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Getting Ready for the Real World: Evaluation of a Post-Rotational P4 Seminar July 6, 2015 Rolee Das, Pharm.D., BCPS, Clinical Associate Professor Lucio R. Volino, Pharm.D., Clinical Assistant Professor Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey

Getting Ready for the Real World: Evaluation of a Post-Rotational P4 Seminar July 6, 2015 Rolee Das, Pharm.D., BCPS, Clinical Associate Professor Lucio

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Getting Ready for the Real World: Evaluation of a Post-Rotational P4 Seminar

July 6, 2015

Rolee Das, Pharm.D., BCPS, Clinical Associate ProfessorLucio R. Volino, Pharm.D., Clinical Assistant Professor

Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey

Ernest Mario School of Pharmacy

Objectives

Describe the rationale behind development of the Post Rotational Evaluation and Preparation (PREP) seminar

Outline the basic components of PREP seminar Identify program changes made over the years based on

assessments performed Discuss potential future programs and initiatives associated with

PREP seminar

2

Ernest Mario School of Pharmacy

Ernest Mario School of PharmacyRutgers, The State University of New Jersey

• Rutgers Biomedical and Health Sciences• Established 1892• ACPE accredited• Doctor of Pharmacy Degree

– 0-6 program– 2 year pre-professional + 4 year professional

program– ~200 students per class year

• Graduate Programs– Health Outcomes, Policy, and Economics– Medicinal Chemistry– Pharmaceutics– Toxicology

• Dual Degree Programs • Post-doctoral Programs

– Clinical residency – Fellowship

• Continuing Education

Ernest Mario School of Pharmacy

Post-Doctoral Degree Program Structure• First (PP1) and Second Pre-Professional (PP2) Year• Pre-Professional Program Requirements needed for entry to First

Professional Year (P1)• First-Third Professional Year (P1-P3)• Introductory Pharmacy Practice Experiences (IPPE)

– Summer between P1 and P2: Community IPPE– Summer between P2 and P3: Hospital IPPE

• Fourth Professional Year (P4) – Advanced Pharmacy Practice Experiences (APPE)– Total of 9 possible APPE rotation cycles– 8 mandatory APPE rotations (1600 hours)– Prior to 2011, 7 mandatory (1400 hours)

Ernest Mario School of Pharmacy

Course Development

• Accreditation Standards and Guidelines 2007– Expected length of APPE not less than 1440 hours (36 weeks)

• 2008: Board Preparation Program– Result of a requirement to increase experiential hours

• 2009: Modification to include active learning/small groups • 2010: Course designation• 2012: Shortened to 3 days• Annual changes

– Guest speaker topics– 2011, 2014: Inclusion of Inter-professional Education

Accreditation Council for Pharmacy Education. Accreditation Standards and Guidelines for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree. https://www.acpe-accredit.org/pdf/ACPE_Revised_PharmD_Standards_Adopted_Jan152006.pdf. Accessed: May 29,2014.

Ernest Mario School of Pharmacy

Capstone Course

• Culminating experience including– Synthesis– Application– Critical evaluation

• Not intended as opportunity to learn new information or skills• Formats vary

– Research– Series of activities

• Course• Paper/Poster/Seminar

– Interdisciplinary course

Wagenaar TC. The capstone course. Teaching Sociology 1993; 21(3):209-214Wuller CA. A capstone advanced pharmacy practice experience in research. AJPE 2010; Article 180

Ernest Mario School of Pharmacy

2009 Schedule

Time Monday Tuesday Wednesday Thursday Friday

8:00-9:00am Pulmonary Renal Psychology Oncology Immunizations

9:00-10:00am Neurology Toxicology Pediatrics OTC Counseling/Drug Information

10:00-10:30am BREAK

10:30am-12:00pm

Ethics, Etiquette, Professionalism

Game (Jeopardy)

Role Playing (Difficult Situations)

Game (Family Feud)

Skills Fair – Blood Pressure, Point of Care Testing, etc.

12:00-1:30pm BREAK

1:30-3:00pm Endocrine Cardiology ID Calculations Early Practitioner Pitfalls 3:00-4:30pm Smoking

Cessation New JerseyLegislative Current Events

Rutgers Federal Credit Union

Alumni Graduation/Licensure

1 Hour Topic Review Session Small Group Breakout Session 1.5 Hours Topic Review Session Professional Topic Presentation

Ernest Mario School of Pharmacy

Teaching and Guest Speaker Assessment

Guest speaker evaluation with respect to helpfulness and relevance to practice

(n=241; Class of 2009)

Assessment of NAPLEX subject review teaching styles and components(n=241; Class of 2009)

Ernest Mario School of Pharmacy

Program Satisfaction

• Small group environment encouraged student participation – 79% agreed/strongly agreed

• Activities were educational and/or provided insight into professional issues – 83% agreed/strongly agreed

• Activities were active and enjoyable – 84% agreed/strongly agreed

Ernest Mario School of Pharmacy

2010 ScheduleTime Monday Tuesday Wednesday Thursday Friday

8:00-9:30am Pulmonary Pediatrics Nephrology Psychiatry Drug Information

9:30-11:00am Oncology OTC/Self Care Toxicology Neurology Vaccines

11:00-11:30am

BREAK

11:30am-12:30pm

Role Playing (Difficult Situations)

Ethics Debate Patient Interview / Physical Assessment Skills

Game (Family Feud)

Game (Jeopardy)

12:30-2:00pm BREAK

2:00-3:30pm Endocrine Cardiology Calculations ID ID

3:30-5:00pm Student Project Presentations

Medication Therapy Management andImmunizations

Licensure Updates / Issues for Practicing Pharmacists /Managed Care/ PDM / 3rd Party

Professional Organizations Panel Discussion

Pathways to Success in Pharmacy

1.5 Hours Topic Review Session Small Group Breakout Session Professional Topic Presentation

Ernest Mario School of Pharmacy

Guest Lecture/Topic Review SelectionEvaluations of topic review benefit and relevance to students’ futures in

pharmacy practice (n=192; Class of 2010)]

Ernest Mario School of Pharmacy

Breakout Sessions: Interactive Games• 1 hour activities• Groups of ~35 students• Moderated by 1 faculty + 1 resident/fellow• Activities (role playing, debates, assessments, games)

Pharmily Feud Jeopardy

Ernest Mario School of Pharmacy

Breakout Sessions Selection

Activity

Helpful & Relevant to Future in Pharmacy*

Agree/Strongly Agree

NeutralDisagree/Strongly Disagree

Blank

Interactive Games 88% 8% 4% ----

Patient Interviewing & Physical Assessment Skills

62% 23% 9% 6%

Difficult Situations 62% 22% 15% 1%

Ethics Debate 60% 24% 15% 1%

*(n=192; Class of 2010)

Ernest Mario School of Pharmacy

2014 ScheduleTime Tuesday Wednesday Thursday

8:00-9:30am Cardiopulmonary Calculations OTC Review

9:30-11:00am Nephrology ID Endocrine

11:00-11:30am

BREAKGame (Jeopardy) 11:00am-12:00pm

BREAK

11:30am-12:30pm

Game (Family Feud) Physical Assessment Skills – Group 1: 11:30am-12:30pm

BREAK12:00-1:00pm

12:30-2:00pm

BREAK

BREAK

Inter-professional Education Session (Medication Errors) 1:00-4:00pm

Physical Assessment Skills – Group 2: 1:00-2:00pm

2:00-3:30pm Neuropsychiatry Pediatrics

3:30-5:00pm Licensure/Update on Law Pathways to Success in Pharmacy1.5 Hours Topic Review Session Small Group Breakout Session Professional Topic Presentation

Ernest Mario School of Pharmacy

Summary

• PREP seminar provides therapeutics, educational, professional and career related development via – Topic reviews with lectures, cases and practice questions – Interactive games and hands-on showcases– Guest lecturers– Panel discussions– Inter-professional activities

• Well received by students– Educational– Interactive– Enjoyable

Getting Ready for the Real World: Evaluation of a Post-Rotational P4 Seminar

July 6, 2015

Rolee Das, Pharm.D., BCPS, Clinical Associate Professor Lucio R. Volino, Pharm.D., Clinical Assistant Professor

Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey