Implementation of a Pharmacotherapy Consult Service in a ... · Title: Multiformat Poster...
Transcript of Implementation of a Pharmacotherapy Consult Service in a ... · Title: Multiformat Poster...
OBJECTIVE
• Pharmacy and dental faculty created a pharmacotherapyconsult request decision pathway that allows DDS and DHstudents to discuss their patients’ medication-related issues
• Consult services were conducted by pharmacy faculty andsecond year PharmD students and focused primarily oneducation and clarification (Table 1)
During the experience, PharmD, DDS, and DH students activelyengaged in collaboration to address real-world patient issues
To describe the development and implementation of apharmacotherapy consult service focused on interprofessionalpractice (IPP) collaboration between doctor of pharmacy(PharmD), doctor of dental surgery (DDS), and dental hygiene(DH) students in dental school practice clinics
• Dental school clinic setting provides a rich opportunity formultidisciplinary interaction and earlier immersion of PharmDstudents with real-world patient interaction
• Outcomes indicate the benefit of this IPP collaboration andsupport continued integration of pharmacy practitionerswithin the dental school clinic practice environment
• Evaluation of the consult service and student learningincluded baseline and post surveys assessing:
• Student clinical experience assessment were evaluatedthrough student self-reflection, focus groups, facultyevaluation, and consult tracking technology
Trends and themes from all disciplines noted:
Confidence in knowledge of each discipline’sscope of practice
Ability to assess how medications on patients’ listsmay impact their oral health and recognition oflinks between chronic disease (e.g. diabetes,hypertension) control and oral health status
Appreciation of communication with other healthdisciplines to impact overall patient care
Table 1: Consult Types
Medication History Verification
High Risk Medication EducationCommon Chronic Disease
States/TreatmentDisease States/Medications
That Impact Oral Health
New Medication Prescriptions
Drug Information Request
DESIGN
CONCLUSION
ASSESSMENT
Implementation of a Pharmacotherapy Consult Service in a Dental School Clinic SettingKimberly A. Sanders, PharmD, BCPS1,2; Heidi N. Anksorus, PharmD, BCPS1,2; Christine L. Downey, MS, DDS2; Kathryn A. Fuller, PharmD1; Jennifer B. Harmon, RDH, MS2; Shannon H. Mitchell, RDH, MS2
1Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, NC, USA2School of Dentistry, University of North Carolina, Chapel Hill, NC, USA
DDS/DH students self-identify patient and
request consult (advance or curbside)
PharmD students review patient profiles to identify medication
discrepancies
PharmD and DDS/DH discuss patient needs prior to and/or during
patient's dental appointment
Medication or disease state education and counseling are provided to patient as applicable
Confidence in knowledge of scopes
of practice
Perception of IPP communication and
teamwork