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Pharmacy Skills Laboratory III (PSL-3)
Course Code: PHRM 3110 Year offered: 2018R
Credit hours: 3
This course involves a wide range of topics, instructors, and learning strategies, therefore the
location and duration of any given session will vary with the activity.
PLEASE PAY CLOSE ATTENTION TO THE EXACT DATE, TIME, and LOCATION OF EACH SESSION.
Attendance will be monitored and it is the student’s responsibility to know where, when, and
what is being offered during any given week. The schedule as well as any necessary updates
and/or changes will be posted on D2L and/or through the University e-mail system exclusively.
It is the student’s responsibility to monitor for these updates.
Course Facilitators:
Name Contact information
Dr. Christopher Louizos Course Coordinator
Office: Room 113, College of Pharmacy Voice: 474-9082 E-mail: [email protected]
Dr. Jennifer Wiebe Office: Room 213, College of Pharmacy Voice: 272-3112 E-mail: [email protected]
Ms. Annette Jones Administrative Support
Office: Room 143, College of Pharmacy Voice: 474-9306 E-mail: [email protected]
Dr. Grace Frankel (Leave) Performance Based Assessment Coordinator
Office: Room 226, College of Pharmacy Voice: 318-5281 E-mail: [email protected]
Dr. Christine Leong (Leave) Physical Assessment Lead
Office: Room 222, College of Pharmacy Voice: 318-5276 E-mail: [email protected]
Dr. Dana Turcotte Office: Room 229, College of Pharmacy Voice: 295-5358 E-mail: [email protected]
Dr. Jamie Falk
Office: Room 224, College of Pharmacy Voice: 318-5280 E-mail: [email protected]
Ms. Kelly Drummond Office: Room 117, College of Pharmacy Voice: 474-6282 E-mail: [email protected]
Ms. Drena Dunford
Office: Room 119, College of Pharmacy Voice: 474-6989 E-mail: [email protected]
Ms. Sheila Ng Office: Room 115, College of Pharmacy Voice: 975-7763 E-mail: [email protected]
Ms. Nancy Kleiman Office: Room 121, College of Pharmacy Voice: 474-6692 E-mail: [email protected]
Mr. Scott McDougall E-mail: [email protected]
Ms. Elizabeth Ptasznik E-mail: [email protected]
The University requires all students to activate an official University email account. For full details of the Electronic Communication with Students:
http://umanitoba.ca/ist/email/studentemailindex.html
Please note that all communication between instructors and students must comply with the electronic communication with student policy:
http://umanitoba.ca/admin/governance/media/Electronic_Communication_with_Students_Policy_-_2013_09_01_RF.pdf
You are required to obtain and use your u of m email account for all communication between yourself and the university. Emails that are not sent from a University of Manitoba email account will not be replied to by the instructors.
Please Note: Responses to e-mails may take several working days and will occur Mondays to
Fridays between 8:30 AM and 4:30 PM
Course Description
General Course Information: Level and sequence of the course:
Pharmacy Skills Laboratory III (PSL-3) builds on the objectives and expectations of Pharmacy
Skills Laboratory I and II with an emphasis on integration and application of knowledge and
skills. Given that much of this course is case-based, students are expected to apply the full
scope of their knowledge including Human Anatomy (80.103), Fundamentals of Physiology
(90.103), Medicinal Chemistry (PHRM 2220 & PHRM 3220), Pharmacology (89.210),
Biopharmaceutics/Pharmacokinetics (PHRM 2270 & PHRM 2280 & PHRM 3500), Clinical
Pharmacy (PHRM 2310 & PHRM 3310), Principles to Scientific Literature (PHRM 3510) and
Natural Products (PHRM 3430).
Students must have an introductory understanding of the pharmaceutical care process,
including skills in medication history taking, therapeutic problem solving and monitoring, drug
information science, interpersonal communication, and documentation. Students are also
expected to have skills in medical literature retrieval and interpretation.
Course Learning Objectives:
Pharmacy Skills Laboratory III (PSL-3) is designed to activate and integrate prior knowledge,
promote the processing of new information and provide opportunities for knowledge and skills
application.
This course uses interactive and case-based strategies to help the student:
1. Apply essential knowledge, skills, and values required in the provision of pharmaceutical care.
2. Demonstrate skills which focus on: problem solving, critical thinking, communication (written and oral), self-directed learning, and a caring attitude.
3. Develop skills which will be essential for current and expanding Pharmacy Practice. 4. Retrieve and synthesize appropriate drug information from tertiary, secondary, and
primary sources and effectively communicate responses directed to the inquirer. 5. Develop personal and professional confidence and interpersonal skills. 6. Understand the pharmacist’s responsibilities and challenges in ensuring optimal health
outcomes in patients. 7. Appreciate the scope of patient health care needs, often requiring a multidimensional
and inter-professional approach to care. 8. Demonstrate professional conduct with regards to individual moral beliefs, PHIA,
pharmacy regulations, and respecting patient’s rights.
Course Objectives / Educational Mapping:
Course Objectives At the completion of this course, the student should be able to:
AFPC Educational Outcome (2017) Achieved
NAPRA Competency Achieved
Learning Level (ICE – Ideas, Connections, Extensions)
Performance Level (Novice, Functional, Competent)
Demonstrate the ability to systematically collect and analyze pertinent patient information to identify or prevent one or more drug-related issues or to address a drug information need (eg. drug interactions, adverse drug reactions, etc.).
CP 2.1 CP 2.2
2.1 2.2 2.3 2.4
Extensions Competent
Demonstrate the ability to prioritize and resolve a patient’s drug-related issue(s)
CP 1.1 CP 1.3
2.4 2.5
Extensions Competent
or to address his/her drug information needs. This may require activation and integration of existing knowledge and/or using appropriate drug information search strategy to gather & synthesize existing/emerging evidence.
CP 2.2 SC 1.1 SC 2.2
6.1 6.2 6.3
Develop and document a care plan using a concise, standardized process (data, assessment, intervention & monitoring plan).
CP 2.3 CP 2.4 CP 2.5 CM 1.2 CM 1.3 PR 1.1
2.5 2.6 2.8 6.2 7.1 7.2
Connections Functional
Generate a method of effective communication which integrates collaboration amongst patients and other Health Care Professionals to ensure resolution of drug-related issue(s) or drug information needs.
CM 1.1 CM 2.3 CM 2.4 CM 3.1 CL 1.2
2.5 7.1 7.2 8.3
Connections Functional
Prepare and deliver a demonstration on various home health devices intended to educate patients and peers on their appropriate use.
CP 2.5 CM 1.1 CM 1.5 HA 1.3 SC 4.1 SC 4.2
3.1 5.1 7.3
Connections Functional
Collaborate and communicate with peers and standardized patients as a means of acquiring new therapeutic knowledge, demonstrating problem solving skills, developing interpersonal skills, and developing health promotion material.
CP 1.3 CP 1.5 CP 2.1 CP 2.2 CP 2.4 CP 2.5 CM 1.4 CM 1.5 CL 2.3 PR 2.6 SC 1.3 SC 2.1
2.1 2.1 2.3 2.4 2.5 2.6 2.8 7.1 7.3 8.3 8.4
Extensions Competent
Demonstrate the ability to practice pharmacy in a safe and effective manner using available safety tools and techniques.
CM 2.4 LM 1.2 LM 1.3 PR 2.1
1.1 1.2 2.7 3.1 4.1 9.1 9.4
Connections Functional
Demonstrate the ability to solve pharmaceutical calculations
SC 1.1 3.1 Connections Functional
Demonstrate the background knowledge and technical ability to administer
CP 1.4 CM 1.1
1.1 2.7
Extensions Competent
immunizations and injections HA 1.3 HA 2.2 PR 1.4 PR 3.3
5.1 5.2
Demonstrate the background knowledge and technical ability to perform physical assessments.
CP 1.5 PR 3.3
2.2 2.3
Connections Novice
Demonstrate the background knowledge and technical ability to interpret and order lab tests.
CP 1.5 CP 2.5 PR 3.3
2.2 2.3
Extensions Functional
Demonstrate the background knowledge and technical ability to dispense a veterinary prescription safely.
CP 1.5 CP 2.5 PR 3.3
2.2 2.3 3.1
Ideas Novice
Demonstrate motivation to engage in self-directed and group learning
SC 2.4 PR 3.3
8.3 Extensions Functional
Teaching and learning methods:
This course does NOT utilize the traditional classroom-based, didactic teaching format.
Students will actively participate in a variety of self-directed and collaborative experiences such
as group work, role playing, presentations (in-class and online), workshops, and delivery of
patient focused care. Students are expected to assume significant responsibility for their own
learning: communicating with standardized patients, collecting and synthesizing pertinent
information and developing and implementing individual care plans; participating in case
discussions with peers and health professionals; participating in self and peer evaluation;
communicating and collaborating with health professionals; and identifying, retrieving and
interpreting information using appropriate primary, secondary or tertiary literature. For the
immunizations and injections, physical assessment, and clinical lab ordering portion of this
course, students will participate in online learning modules, in-class quizzes, and a
workshop/case discussions to practice their skills and become knowledgeable in these areas.
Students will also participate in a compulsory Physical Assessment Blood Pressure Clinic, which
provides the opportunity to practice their blood pressure technique using a manual
sphygmomanometer on patients under the supervision of an instructor. The instructors for this
course will function as facilitators, offering guidance, clarification and information.
A major teaching strategy used in PSL-3 is the Performance Based Assessment (PBA) Program.
The Teaching Objective Structured Clinical Examination (TOSCE) is used to teach and assess
student performance around the 7 core competencies (communication, critical thinking,
problem solving, decision making, professionalism, self-assessment and collaboration). TOSCEs
are often perceived by students as stressful encounters. To build student confidence with a
focus on skill development, the course includes a number of “simulations” prior to a final
Objective Structured Clinical Examination (OSCE). Try to think of these sessions as unique
learning opportunities in a controlled and safe environment.
Assessment process:
Assessment will take place throughout the term using both formative and summative
strategies. Student performance will be evaluated in the context of written assignments,
quizzes, presentations, laboratory activities, workshops, and simulated patient encounters.
Particular emphasis will be placed on the ability to accurately and effectively collect, integrate,
critique, apply and communicate knowledge in a caring and professional manner.
Assessment criteria and grading:
This course has been designed around 7 core competencies. Specifically, these core competencies will be developed through student participation in the activities listed under assessment and grading.
These activities will involve both individual and interactive group sessions. Assessment will be through assignments, presentations and performance throughout the term. Further details regarding evaluation criteria will be provided by individual instructors as required by each session.
Assessment and grading:
Laboratory Activity Evaluation (Section 1) Value
Fall Term
Veterinary Pharmacy Lab Activity 5%
Immunization and Injections Quiz 5%
Drug Interactions Lab 4%
Ordering and Interpretation of Lab Values Quiz #1 2.5%
Physical Assessment Quiz 5%
Ordering and Interpretation of Lab Values Take-
Home Assignment
5%
Clinical Resoning Lab Assignment and Reflection 7%
Winter Term
Ordering and Interpretation of Lab Values Quiz #2 2.5%
Home Health Devices Workshop 4%
Patient Care Plan and Presentation 10%
TOTAL 50%
Performance Based Evaluation (Section 2) Value
Teaching Objective Structured Clinical Examination
(TOSCE)
10%
Objective Structured Clinical Examination (OSCE) 30%
Pharmacy Practice Stations 10%
TOTAL 50%
Miscellaneous (Section 3) Value
Canadian Red Cross Standard First Aid CPR-HCP* PASS
Immunizations and Injections Modules and Online
Evaluation**
PASS
Immunizations and Injections Workshop PASS
Physical Assessment Modules and Online
Evaluation***
PASS
Physical Assessment Workshop PASS
Ordering and Interpretation of Lab Values Modules
and Online Evaluation****
PASS
*Students must complete their Canadian Red Cross Standard First Aid CPR-HCP certification
and submit proof to the Dean’s office prior to 01/October/2017
**Students must receive a PASS (70% or greater) on ALL Online Modules to receive a PASS
standing. If a student receives a FAIL on the Online Modules and/or In-Class Quiz they will be
unable to attend the workshop. The online modules must be completed and proof must be
submitted to the Dean’s office prior to 01/October/2017
*** Students must receive a PASS (80% or greater) on the Online Module to receive a PASS
standing on the online module component. If a student receives a FAIL on the Online Module
and/or In-Class Quiz they will be unable to attend the workshop. The online modules must
be completed by 24/October/2017.
**** Students must receive a PASS (70% or greater) on all of the Online Modules to receive a
PASS standing.
PLEASE NOTE
There are THREE separate sections to the evaluation in this course (Activity Evaluation,
Performance Based Evaluation, and Miscellaneous). Activity Evaluation and Performance Based
Evaluation MUST both be passed with a grade of C or better in order to achieve standing in the
course. The Miscellaneous section is comprised of pre-requisite activities that MUST be
passed/completed to participate in the Immunizations and Injections, Physical Assessment, and
Ordering and Interpreting Lab values workshops/discussions.
Failure to pass any ONE section (Section 1, 2, or 3) of the program assessment will result in a
grade of D for the course (regardless of aggregate performance). A grade of D or a grade of F
may also be awarded for an aggregate mark below 60% and 50% respectively.
Supplemental examinations will NOT be offered in any section of Pharmacy Skills Lab 3. The
Dean’s office will have ultimate discretion on any decisions made.
Attendance is mandatory at all the sessions and will be monitored. Exceptions may be made
for illness and bereavement if the course coordinator is informed prior to the session. An
unexcused absence (including debriefing sessions) will result in students receiving a “0” for that
activity and/or assignment.
Assessment policies:
As with all pharmacy courses, students are expected to exhibit professional, respectful,
sensitive behaviour throughout this course.
The regulations and requirements concerning scholastic progress, attendance at class, deferred
examinations, incompletes, academic honesty, and professional unsuitability are outlined in the
Faculty of Pharmacy chapter of the University of Manitoba General Calendar and the Faculty of
Pharmacy Student Handbook. All such policies apply to this course.
Grades:
The total of all of the above evaluations will be translated into the following letter grades:
Total Percentage
(%) Achieved
Letter Grade Grade Point Description
90 – 100 A+ 4.5 Exceptional
80 – 89 A 4 Excellent
75 – 79 B+ 3.5 Very Good
70 – 74 B 3 Good
65 – 69 C+ 2.5 Satisfactory
60 – 64 C 2 Adequate
50 – 59 D 1 Marginal
49 or below F 0 Failure
Cheating, Plagiarism and Fraud:
Please be familiar with the information provided;
http://umanitoba.ca/student/resource/student_advocacy/cheating_plagiarism_fraud.html
Policy on Electronic Devices:
Please Note: All electronic devices (on or off) are strictly prohibited in rooms where any
activities occur. This includes but is not limited to cell phones, tablets, tape recorders, and
iPods. If you have any questions or concerns about an electronic device please bring it to the
attention of an instructor immediately.
Recommended texts and references:
Ansel HC., Pharmaceutical Calculations, 14th or 15th Edition, Lippincott Williams & Wilkins,
Philadelphia, 2012.
Students will also be expected to identify and retrieve pertinent resources including textbooks
in therapeutics, electronic databases such as MEDLINE, online-references (eg. ACCESS
Pharmacy), pharmacy and medical journals as well as collaborate with peers and facilitators.
PSL-3 Schedule 2018R DRAFT
FALL TERM
DATE TIME ROOM FACILITATOR(S) TOPIC
12/Sep/2017 9:00 – 10:00 264 Dr. Louizos
Dr. Wiebe Course/syllabus overview Ordering and Interpretation of Lab Values, and Immunizations and Injections Orientation
13/Sep/2017 12:00 – 3:00 264 Dr. Louizos
Mr. McDougall Ms. Petaznik
Patient Safety, Medication Reconciliation, and Adverse Drug Reactions Orientation
19/Sep/2017 9:00 – 10:00 264 Dr. Louizos
Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 1: Electrolytes, Fluids and Acid-Base Balance)
20/Sep/2017 12:00 – 4:00
264 156
4 x tut rooms
Dr. Louizos Dr. Wiebe
Prescription Checking & Veterinary Pharmacy Orientation and Lab
26/Sep/2017 9:00 – 10:00 264 Dr. Louizos
Immunizations and Injections QUIZ
27/Sep/2017 12:00 – 2:00
264 Dr. Louizos
Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 2: Hematology and Module 3: Hepatic and Lipid Tests)
03/Oct/2017 9:00 – 10:00 264 Dr. Louizos
Dr. Wiebe ?????
Physical Assessment Orientation & Drug Interactions Orientation
04/Oct/2017 12:00 – 4:30 156
4 x tut rooms Dr. Louizos ?????
Drug Interactions Lab
10/Oct/2017 9:00 – 10:00 264 Dr. Louizos
Ordering and Interpretation of Lab Values QUIZ (Introduction and Modules 1, 2 & 3)
17/Oct/2017 9:00 – 10:00 264 Dr. Louizos
Dr. Wiebe ?????
Clinical Reasoning & Pharmacy Orientation
18/Oct/2017 12:00 – 3:00 264
156 4 x tut rooms
Dr. Louizos Dr. Wiebe ?????
Clinical Reasoning & Pharmacy Lab
24/Oct/2017 9:00 – 10:00 264 Dr. Louizos
Physical Assessment Quiz
25/Oct/2017 12:00 – 4:30 264
4 x tut rooms Dr. Louizos Dr. Wiebe ?????
Clinical Reasoning & Pharmacy Discussions/Reflection
28/Oct/2017 8:00 – 3:00 CLSF Skills Lab
Concourse Dr. Louizos ?????
Immunizations and Injections Workshop (Group 1)
01/Nov/2017
12:00 – 3:00 156 4 x tut rooms
Dr. Louizos Dr. Wiebe Ms. Kleiman
Ms. Ng Ms. Drummond
Physical Assessment Workshop Group #1
04/Nov/2017 8:00 – 3:00 CLSF Skills Lab
Concourse Dr. Louizos ?????
Immunizations and Injections Workshop (Group 1)
DATE TIME ROOM FACILITATOR(S) TOPIC
07/Nov/2017 9:00 – 10:00 264 Dr. Louizos
Dr. Wiebe Performance Based Assessment (PBA) and TOSCE Practice Scenarios & TOSCE Orientation
08/Nov/2017
12:00 – 3:00 156 4 x tut rooms
Dr. Louizos Dr. Wiebe Ms. Ng Ms. Kleiman (After 1 PM) Ms. Drummond ?????
Physical Assessment Workshop Group #2
15/Nov/2017
12:00 – 4:00 156 4 x tut rooms
Dr. Louizos Dr. Wiebe Dr. Falk ????? ????? Ms. Drummond
TOSCE Practice Scenarios Activity
21/Nov/2017 9:00 – 10:00 264 Dr. Louizos
TOSCE Practice Scenarios Debrief and Open Lab Orientation
22/Nov/2017 12:00-3:00 254 Dr. Louizos
Dr. Wiebe ?????
Open Lab (Calculations, Vet, Rx Checking, I&I, Lab tests, Drug Interactions)
29/Nov/2017
8:30 – 3:00 CLSF Basement
Lecture Theatre
Dr. Louizos Dr. Wiebe ????? ????? Dr. Falk ????? Ms. Drummond
TOSCE
05/Dec/2017 9:00 – 10:00
264 Dr. Louizos
Dr. Wiebe TOSCE Debrief and Case Discussion
06/Dec/2017 12:00 – 4:00 254 Dr. Louizos
Dr. Wiebe ?????
Pharmacy Practice Stations Activity
**The schedule as well as any necessary updates and/or changes will be posted on UM Learn. It is the student’s responsibility to monitor UM Learn for updates**
PSL-3 Schedule 2018R DRAFT
WINTER TERM
DATE TIME ROOM FACILITATOR(S) TOPIC
02/Jan/2018 12:30 – 2:30 LT Dr. Louizos
Dr. Wiebe Mr. Oliver
Advanced Clinical Case Discussion
05/Jan/2018 11:00 – 12:00 164 Dr. Louizos
Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 4: Endocrine Tests)
09/Jan/2018 10:00 – 1:00 LT Dr. Louizos
Dr. Wiebe Ms. Ahmed
Home Health Devices Introduction, Dealing with Difficult Patient Encounters & TOSCE Video Review Session
12/Jan/2018 11:00 – 12:00 164 Dr. Louizos
Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 5: Renal Tests)
Online N/A Dr. Louizos
Dr. Wiebe Ordering and Interpretation of Lab Values (Miscellaneous Module: Drug Monitoring) Please Note: Cases are self-study (answers will be posted on UM Learn)
16/Jan/2018 10:00 – 2:00 LT Dr. Louizos
Dr. Wiebe Patient Care Plans #2 Orientation, Group Work-up, and Questions and Answer Session
19/Jan/2018 11:00 – 12:00 164 Dr. Louizos Ordering and Interpretation of Lab Values QUIZ (Modules 4,5 & Miscellaneous)
Ordering and Interpretation of Lab Values Take-Home Assignment Distributed
23/Jan/2018 10:00 – 3:30 LT Dr. Louizos
Mr. Oliver Patient Care Plan #2 Presentations
30/Jan/2018
10:00 – 3:00 254 Dr. Louizos Dr. Dunford Ms. Ng Mr. Oliver
Home Health Devices Activity
06/Feb/2018
10:00 – 3:00 116 120 124 128
Dr. Louizos
OSCE Preparation Session #1
09/Feb/2018 11:00 – 12:00 164 Dr. Louizos Home Health Devices Debrief
13/Feb/2018 10:00 – 12:30 LT Dr. Louizos
Mr. Oliver Patient Care Plan #2 Presentations Debrief & OSCE Orientation Lab Tests Take-Home Assignment DUE (9:00AM on UMLearn)
27/Feb/2018
10:00 – 2:30 116 120 124 128
Dr. Louizos Dr. Turcotte ???? Dr. Falk Ms. Drummond Mr. Oliver TBD
OSCE Practice Scenarios Activity
02/Mar/2018 11:00 – 12:00 164 Dr. Louizos
Mr. Oliver OSCE Practice Scenarios Debrief
06/Mar/2018
10:00 – 3:00 116 120 124 128
Dr. Louizos
OSCE Preparation Session #2
13/Mar/2018
10:00 – 3:00 116 120 124 128
Dr. Louizos
OSCE Preparation Session #3
20/Mar/2018
TBA TBA Dr. Louizos Dr. Turcotte Dr. Dunford Dr. Falk ????? Ms. Ng Ms. Drummond Mr. Oliver TBD
OSCE