Maximizing Experiential Maximizing Experiential RotationsRotations

Managing Multiple PharmD Managing Multiple PharmD CandidatesCandidates

Kimberly Schnacky, PharmD, BCPSKimberly Schnacky, PharmD, BCPS

Director of Clinical Pharmacy ServicesDirector of Clinical Pharmacy Services

Orlando VA Medical CenterOrlando VA Medical Center

OVAMC OVAMC

Rotations offered:Rotations offered:– Drug InformationDrug Information– AdministrationAdministration– Ambulatory CareAmbulatory Care– Advanced Am CareAdvanced Am Care– Infectious DiseaseInfectious Disease– Geriatrics Geriatrics

Today’s Generation of Today’s Generation of CandidatesCandidates

They are:They are:Opportunistic, enthusiastic, respectful of Opportunistic, enthusiastic, respectful of authority, focused on the value of education, authority, focused on the value of education, close to their parentsclose to their parents, used to pressure, , used to pressure, very adult supervisedvery adult supervised, “team players”, , “team players”, community active. community active.

Over parented? Non-creative, Non-risk Over parented? Non-creative, Non-risk taking? Overstressed? Lack of “play time” taking? Overstressed? Lack of “play time”

The Millennials:The Millennials:Born 1982 – PresentBorn 1982 – PresentAge up to 26Age up to 26Formative Years 1980-2010Formative Years 1980-2010

Using their Generational Values to Your Using their Generational Values to Your AdvantageAdvantage

At Work:At Work:– They love “group projects”They love “group projects”– They want to have someone else They want to have someone else

proofing their work proofing their work – They love feedbackThey love feedback– They have great moraleThey have great morale– They absolutely need clear goals They absolutely need clear goals

and structureand structure

How to use this?How to use this?

Multiple students on rotation will provide Multiple students on rotation will provide the attention and teamwork they need the attention and teamwork they need to be efficient and productiveto be efficient and productive

They get an abundance of feedback They get an abundance of feedback from multiple sources: Preceptors, other from multiple sources: Preceptors, other students, medical staffstudents, medical staff

This integrates their work and home lifeThis integrates their work and home life

At Work continued…At Work continued…

They are: technologically savvy, hard They are: technologically savvy, hard working, want work life integrationworking, want work life integration

Now, Now, NowNow, Now, Now– Relevant workRelevant work– Sense of EntitlementSense of Entitlement– Unrealistic expectationsUnrealistic expectations– Need varietyNeed variety– Want you to take interest in their lives Want you to take interest in their lives – Fast immersion into flow of work Fast immersion into flow of work

The Real World The Real World ExperienceExperience In the workplace, the professional interacts with In the workplace, the professional interacts with

colleagues from a wide array of educational colleagues from a wide array of educational backgrounds. backgrounds.

Concurrent rotations with students from several Concurrent rotations with students from several universities hones the cultural competency of universities hones the cultural competency of the pharmacy students.the pharmacy students.

Preconceived ideas about the students from Preconceived ideas about the students from other Colleges of Pharmacy can be eliminated. other Colleges of Pharmacy can be eliminated.

Residency programs often do not select multiple Residency programs often do not select multiple candidates from the same University. candidates from the same University.

““Team Work” Team Work”

On the appropriate rotation:On the appropriate rotation:

– Collaborative skills can be developedCollaborative skills can be developed Written projectsWritten projects Oral presentationsOral presentations Verbal Defense SkillsVerbal Defense Skills Improved Brainstorming sessionsImproved Brainstorming sessions

Other Advantages Other Advantages

Networking opportunities for Networking opportunities for students before graduation students before graduation

Exposure to different resources Exposure to different resources available to the professionalavailable to the professional

Preparation to work as a ResidentPreparation to work as a Resident

SpecificsSpecifics

Different start and stop dates of students can Different start and stop dates of students can allow student-train-student opportunities.allow student-train-student opportunities.

Resources from several Universities can be Resources from several Universities can be pooled togetherpooled together

Culture of comfortability with change in workflowCulture of comfortability with change in workflow

Feedback from other students at:Feedback from other students at:– Journal club, Final presentationJournal club, Final presentation

Co-presentation skills developed Co-presentation skills developed

ExamplesExamples

““RX Profile” OnlineRX Profile” Online

Variety of Library and Electronic Variety of Library and Electronic ResourcesResources

Overview of what other Universities Overview of what other Universities require relating to record keeping require relating to record keeping and reporting for the studentsand reporting for the students

SpecificsSpecifics

Team projects are augmented with Team projects are augmented with individual work assignmentsindividual work assignments

Students are allowed to “divvy” up the Students are allowed to “divvy” up the workload based on strengthsworkload based on strengths

Interpersonal skills are perfectedInterpersonal skills are perfected

Provides this “generation” the attention it Provides this “generation” the attention it requiresrequires

Record Keeping Record Keeping

Rotation expectations and Rotation expectations and requirements are sometimes requirements are sometimes variablevariable

Use the differing evaluation forms Use the differing evaluation forms to fine tune your rotations and to fine tune your rotations and the students experience.the students experience.

Their Comments…Their Comments…

It is interesting to see what the other It is interesting to see what the other person brings to the group.person brings to the group.

I was able to see how students from I was able to see how students from different schools are taught to different schools are taught to approach the same problem differently.approach the same problem differently.

I enjoyed being trained by the other I enjoyed being trained by the other student at the beginning of rotation. student at the beginning of rotation.

Their Comments…Their Comments…

Patient case presentations Patient case presentations allowed us to learn from each allowed us to learn from each other and share ideas.other and share ideas.

Working on group projects Working on group projects allowed us to identify and utilize allowed us to identify and utilize the strengths of our team the strengths of our team members like a real world members like a real world experience.experience.

Want to Make Their Rotation Want to Make Their Rotation Great?Great?

Ask them how! They are full of Ask them how! They are full of ideas.ideas.– Debate style journal clubsDebate style journal clubs– Round table discussionsRound table discussions

Most recently:Most recently:– Panel DiscussionPanel Discussion– Lecture on “Maximizing Career Path” Lecture on “Maximizing Career Path”

ReferencesReferences

Maryann Z. Skrabal, PharmD, et al. Maryann Z. Skrabal, PharmD, et al. Preceptors' Perspectives on Benefits Preceptors' Perspectives on Benefits of Precepting Student Pharmacists to Students, Preceptors, and the of Precepting Student Pharmacists to Students, Preceptors, and the Profession. Profession. Journal of the American Pharmacists AssociationJournal of the American Pharmacists Association

The Generational Imperative: VA Recruiters Conference, Orlando, FL The Generational Imperative: VA Recruiters Conference, Orlando, FL July 2008July 2008

Ende, Jack MD. Feedback in Clinical Medical Education, JAMA, Aug Ende, Jack MD. Feedback in Clinical Medical Education, JAMA, Aug 12, 1983 Vol 250, No. 6 12, 1983 Vol 250, No. 6

ASHP Statement on Professionalism, AJHP, Vol 65, Jan 15, 2008ASHP Statement on Professionalism, AJHP, Vol 65, Jan 15, 2008