Farmacia/organización & administración , Docentes de Farmacia/organización & administración , Humanos , Encuestas y Cuestionarios , Estados Unidos
12.
Ann Pharmacother ; 43(10): 1616-20, 2009 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19737992

RESUMEN

BACKGROUND: Published evidence demonstrates benefit from pharmacist smoking cessation interventions; however, there is limited research evaluating the impact of a template within an electronic medical record used at pharmacy disease state management visits. OBJECTIVE: To determine the rates of smoking cessation and movement along the transtheoretical model of change after implementation of a template into existing pharmacy-related progress notes within the electronic medical record. METHODS: Patients who were routinely followed by clinical pharmacists for anticoagulation and diabetes mellitus education at 3 clinics at the Medical University of South Carolina were included. At each visit, the pharmacist would document patient smoking information in a newly designed template within the existing progress note. In addition, pharmacists would educate patients on the benefits of smoking cessation and pharmacologic options that may be available to them. Data were collected between April 2007 and March 2008. Baseline demographic data and smoking cessation rates and products were compared using descriptive statistics. The McNemar chi(2) test was used to compare the groups of patients achieving smoking cessation pre- and postintervention. RESULTS: Of the 90 current smokers, 38 (42%) achieved smoking cessation postintervention. Movement along the transtheoretical model of change was also seen, with 52 (58%) patients progressing to at least the next stage. Thirty-four patients in the contemplation/preparation stage and 4 patients in the precontemplation stage moved to the action or maintenance stage by the end of the study period (p = 0.03). A variety of pharmacologic therapies were used in individuals who stopped smoking, although varenicline was most common. Thirty-nine percent of the patients used no medications to achieve cessation. CONCLUSIONS: Incorporating a smoking cessation template into existing progress notes and providing education during existing pharmacy referral visits is a simple and effective method to assist patients in achieving smoking cessation.


Asunto(s)
Registros Electrónicos de Salud , Educación del Paciente como Asunto/métodos , Farmacéuticos/organización & administración , Cese del Hábito de Fumar/métodos , Anciano , Atención Ambulatoria/organización & administración , Anticoagulantes/uso terapéutico , Diabetes Mellitus/terapia , Documentación/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Teóricos , Servicios Farmacéuticos/organización & administración , Rol Profesional , South Carolina
13.
Ann Pharmacother ; 43(11): 1781-6, 2009 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-19826096

RESUMEN

BACKGROUND: Osteoporosis affects more than 10 million Americans, and fracture complications are devastating to patients and society. Despite the availability of guidelines and performance measures, osteoporosis is not optimally managed. Pharmacists have been pivotal in management of other disease states, and a multidisciplinary approach to osteoporosis management may improve patient outcomes. OBJECTIVE: To establish a pharmacist-run osteoporosis service at a family medicine clinic and to evaluate short-term compliance with osteoporosis treatment guidelines before and after initiation of the service. METHODS: A pharmacist-run osteoporosis service was established in October 2008. Adults with the diagnosis of osteoporosis before initiation of the service were included in evaluation of short-term compliance with treatment guidelines, including appropriate dual-energy X-ray absorptiometry (DEXA) scan frequency, pharmacotherapy, calcium and vitamin D supplementation, and nonpharmacologic education. Of 42 referred patients, 22 were eligible for inclusion. A retrospective chart review was conducted, and patients served as their own controls, with data from before and after establishment of the service evaluated. RESULTS: Of the 22 patients evaluated, 8 (36%) received DEXA scans at the appropriate frequency before the service was established, versus 18 (82%) after the service was initiated. Seven (32%) patients were taking appropriate pharmacotherapy before the service, versus 17 (77%) after the service. Nine (41%) patients were taking calcium and vitamin D before the service, versus 22 (100%) after the service. Three (33%) of these patients were taking the appropriate dose and salt of calcium before the service, versus 20 (91%) after the service. Five (56%) of the 9 patients were taking the appropriate vitamin D dose before the service, versus 21 (95%) after the service. No patient had documented nonpharmacologic education prior to the service, compared with all patients after the service. All differences were significant (p < 0.05). CONCLUSIONS: A pharmacist-run osteoporosis service significantly improved short-term compliance with guidelines, including appropriate DEXA scan frequency, pharmacotherapy, calcium and vitamin D supplementation, and nonpharmacologic education.


Asunto(s)
Instituciones de Atención Ambulatoria/normas , Medicina Familiar y Comunitaria/normas , Osteoporosis/terapia , Cooperación del Paciente , Farmacéuticos/normas , Guías de Práctica Clínica como Asunto/normas , Absorciometría de Fotón/métodos , Anciano , Anciano de 80 o más Años , Medicina Familiar y Comunitaria/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Osteoporosis/diagnóstico , Osteoporosis/diagnóstico por imagen , Educación del Paciente como Asunto/métodos , Educación del Paciente como Asunto/normas , Rol Profesional
14.
Ann Pharmacother ; 43(2): 242-50, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-19196838

RESUMEN

BACKGROUND: Osteoporosis continues to be poorly managed despite compelling statistics indicating increased morbidity and mortality associated with fractures. Guideline compliance in individual practices must be evaluated to implement improvements in the care of patients with this disease state. OBJECTIVE: To evaluate compliance with osteoporosis treatment guidelines by physicians and patients at 2 family medicine clinics affiliated with a large university teaching hospital. METHODS: Postmenopausal women 65 years of age or older with the ICD-9 diagnosis code 733.0 for osteoporosis during the study period between July 2006 and July 2007 were identified through the family medicine electronic medical record (EMR). Of 133 patients, 113 were eligible for inclusion. A retrospective chart review was conducted and prospective voluntary telephone surveys were administered. The EMR of each eligible patient was examined for presence of a baseline dual-energy X-ray absorptiometry (DXA) scan as well as appropriate follow-up DXA monitoring, appropriateness of osteoporosis pharmacotherapy, calcium and vitamin D supplementation, and fracture history. The telephone survey was used to assess the patients' calcium use, nonpharmacologic recommendations received, and fracture incidence after diagnosis of osteoporosis. RESULTS: Of 113 patients diagnosed with osteoporosis, 68 of 82 (82.9%) had appropriate baseline DXA scans; however, only 9 (13.2%) of these 68 patients had appropriate follow-up scans every 2 years thereafter. Sixty-five (57.5%) patients were on Food and Drug Administration-approved, guideline-endorsed pharmacotherapy for osteoporosis. Thirty-five (70%) of the 50 participants in the telephone survey reported taking calcium regularly, and 41 (82%) patients recalled receiving some nonpharmacologic advice. Thirteen (26%) patients reported a fracture after diagnosis. CONCLUSIONS: Osteoporosis care can be measurably improved at these clinics with use of baseline and appropriate follow-up DXA scans, increasing the number of patients who receive pharmacotherapy, and providing ongoing reinforcement of nonpharmacologic measures whereby bone health may be maintained.


Asunto(s)
Absorciometría de Fotón/estadística & datos numéricos , Conservadores de la Densidad Ósea/uso terapéutico , Adhesión a Directriz , Osteoporosis Posmenopáusica/tratamiento farmacológico , Cooperación del Paciente , Educación del Paciente como Asunto/estadística & datos numéricos , Pautas de la Práctica en Medicina , Anciano , Calcio/uso terapéutico , Estudios de Cohortes , Suplementos Dietéticos , Utilización de Medicamentos , Femenino , Fracturas Óseas/complicaciones , Humanos , Osteoporosis Posmenopáusica/complicaciones , Médicos de Familia , Guías de Práctica Clínica como Asunto , Estudios Prospectivos , Estudios Retrospectivos , Vitamina D/uso terapéutico
15.
J Interprof Care ; 23(2): 134-47, 2009 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-19225956

RESUMEN

The Medical University of South Carolina (MUSC) developed a Presidential Scholars Program (PSP) in order to foster interprofessional collaboration among students from the different health professions on campus. Now in its seventh year, the program provides approximately 40 selected students each year from six different colleges with a two-semester interprofessional educational experience. Students work in small interprofessional teams on a project designed to address a broad-based health care issue; they also participate in other structured educational sessions throughout the year. As one means for assessing student impressions of the interprofessional collaborative experience, a survey was administered prior to and immediately after the experience. Additionally, a sample of non-scholar MUSC students was randomly selected for completion of the survey as a control group. Results indicate that PSP students have a significantly greater understanding of each other and deeper appreciation of the value of interprofessional collaboration at the end of the year. The Presidential Scholars Program at MUSC provides a unique and innovative opportunity for students to work with individuals within other health care disciplines, reduces stereotypes of the various professions and teaches important team skills. Future research would involve alumni follow-up in order to further evaluate the long-term impact of the program.


Asunto(s)
Conducta Cooperativa , Personal de Salud/educación , Comunicación Interdisciplinaria , Facultades de Medicina , Adolescente , Adulto , Recolección de Datos , Femenino , Humanos , Masculino , Persona de Mediana Edad , South Carolina , Adulto Joven
16.
Pharmacotherapy ; 28(2): 285, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18225974

RESUMEN

A business-practice model is a guide, or toolkit, to assist managers and clinical pharmacy practitioners in the exploration, proposal, development and implementation of new clinical pharmacy services and/or the enhancement of existing services. This document was developed by the American College of Clinical Pharmacy Task Force on Ambulatory Practice to assist clinical pharmacy practitioners and administrators in the development of business-practice models for new and existing clinical pharmacy services in ambulatory settings. This document provides detailed instructions, examples, and resources on conducting a market assessment and a needs assessment, types of clinical services, operations, legal and regulatory issues, marketing and promotion, service development and exit plan, evaluation of service outcomes, and financial considerations in the development of a clinical pharmacy service in the ambulatory environment. Available literature is summarized, and an appendix provides valuable citations and resources. As ambulatory care practices continue to evolve, there will be increased knowledge of how to initiate and expand the services. This document is intended to serve as an essential resource to assist in the growth and development of clinical pharmacy services in the ambulatory environment.


Asunto(s)
Atención Ambulatoria/organización & administración , Administración Financiera/organización & administración , Comercialización de los Servicios de Salud/organización & administración , Modelos Organizacionales , Servicios Farmacéuticos/organización & administración , Publicidad , Atención Ambulatoria/economía , Toma de Decisiones , Administración Financiera/economía , Humanos , Comercialización de los Servicios de Salud/economía , Evaluación de Necesidades/organización & administración , Servicios Farmacéuticos/economía , Farmacéuticos , Competencia Profesional
17.
J Nurs Educ ; 57(11): 668-674, 2018 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-30388288

RESUMEN

BACKGROUND: Interprofessional education is a challenge given the current constraints of clinical education, which is bound by space, location, off-campus clinical rotations, and conflicting academic schedules. New approaches need to be developed if academic settings are to provide high-impact interprofessional education. METHOD: Virtual Interprofessional (VIP) Learning was developed as an innovative, online, asynchronous learning platform utilizing avatars that engages learners in interprofessional clinical learning opportunities across disciplines and settings. Teams of interprofessional students worked together to complete a real-life case scenario focused on patient quality and safety using root cause analysis and interprofessional communication. RESULTS: Evaluation via focus groups, self-assessment survey, and a platform usability assessment found an increase in students' interprofessional knowledge, attitudes, and preference for virtual interprofessional experiences. CONCLUSION: VIP Learning is an innovative approach to advance interprofessional education from siloed, limited experiences to accessible and interactive opportunities that are not bound by time or place. [J Nurs Educ. 2018;57(11):668-674.].


Asunto(s)
Educación a Distancia/métodos , Relaciones Interprofesionales , Aprendizaje Basado en Problemas/métodos , Interfaz Usuario-Computador , Comunicación , Conducta Cooperativa , Curriculum , Grupos Focales , Humanos , Investigación en Educación de Enfermería , Entrenamiento Simulado/métodos , Estudiantes de Enfermería/estadística & datos numéricos
18.
Pharmacotherapy ; 26(10): 1403-9, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-16999650

RESUMEN

STUDY OBJECTIVE: To determine the number of women who have menopausal symptoms after discontinuing hormone therapy, to determine how many of these women subsequently require nonhormonal alternatives to manage their symptoms, and to assess the effectiveness of those therapies. DESIGN: One-year retrospective study. SETTING: Department of Family Medicine outpatient clinic at a university medical center. PATIENTS: From 378 postmenopausal women who discontinued hormone therapy between August 1, 2002, and August 31, 2003, we randomly selected 78 using electronic medical records to provide a sample with a 95% confidence interval and a 10% margin of error. MEASUREMENTS AND MAIN RESULTS: Reasons why the women discontinued therapy and any nonhormonal alternative therapies that they may have used to manage subsequent menopausal symptoms were recorded. The primary investigator contacted the 78 women to complete a telephone survey. In most women, at least one menopausal symptom recurred. Vasomotor symptoms (hot flashes) were most common and occurred in 41 (53%) women. In addition, 59 (76%) women reported using nonhormonal alternative therapies, and 40 (68%) of this group deemed the alternatives helpful. CONCLUSION: We strongly believe that health care providers, including pharmacists, must continue to communicate with and educate women regarding treatment options for menopausal symptoms. Clinical pharmacists are ideally suited to contribute to ongoing research in this area.


Asunto(s)
Terapias Complementarias , Terapia de Reemplazo de Hormonas , Posmenopausia/efectos de los fármacos , Calidad de Vida , Salud de la Mujer , Adulto , Femenino , Encuestas Epidemiológicas , Humanos , Persona de Mediana Edad , Cooperación del Paciente , Satisfacción del Paciente , Investigación Cualitativa , Estudios Retrospectivos
19.
J Manag Care Pharm ; 12(6): 466-71, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16925454

RESUMEN

BACKGROUND: There is limited information in the primary literature regarding the relationship of medication adherence to attainment of glycosylated hemoglobin A1c (A1c) goals. The 2 oral antihyperglycemic medications, sulfonylurea and/or metformin, were chosen for retrospective analysis because they are the 2 most common oral medications used by patients with diabetes. OBJECTIVE: To describe the relationship between adherence with 1 or both of 2 oral antihyperglycemic medications (sulfonylurea and metformin) and A1c goal attainment for health maintenance organization (HMO) patients enrolled in a diabetes disease management program. METHODS: This was a retrospective, descriptive evaluation of patients enrolled in a managed care diabetes disease management program in a 188,000-member independent practice association model HMO located in the Southeast. The dataset in this analysis contained demographic, enrollment, pharmacy claims, and clinical laboratory data. Continuously enrolled patients were included if there was a documented A1c value obtained at least 90 days after the initial oral antihyperglycemic medication (sulfonylurea or metformin) prescription index date. The medication possession ratio (MPR) was calculated from the pharmacy claim records and correlated with the A1c value. RESULTS: A total of 42% of patients on sulfonylurea therapy and 46% of those on metformin reached an A1c goal of < or = 7.0%. For patients taking a sulfonylurea, the mean MPR for those who reached the predetermined A1c goal (< or = 7.0) was 0.82 (0.29) compared with 0.72 (0.31) for those patients who did not reach the A1c target goal (P < 0.001). For patients taking metformin, the mean MPR for those who reached the predetermined A1c goal was 0.77 (0.3) versus 0.62 (0.3) for those patients who did not reach the A1c target goal (P < 0.001). A Pearson correlation analysis revealed a positive relationship between the MPR and A1c for sulfonylurea (r = -0.295, P < 0.001) and for metformin (r = -0.285, P < 0.001). For those patients taking both sulfonylurea and metformin, the Pearson correlation analysis showed a positive relationship between the 2 MPRs (r = 0.65, P < 0.001). CONCLUSION: Medication adherence as measured by the MPR was higher for patients taking a sulfonylurea or metformin who reached the target A1c goal of d7.0% compared with patients taking these drugs who did not reach the target A1c goal.


Asunto(s)
Diabetes Mellitus/tratamiento farmacológico , Hemoglobina Glucada/metabolismo , Hipoglucemiantes/uso terapéutico , Metformina/uso terapéutico , Cooperación del Paciente , Compuestos de Sulfonilurea/uso terapéutico , Administración Oral , Diabetes Mellitus/sangre , Manejo de la Enfermedad , Quimioterapia Combinada , Estudios de Evaluación como Asunto , Femenino , Sistemas Prepagos de Salud , Humanos , Hipoglucemiantes/administración & dosificación , Masculino , Metformina/administración & dosificación , Persona de Mediana Edad , Proyectos de Investigación , Estudios Retrospectivos , South Carolina , Compuestos de Sulfonilurea/administración & dosificación , Resultado del Tratamiento
20.
Am J Pharm Educ ; 80(8): 138, 2016 Oct 25.
Artículo en Inglés | MEDLINE | ID: mdl-27899834

RESUMEN

Objective. To evaluate the impact of an Interprofessional Communication Skills Workshop on pharmacy student confidence and proficiency in disclosing medical errors to patients. Pharmacy student behavior was also compared to that of other health professions' students on the team. Design. Students from up to four different health professions participated in a simulation as part of an interprofessional team. Teams were evaluated with a validated rubric postsimulation on how well they handled the disclosure of an error to the patient. Individually, each student provided anonymous feedback and self-reflected on their abilities via a Likert-scale evaluation tool. A comparison of pharmacy students who completed the workshop (active group) vs all others who did not (control group) was completed and analyzed. Assessment. The majority of students felt they had adequate training related to communication issues that cause medication errors. However, fewer students believed that they knew how to report such an error to a patient or within a health system. Pharmacy students who completed the workshop were significantly more comfortable explicitly stating the error disclosure to a patient and/or caregiver and were more likely to apologize and respond to questions forthrightly (p<0.05). Conclusions. This data affirms the need to devote more time to training students on communicating with patients about the occurrence of medical errors and how to report these errors. Educators should be encouraged to incorporate such training within interprofessional education curricula.


Asunto(s)
Comunicación , Relaciones Interprofesionales , Errores Médicos , Grupo de Atención al Paciente/organización & administración , Simulación de Paciente , Pacientes , Cuidadores , Educación , Evaluación Educacional , Retroalimentación , Femenino , Humanos , Masculino , Asistentes Médicos/educación , Estudiantes del Área de la Salud , Estudiantes de Enfermería , Estudiantes de Farmacia , Adulto Joven
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