Clark KebodeauxUniversity of Kentucky
Collaboration for Integration: Beyond the Script
Vivienne MakMonash University
INTRODUCTION
CURRICULUM OVERVIEW
Clark Kebodeaux, PharmD, BCACPClinical Associate ProfessorPharmacy Practice and Science
UKCOP implements New Curriculum
Integrated Drugs & Disease (IDD)Courses
Patient Centered Care Experience
PY1
PY2PY3
“Technician”
Integrated ModelClassic Model
PY1
PY2
PY3
“Watch one – Do one – Teach one”
“Intern”
“Pharmacist”
• Pharmacists use a patient-centered approach in collaboration with other providers on the health care team to optimize patient health and medication outcomes.
Pharmacists Patient Care Process
Team Based Learning
• Teams use course concepts to solve problems.
• Classroom time is used for course specific team activities.
• Course content is mostly front loaded for completion outside of class.
Front-Loaded Content
Logistics• One topic in class, others front-loaded.• Release videos prior to module.• One video required for day 1.• All content required for day 2.
Integrated Course CoordinationIDD Course Pharm Practice Pharm Sci
Spring PY1Infectious Diseases Craig Martin Steven Van Lanen
Gastroenterology/Nutrition Ken Record Mark Leggas
Fall PY2
Neurology Melody Ryan Bjoern Bauer
Rheumatology Clark Kebodeaux Vince Venditto
Endocrinology Holly Divine Todd Porter
Spring PY2
Cardiology Stacy Taylor Chuck Loftin
Genitourinary Daniela Moga Greg Graf
Pulmonology Bob Kuhn Patrick Marsac
Fall PY3Psychiatry Hannah Johnson Jim Pauly
Oncology Val Adams Penni Black
Spring PY3 Critical Care Jimmi Hatton-Kolpek Bjoern Bauer
*Note: Additional instruction incorporated as needed.
Overview of the Monash BPharm(Hons)/MPharm course
The pharmacy course
BPharm (Hons)/MPharm program
Vertical Integrated Masters (VIM)
Faculty-wide commitment to innovative teaching
Active learningTheatresWorkshop spacesLaboratories
Skills coaching
EmployabilityExperiential learning
EarlyEnhanced
ReflectionIndividual feedbackFocused team meetings
Global citizenshipLeadership development
Instructional model
D E A RDiscover Explore Apply Reflect
Curated preparatory work
Interactive lectures
Workshops & laboratories
ePortfolio & coaching
Skill-based instruction (deliberate practice, feedback, & coaching)
akaPOWER IT INQ
#BetterTogether#Collaboration
THINK-PAIR-SHARE | ACTIVITY
INSTRUCTIONS
• In pairs, reflect on …..• What are some of examples of collaboration/implementation at your
institution?• You will be asked to share discussions and reflections
EXAMPLES OF INTEGRATION
Course Structure
Canvas Content
iRAT(Friday MC)
In-Class Application
iRAT/tRAT(Wednesday
FiTB/MC)
Team Application
(Case)
Course CalendarSun Mon Tue Wed Thu Fri Sat
Week 1 Intro Rheumatoid Arthritis
Week 2 Osteoarthritis
Week 3 Gout
Week 4 Exam
Week 5 Escape Room Lupus
Week 6 Psoriatic Arthritis
Week 7 OSCE Exam
Weekly FocusDisease RA OA Gout Lupus PsA
In class lecture Immunology Med Chem Pathophys Immunology Med Chem
Med ChemVideo
Small moleculesBiologics
NSAIDs(in class)
Small moleculesenzymes
Steroids Biologics (in class)
Therapeutics
MethotrexateTofacitinib
AdalimumabRituximab
Naproxen IbuprofenCelecoxib
AllopurinolFebuxostat
Uricase
PrednisoneChloroquine
Belimumab
ApremilastCertolizumab
Infliximab
ActivityEpitope database
(anti-drug antibodies)
COX-1/COX-2 crystal structures
(drug design)
Implicit bias training Kahoot! trivia Course review
Assessment
• Individual performance• Team performance
• Clinical Sciences• Biological Sciences
Patho Case
MONASH UNIVERSITY EXAMPLES
YEAR 1
Sem 1 Professional Practice I How Medicines Work I How the Body Works
Sem 2 Professional Practice II How Medicines Work II
YEAR 2
Sem 1 Professional Practice III How Medicines Work III Gastrointestinal and Respiratory
Pain, Dermatology and Wound Care
Sem 2 Professional Practice IV Endocrinology and Renal Cardiovascular
YEAR 3
Sem 1 Brain, Blood and Cancers Pathogens, Host Defense and Treatment
Sem 2 Acute Care: Inquiry cases Student Experiential Placements
Inquiry and Innovation Methods
YEAR 4
Sem 1 Student Experiential Placements Applied Inquiry and Innovation
Sem 2 Professional Practice V Integrated Care: Inquiry cases
YEAR 5
Sem 1 Applied Pharm Practice I Foundation Practice I
Sem 2 Applied Pharm Practice II Foundation Practice II
Results
Bridge to Practice 1*
Bridge to Practice 2*
SUMMER
*These units are only for graduate-entry students.
YEAR 1
Sem 1 Professional Practice I How Medicines Work I How the Body Works
Sem 2 Professional Practice II How Medicines Work II
YEAR 2
Sem 1 Professional Practice III How Medicines Work III Gastrointestinal and Respiratory
Pain, Dermatology and Wound Care
Sem 2 Professional Practice IV Endocrinology and Renal Cardiovascular
YEAR 3
Sem 1 Brain, Blood and Cancers Pathogens, Host Defense and Treatment
Sem 2 Acute Care: Inquiry cases Student Experiential Placements
Inquiry and Innovation Methods
YEAR 4
Sem 1 Student Experiential Placements Applied Inquiry and Innovation
Sem 2 Professional Practice V Integrated Care: Inquiry cases
YEAR 5
Sem 1 Applied Pharm Practice I Foundation Practice I
Sem 2 Applied Pharm Practice II Foundation Practice II
Results
Bridge to Practice 1*
Bridge to Practice 2*
SUMMER
*These units are only for graduate-entry students.
Assistant lecturers were central to the development process• Liaised with academic staff• Involved with Discovery,
Interactive lectures and Workshops
• Obtained material from build teams and created student interface
Development
COPD Management
FEEDBACK!
MINI WORKSHOP | ACTIVITY
INSTRUCTIONS
• In pairs, …. First elect a given topic that you can your partner could teach together (could be actual or hypothetical)
• Using your chosen topic, let’s brainstorm how to integrate and then report outYou will be asked to share your discussions/topics
QUESTIONS?
Acknowledgements
• Team VIM, Tina Brock, Betty Exintaris and David Manallack (Monash University) for use of their fabulous slides and content!
• Dr. Frank Romanelli, Dr. Vince Venditto, and the faculty for their hard work and effort in implementing the new curriculum.