Post on 12-Oct-2020
April 11, 2013
to the
ANNUAL PRECEPTOR CONFERENCE
April 13, 2016
Theme for the Day
Theme for the Day: Feed∙back
NOTICE THE FIRST PART OF THE WORD IS “FEED”…so we should all love it!• helpful information or criticism that is given to someone to
say what can be done to improve a performance, product, etc.
• something (such as information or electricity) that is returned to a machine, system, or process
• an annoying and unwanted sound caused by signals being returned to an electronic sound system
http://www.merriam-webster.com/dictionary/feedback
Goal and ObjectivesGoal: To provide guidance and practical ways to enhance preceptorship instruction and practice among University of Mississippi preceptors
Objectives:
• Apply practices shared by preceptors in similar settings to improve student pharmacy practice experiences.
• Describe and apply tools for effective preceptor-learner feedback.
• Discuss assessment and evaluation policies and procedures to improve consistency among practice experiences.
• Discuss principles of home infusion related to pharmacy practice in Mississippi.
School of Pharmacy in ACTION
• Dr. David F. Gregory
• Dr. Seena B. Haines
• Dr. Leigh Ann Ross
School of Pharmacy Preceptor Conference
Clinical Affairs Update
April 13, 2016
School of Pharmacy
Oxford (UM) ----------------- Jackson (UMMC)
Education, Research, Service, Healthcare
Leadership
Dr. LouAnn WoodwardVice Chancellor for Health Affairs
Dean, School of Medicine
Education
Clinical Opportunities
Research Opportunities
Script Your Future
• 2-month National Campaign• National Consumers League• Focus on Medication Adherence• Community Events (Interprofessional)
– 14 events– 380 Medication Adherence wallet cards
• Communication and Social Media
2016 Nelson Order
Dr. Bridgett Chisolm2016 UMMC Nelson Order
School of Pharmacy
• Highest teaching honor at UMMC recognizing faculty who have provided the finest attention to student education
• 2016 SOP nominee for the Regions Bank TEACH (Toward Educational Advancement in Care and Health) Prize
Practice Advancement
• Community-Based Research Program• Division of Pharmacy Professional Development• Student/Employee Health
• Post Graduate Training
Community-Based Research Program
Projects
• Pharmacy Cardiovascular Risk Reduction Sponsor: MSDH/CDC*PARTNERSHIP WITH FEDERALLY QUALIFIED HEALTH CENTERS
• Diabetes Rural Telehealth Network Sponsor: UMMC/GE Healthcare/C Spire
*GOVERNORS INITIATIVE
• Pharmacist Linkage in Care Transitions Sponsor: NACDS Foundation *PARTNERSHIP WITH UMMC, WALGREENS, AND MS DIVISION OF MEDICAID
Division of Pharmacy Professional Development
Dr. Stuart Haines
Professional Development
Division of Pharmacy Professional Development
Continuing Education
Community Pharmacy Development
Interest Groups
Residency Interest Group (RIG)
Community Pharmacy Interest Group
Post-Graduate Training
CBRP – PGY1 Community Pharmacy Residency Program – 2009 1 to 3 positions – Jackson and Oxford
PGY2 Ambulatory Care Residency Program – 2015 1 to 2 positions
Residency TrainingMississippi Pharmacy Residency Programs
Biloxi
• Gulf Coast Veterans Health Care System PGY1 Pharmacy Practice
Residency Program (2)
Desoto
• BMH PGY1 Pharmacy Practice Residency Program (2)
Meridian
• Vital Care of Meridian PGY1 Pharmacy Practice Residency Program (1)
Oxford
• BMH PGY1 Pharmacy Practice Residency Program (2)
• UM SOP PGY1 Community Pharmacy Residency Program (1)
Tupelo
• NMMC PGY1 Pharmacy Practice Residency Program (3)
Residency TrainingMississippi Pharmacy Residency Programs
Jackson
• G.V. (Sonny) Montgomery VAMC PGY1 Pharmacy Practice Residency
Program (3)
• St. Dominic Hospital PGY1 Pharmacy Practice Residency Program (2)
• UM SOP PGY1 Community Pharmacy Residency Program (2)
• UMMC PGY1 Pharmacy Practice Residency Program (6)
• Walgreens PGY1 Community Pharmacy Residency Program (1)
• UM SOP PGY2 Ambulatory Care Residency Program (2)
• UMMC PGY2 Infectious Diseases Residency Program (1)
• UMMC PGY2 Critical Care Residency Program (1)
Residency TrainingMississippi Pharmacy Residency Programs
Area PGY1 Progams (Positions)
PGY2 Progams (Positions)
Mississippi 10 (25) 3 (4)
Area PGY1 Progams(Positions)*
PGY2 Progams(Positions)
North Mississippi 4 (8) 0 (0)
Central Mississippi 6 (15) 3 (4)
South Mississippi 1 (2) 0 (0)
* One program has sites in two geographic regions.
Residency Training2016 National Statistics
2016 UM School of Pharmacy Results
PGY1 Programs Phase IEnrolled
Phase IMatched
Phase IIEnrolled
Phase IIMatched
MatchRate
UM Class of 2016 32 27 4 1 84.8%
PGY1 PGY2 Total
Applicants Participating 4864 865 5729
Matched 3309 644 3953
Not Matched 1556 220 1776
Match Rate 68% 75% 69%
PGY1 Programs 2011 2012 2013 2014 2015 2016
# Students 19 15 23 14 15 29
Residency Training2016 National Statistics
2016 UM School of Pharmacy Results
PGY1 Programs Phase IEnrolled
Phase IMatched
Phase IIEnrolled
Phase IIMatched
MatchRate
UM Class of 2016 32 27 4 1 84.8%
PGY1 PGY2 Total
Applicants Participating 4864 865 5729
Matched 3309 644 3953
Not Matched 1556 220 1776
Match Rate 68% 75% 69%
PGY1 Programs 2011 2012 2013 2014 2015 2016
# Students 19 15 23 14 15 29
Center for Clinical and Translational Science
National Center for Natural Products Research
Dr. Larry WalkerDirector, NCNPR
Dr. Richard SummersAssociate Vice Chancellor
for ResearchUMMC
VisionThe Center for Clinical and Translational Science (CCTS)will be a national leader in clinical and translationalresearch.
MissionCCTS will facilitate the translation of basic researchdiscoveries into clinically validated therapies toimprove the health of populations in Mississippi andbeyond.
Vision and Mission
Definition of Translational Research Process
Source: Blumberg RS, Dittel B, Hafler D, von Herrath M, Nestle FO. Unraveling the autoimmune translational research process layer by layer.
Nat Med. 2012 Jan 6;18(1):35-41.
Figure 2: Stages of Translational Research
Research Focus Areas
Clinical Research CoreUM School of Pharmacy
West Wing
CCTS Implementation Timeline
Jan – Dec 2016
Proposal/Business Plan
Internal Approvals
Jan – June 2017
Infrastructure
External Approvals
July 2017 – June 2018
Fiscal Year One
School of Pharmacy Preceptor Conference
Clinical Affairs Update
April 13, 2016
D E P A R T M E N T O F P H A R M A C Y P R A C T I C E U P D A T E
S E E N A L . H A I N E S , P H A R M D , B C A C P , F A S H P , F A P H A , B C - A D M
A P R I L 1 3 , 2 0 1 6
The University of Mississippi
www.google.images http://www.ashp.org/REMS
Field Work: Faculty and Administrative Experience
Scholarship of Teaching
Scholarship of Engagement
Grant Funding- ~1,000,000
Director for 3 Safety-Net ClinicsAnd Diabetes Ed. Research Center
www.google.images
Medical Missions
Other Interests
SelfMonitoring
ProblemSolving
ContingencyManagement
CognitiveRestructuring
SocialSupport
StressManagement
StimulusControl
Joining Ole Miss Phramily
Performance Performance
Now Future
Curriculum/Experiential Highlights
Practice Department Curriculum
Horizontal align courses to help PY2 and PY3
connect the dots and learning in a low stakes environment (simulation and standardized patients).
Technology (Educast) aids in student reflection-patient interview skills in the expanding skills lab.
IPE in courses (both campuses) –nursing, dietetics, and speech pathology on Oxford campus and with medical, nursing, physical therapy, occupational therapy students on Jackson campus.
Department Pharmacy Practice: New Faculty
Jamie Wagner –Clinical Assistant Professor, Department of Pharmacy Practice
PharmD: Midwestern University Chicago College of Pharmacy (2012)
Residency: PGY1 Henry Ford Hopsital, Detroit, MI (2012-13)
Infectious Diseases Outcomes Fellowship: Wayne State University/ Henry Ford Hopsital, Detroit, MI (2013-15)
Clinical Practice Site: Inpatient Internal Medicine at UMMC
Research Interests: Outcomes-based research, epidemiology related to antibiotic resistance, practical applications of appropriate use/ antibiotic stewardship
Faculty Recruitment Efforts
Clinical Assistant Professor / Non-tenure track position (Jackson Campus)
Clinical Assistant Professor / Non-tenure track position (Oxford Campus)
Associate Professor/ Tenure track position
(Jackson Campus)
Experiential & Academics Integration
Over 300 preceptors for IPPE/APPE experiences
PY3 problem-based learning facilitation
Teamwork Makes the Dream Work
First Impression with the Students
• Purpose
• Logistics
• Have FUN!
Feedback Cases
• Dr. Haines
Preceptors of the Year
2015
APPE: Dr. Jay Pitcock
IPPE: Dr. Danny Riche
2016APPE: Dr. Laurie FlemingIPPE: Dr. Tripp Dixon
Preceptor Perspective
• Dr. Cindy Dumas
Review of the PEP Manual
• Key Differences – “New Look” with Special
thanks to Krissy Gilbert
• APPE and IPPE Information
Review of the PEP Manual
• Number and length of rotations – Length is 5 weeks
– Total number is 8 rotations
– Mid-point evaluation should be between 2nd and 3rd weeks
• Four required courses– Community
– Institutional
– Adult Medicine
– Ambulatory Care
• Four electives, two of which must be patient care
Review of the PEP Manual (continued)
• Health and Administrative Requirements– Hepatitis B, TB skin test, Other Vaccinations, Random Drug Testing
– Registration with State Board of Pharmacy
– Professional Liability Insurance
– BLS for Healthcare Providers
– Medical/Hospitalization Insurance
– HIPAA Compliance Training
– Others?
• Note that students are responsible for ensuring they have met these requirements and should be able to provide documentation if needed
Review of the PEP Manual (continued)
• Grades– Community and Institutional Courses are Pass/Fail
– All other courses receive letter grades (ABCF)
– I Grades (Incomplete)
• Attendance– Students are required to be at the rotation for a minimum of 200
hours during the 5-week period; community and institutional rotations may allow for four 10-hr days, all others should be five 8-hr days
– During patient care experiences, patient interaction should be maximized
Review of the PEP Manual (continued)
• Excused absences– Independence Day– Labor Day– MLK Day– Good Friday– Spring Break
• School-sponsored absences– Career Workshop – Aug – Residency Showcase – Oct – Career Recruitment Day – Sept or Oct– Awards Day – Apr– Seminar Day – Fall and Spring – PCOA/NAPLEX - Spring
Review of the PEP Manual (continued)
• Absences to attend Pharmacy Meetings– MPhA in June
– MSHP in July or August
– ASHP in December
– APhA in March or April
• Interview absences (one day in spring)
• Absences due to illness
• Tardiness and unexcused absences
• Personal issues and extracurricular employment
Review of the PEP Manual (continued)
• Dress Code– UMMC policy for students
– Students expected to adhere to site-specific policies
• Contact by Students– Letter and CV two weeks prior
– Phone or email contact one week prior
• Supervision of Students– MSBP policies
– Communication with students
– Financial compensation not allowed
• Evaluations
– Midpoint
– Final
– Incomplete
• Student Presentations and Physical Skills Assessment requirements and Student Portfolio Review
Review of the PEP Manual (continued)
http://www.pharmacy.olemiss.edu/pharmacy_
practice/rxpep.html
To find the PEP site simply go to
pharmd.org and click on Preceptor Zone
or type in the above address
Preceptor Resources
• Preceptor Resources in PEP Manual
Programmatic Assessment
Other Reminders:
• Syllabi and Rotation Expectations– Templates on PEP website
• Site Visit Evaluations
• Exemplary Practices
• APPE Activities– Core Activities
– Advanced Activities
• APPE Transcripts
• Online Evaluations (E*value)– Midpoint
– Transcript Review
– Final
Go to www.e-value.net
and login with your
User ID and Password
The three main areas of focus for Preceptors
are the Schedules, Evaluations and My Profile
sections in E*Value
My Profile
Click on Password
Change to begin
changing your login
details
Start by clicking on My
Profile to access areas
where you can change
your login information
and view a daily
calendar with your
rotation schedules pre-
populated in
To change your User ID
and Password type in
whatever you would
like for it to be and click
Update for each one
Schedules
The Schedules tab will
allow you to gain
access to your
schedule of student
rotations
Click on Rosters to pull up
your schedule for the year
The Schedule Report
defaults to a 1 year
time frame and that can
be adjusted by
changing the start and
end dates. Click on
Next to generate your
schedule
Your Schedule will be
displayed similar to this
Evaluations
Click on Evaluations in
order to complete
Pending Evaluations
about students or to
view Completed
Evaluations
Clicking Pending
will generate a list
of evaluations
that need to be
completedOnce the list is
produced you can click
Edit Evaluation to begin
the evaluation
Be sure to complete all
items in the evaluation
Click Submit to
complete the
evaluation once you
are finished or click
Save For Later to finish
at a later time
Preceptor Reports will
allow you to view all
evaluations that you
have completed
Click Submitted By Me
to pull up a list of all
your previously
completed evaluations
You can now go back
through and review any
evaluations that you
have completed
Other Resources:AccessPharmacy
Go to www.rx.olemiss.edu/accesspharmacy/
Choose the "off-campus" link
Username: pharmacy
Password: Farm@Olemiss16 in the popup dialog box that appears (not the
AccessPharmacy login screen).
Confirm that the name of the school shows up in the corner of the
AccessPharmacy screen. This is important.
Other Resources:APhA PharmacyLibrary
Go to www.rx.olemiss.edu/pharmacylibrary
Choose the "off-campus" link
Username: pharmacy
Password: Farm@Olemiss16
Other Resources:The Pharmacist’s Letter
• Partnership with the School
• Preceptor Toolbox
• Continuing Education (articles, webinars)
• Journal Club activities with student and preceptor versions
• Activity ideas
• Syllabi, orientation, and calendar examples
• Special assignments
Other Resources:The Pharmacist’s Letter
How to set up your access:
If you don't have access, you will need to set up your School of Pharmacy
Preceptor CE ID # as follows:
1. Locate the Pharmacist‘s Letter link on the PEP website or click here directly:
http://www.pharmacistsletter.com/?referer=umississippi/ptrn
2. Click I Don‘t Have a CE ID # in the yellow box on the right
3. Fill out the form with your information and click Continue
4. Verify your information and click to confirm your status as a preceptor for the
University of Mississippi School of Pharmacy
Your CE ID # will be automatically created and you‘ll be able to use it from any
internet-connected computer to access Preceptor Training & Resource Network.
Preceptor Resources:
New and On the Horizon
Online Preceptor Application
Rotation Catalog for Student
Preceptor Development Modules
Preceptor Development Documentation
Focus on: Feed∙back
Wrap-Up and Moving Forward
It’s about the Students
and the Patients
and the Profession
Circles of Life : ROTATIONS
We Welcome YourFEED∙BACK!
Wrap-Up and Moving Forward
Curricular Transformation
New Curriculum
• APPEs will change from EIGHT 5-week experiences to TEN 4-week (calendar month) experiences
• Will likely begin in 2017-2018 academic year
Potential Schedule
January PY3 PY4 *
February PY3 PY4
March PY3 PY4
April
PY2
PY3 PY4
May PY1 PY4
June PY4
July PY4
August PY3 PY4
September PY3 PY4
October PY3 PY4
November PY3 PY4
December PY1 PY3
Rotation Months by Class (APPE 10 Month Plan)
PY2
* Each PY4 student would have one “Flex-month”
IPPEs may or may not remain same
FEED∙BACK NEEDED, PLEASE
STRENGTHS AND WEAKNESSES OF STUDENTS
(from Survey at 2014 Preceptor Conference)
3.70 3.80 3.90 4.00 4.10 4.20 4.30
Assess patient drug therapy
Apply knowledge of specified drugs and drug classes
Apply knowledge of specific physiologic systems
Apply knowledge of specific disease pathology and comorbid conditions
Evaluate and interpret patient data
Relative to others, UM externs appear to be comparable or even excellent at "assessingpatient drug therapy"
1a
1b
1c
1d
1e
1f
4.23
4.12
3.93
4.15
4.08
4.29
Patient Drug Therapy
3.85 3.9 3.95 4 4.05 4.1 4.15 4.2 4.25 4.3
Provide comprehensible, effective drug information to education in the professionalsetting
Serve as a reliable and credible source of drug information
Effectively educate patients using all appropriate communication modalities(verbal,written, other)
Present effective educational programs and presentations to public and health careprofessional audiences.
Relative to others, UM externs appear to be comparable or even excellent at "providingdurg information and educating others.
3a
3b
3c
3d
3e
Providing Drug Info and Educating Others
APPE INTRODUCTION FORM IDEA
NOTE CARD FOR OTHER SUGGESTIONS / FEED∙BACK
FEED∙BACK from Your PEP DIRECTOR:
Remember to obtain CE credit, turn in the statement of attendance form and be looking for an email with a link to complete an online evaluation.
You’re PHARMAZING…THANK YOU
for your dedication to the SOP!
KEEP THE P.E.P.Professionalism
+Enthusiasm
+
Positive Attitude
=
P.E.P.