PHARMACY 301 Responding to Symptoms17 March, 2017
The New BPharm Curriculum
The new BPharm curriculum was introduced at Part II in 2016
2016 was also the first year of full Part II entry This year’s new Part III programme will run for the first time
This year’s Part IV will be the last cohort under the ‘old’
curriculum
Why a Major Curriculum Review? Basically to future-proof the degree Previous degree was accredited in 2003 and re-accredited in 2006 and
2012, and was ‘fit for purpose’ as evidenced by graduate performance
However, healthcare in general and the pharmacy profession are rapidly changing and the future will require a different set of skills
While we don’t know the exact shape of the profession in the future there will definitely be far greater emphasis on ‘medicines management’ and ‘optimisation of medicines-related health outcomes’
This has to be reflected in the educational preparation of students –
curricula must be more clinical and skills-based
What’s the Difference? The old BPharm curriculum was based largely on separate courses
in Chemistry, Physiology, Microbiology, Pharmacology, Pharmaceutics, Pharmacy Practice, Pharmacotherapy etc.
The new curriculum is fully ‘integrated’ in both content and assessment
There is a large increase in experiential learning (including Placements) both in duration and scope
There is much greater emphasis on skills development
Previous BPharm Part III Programme (last offering in 2016)
SEMESTER 1 CHEM 390 Medicinal Chemistry 15 points MEDSCI 303 Principles of Pharmacology 15 points PHARMACY 303 Pharmaceutics 2 15 points PHARMACY 302A Pharmacotherapy 15 points SEMESTER 2 MEDSCI 204 Systematic Pharmacology 15 points PHARMACY 301 Pharmacy Practice 3 15 points PHARMACY 304 Pharmaceutics 3 15 points PHARMACY 302B Pharmacotherapy 15 points
Admission to BPharm Part II (from 2016) Admission based 50% on GPA and 50% interview score
Need GPA of 4 (B- average) to get an interview
Use the Multiple Mini Interview (MMI): 8 stations testing
different personal qualities (a bit like an OSCE)
All students applying for BPharm, BOptom, MBChB Part II have exactly the same MMI (interviewers don’t know which course students are applying for)
Common Health Sciences First Year Students take the following core courses:
CHEM 110 Chemistry of the Living World BIOSCI 106 Cellular Biology MEDSCI 142 Organ Biology POPLHLTH 111 Population Health GENED General Education Course PHARMACY 199 English Language Competency (not for credit)
Plus 3 other elective courses (Science based)
Graduate Profile The learning outcomes and graduate profile have been based on five Learning Domains: 1.Applied Science for Pharmacy 2.Science of Drug Delivery 3.Clinical Pharmacy Practice 4.Hauora Mori 5.Clinical and Professional Skills and Attitudes
Spiral curriculum
Chem/ Biochem
M/I/P Pharma-
col Pharm
DOMAIN ONE: APPLIED SCIENCE FOR PHARMACY
D1.1 - Human structure/function R R R R R R R R R R R D1.2 - Mechanisms of human disease I R R R R R R R R R R D1.3 - Health psychology/behaviour I R R R R R R R R R R R R R D1.4 - Drug action/pharmacology I I I I R R R R R R R R R R D1.5 - Epidemiology/population health/health systems I R R R R R R R R R R R R R
DOMAIN TWO: SCIENCE OF DRUG DELIVERY D2.1 - Physicochem properties of materials R I R R R R R R R R R R D2.2 - Principles of biopharmaceutics I I R R R R R R R R R R D2.3 - Routes of admin and formulation I I R R R R R R R R R R D2.4 - Medicine/drug development/QA I I I I R R R R R R R R R R D2.5 - Biotechnology I R R R R R
DOMAIN THREE: CLINICAL PHARMACY PRACTICE
D3.1 - Common disease states I I R R R R R R R R R R D3.2 - Clinical pharmacology incl. natural products I I I R R R R R R R R R R D3.3 - Principles of drug selection I I I I R R R R R R R R R R R D3.4 - Principles of medicines management I R R R I R R R R R R R R R DOMAIN THREE: CLINICAL PHARMACY PRACTICE
SKILLS D3.5 - Research and provide medicines information N N N N N N D D D D D D D D D D D D3.6 - Patient education/adherence N N N N N N D D D D D D D D D D D D3.7 - Supply medicines/optimise health outcomes N N N N N N D D D D D D D D D D D D3.8 - Evaluate prescriptions N N N D D D D D3.9 - Prepare extemporaneous products N N N N D D D D D3.10 - Perform pharmaceutical calculations N N N N D D D D D3.11 - Provide primary health care N N N N N N D D D D D D D D D D D D3.12 - Perform relevant physical assessment N N N N N D D D D D D D D D3.13 - Participate in interprofessional learning N* D* D‡ D‡‡ D**
DOMAIN FOUR: HAUORA MORI D4.1 - Interaction with Mori - safe, effective N N N N N N D D D D* D D D D D D D D4.2/3 - Understand/address inequalities and bias N N D* D D4.4/5 - Improve outcomes/professional devpt. N D* D D
DOMAIN FIVE: PERSONAL AND PROFESSIONAL SKILLS/ATTITUDES
D5.1/2/3 - Communication/literacy I N N N N N D D D D D D D D D D D D5.4/5/16/17/18 - Cultural/ethical/legal practice I N N N N N D D D D D D D D D D D D5.6/7 - Reflection/self-directed learning I I I I I N N N N N D D D D D D D D D D D D5.8/11 - Problem solving/numeracy I I I I I N N N N N D D D D D D D D D D D
/ f / h l l l
LEARNING OUTCOMES
PHARMACY 212 PHARMACY 213 (Pharmacy 1) PHARMACY 311 (Pharmacy 2) PHARMACY 312 (Pharmacy 3)PHARMACY 211
PART IIIPART II
BPHARM CURRICULUM MAP: 1 MAY 2015
user: user: Note: we need to outline some guiding principles to accompany this curriculum map which is targeted at academic teaching staff
PART I
PART II
PART III
PART IV
LEARNING OUTCOMES
CHEM 110
BIOSCI 107
POPLHLTH 111
MEDSCI 142
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PART II
(32 w)
PHARMACY 311 PHARMACY 2 *MHI: Mori Health Intensive PHARMACY 312 PHARMACY 3
PART III
(30 w)
PART IV
(30 w)
GASTROINTESTINAL SYSTEM
4 w
CARDIOVASCULAR SYSTEM
5 w
HEPATIC/ RENAL
CLINICAL & PROFESSIONAL SKILLS 1
C&P SKILLS 2 C&P SKILLS 2 C&P SKILLS 2 C&P SKILLS 3/INTRO. RESEARCH C&P SKILLS 3/INTRO. RESEARCH
PAEDIATRICS
4 w
NUTRI- TION
2 w
CLINICAL &PROFESSIONAL SKILLS 4 C&P SKILLS 4 C&P SKILLS 5
CLINICAL & PROFESSIONAL SKILLS 5
2w
2w
2w
2w
HEALTH
I N D U C T I O N
1w w
A S S E S S M E N T
2 w
A S S E S S M E N T
2w
A S S E S S M E N T
1w
A S S E S S M E N T
1w
A S S E S S M E N T 1w
A S S E S S M E N T 1w
HAEMA- TOLOGY
2 w
P R E - M O D U L E 1w
PHARMACEUTICAL SCIENCE (5.5 w)
REVISED BPHARM CURRICULUM
Experiential Learning Placements
A major goal of the Review was to increase opportunities for experiential learning, both in duration and diversity
This has been very challenging in the ‘old’ curriculum, as students could really only go on placements during non- semester time because of timetabling constraints
The new model builds in 10 weeks of dedicated experiential learning activities, 10 days at Part II, 2 x 2-week blocks at Part III, and 2 x 2-week blocks Part IV
Liaison Groups We have been greatly assisted in developing the programme
by two Liaison Groups: Community Pharmacy Liaison Group: Carole Baxter, Marie
Bennett, Kim Kempthorne, Cathy Martin, Leanne Steele, Darien Tait, Ahmad Zareh
Hospital Pharmacy Liaison Group: Ian Costello, Marilyn
Crawley, Sian Dawson, Doreen Liow, Sanjoy Nand, Jenny Rous, Jenny Young, Helen Lo, Dema Al-Hakkak
Experiential Learning Placements cont. Current conceptual model developed in an Experiential
Learning Framework Part II: ‘Socialisation’ into the profession: 3 days hospital
pharmacy setting; 1 day industry/wholesale; 6 days community pharmacy setting
Part III: ‘Developing core pharmacy skills’: 1 x 2 week placement in both hospital and community pharmacy
Part IV: ‘Extension and consolidation’: 1 x 2 week rotation in a variety of related sites (e.g. GP, Residential Care, Treatment Centre, NGOs, Medsafe, Industry etc.), and 1 x 2 week elective ‘extension’ pharmacy placement
Objectives for Part II Placement These are the overall objectives for the Part II Placement:
An awareness of the medicines pathway from manufacture
through procurement to administration
Having an overview of the role of pharmacy and pharmacists in a variety of settings
An awareness of the ‘patient experience’ from both the patients’ and pharmacists’ perspectives, including observations of and initial interactions with patients
Structure of Part II Placement The Part II Placement is organised as a ‘day-release’ programme
during Semester 2
Timetable organised so that half the class is free on Tuesdays and half on Thursdays each week
Each student spends: 3 days in a hospital pharmacy setting (in pairs) I day in an industry/wholesale setting (in groups of 10) 6 days in a community pharmacy setting (individually)
Learning Outcomes for Placements Learning Outcomes have been organised under 6 broad
Domains (Note: these have been derived from the New Zealand and Australian Competency Standards for the Pharmacy Profession): • Domain 1: Professional and Ethical Practice in Pharmacy. • Domain 2: Communication and Collaboration • Domain 3: Health and Medicine Management to Promote
Optimal Use of Medicines • Domain 4: Primary and Preventative Healthcare • Domain 5: Supply and Administration of Medicines • Domain 6: Leadership and Organisational Management
Part III Placements (Placements 2 and 3)
Two-week blocks in Semester 1 (w/b 22 May) and Semester 2 (w/b 18 September)
Half of the class will take the Hospital Placement in Semester 1 and the Community Placement in Semester 2
The other half of the class will take the Community Placement in Semester 1 and the Hospital Placement in Semester 2
Numbers for Part III Placements
There are 78 students in current Part III so a maximum of 39 students to do Hospital Placement each semester
We are suggesting that the Hospital Placement be in pairs (if possible)
So we are looking to place up to 20 pairs per semester in 2017
Learning Outcomes and Activities Please refer to the Part III document enclosed
Activities proposed are not too different from current 1-week
Hospital Placement but: Students will already have spent 3 days in a Hospital Pharmacy in Part II so will
be reasonably familiar with services/roles etc. Over a 2-week period they will be able to achieve a greater degree of
continuity with the various activities and undertake them more frequently In Semester 1, they will have just finished the Cardiovascular Module (which is
preceded by the Respiratory Module) The University will have completed all pre-checks and screening (e.g.
immunisation, police checks, confidentiality etc. – see enclosure)
Assessment We are deliberately moving to reduce the assessment burden
for preceptors
Students will keep a daily record of learning in their e-portfolio
They have been instructed to do this during non-working hours
We will no longer use printed log-books
Preceptors are asked to complete a summary assessment sheet for each student (draft examples enclosed)
Administration and Payments Previously administered through the University of Otago
(Otago undertaking a curriculum review: to be implemented
2018? The universities would like to work together on Placements in the future but for now they will have to be administered separately)
Sites will have to register with UoA for payment (example letter of agreement attached: this is a generic FMHS agreement)
Administration and Payments cont. We are proposing $300 per student week (5 days) as at present
So a pair for 2 weeks would be $1200
Note: in the new Placement programme we are providing the same
payment to community sites
Note: For ‘out of Auckland’ Placements we pay a student travel and accommodation supplement on a sliding scale e.g. $500 per week for students travelling to the South Island
Note: One Part III Placement (either Hospital or Community) must be taken ‘out of Auckland’
Summary We will be in touch shortly after this meeting to ascertain your
interest in taking students on Placement for Semester 1 and 2, 2017
Please address any specific questions or feedback in the first instance to either: Lynne Bye, Director Experiential Learning l.bye@auckland.ac.nz Or: John Shaw, Chair Curriculum Committee j.shaw@auckland.ac.nz
The administrative address for Placements is
The New BPharm Curriculum
What’s the Difference?
Admission to BPharm Part II (from 2016)
Common Health Sciences First Year
Graduate Profile
Spiral curriculum
Learning Outcomes for Placements
Numbers for Part III Placements
Learning Outcomes and Activities