WELCOME EXPERIENCE PHARMACY AT KING’S. Timetable 12:00Introduction 12:15Mini-lectures: Medicines...
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Transcript of WELCOME EXPERIENCE PHARMACY AT KING’S. Timetable 12:00Introduction 12:15Mini-lectures: Medicines...
Timetable
12:00 Introduction12:15 Mini-lectures:
Medicines Optimisation |The Science Perspective |The Clinical Perspective
13:00 Lunch13:20 Practical work:
Medicines quality, consultation skills14:30 St Thomas’ Hospital:
Clinical orientation15:45 Unanswered questions
You will join a culture and tradition where…• Integrated teaching and
learning is the norm• Research informed teaching
is the norm• Excellent access to clinical
environment and high quality clinical teaching
• Challenge our students to be the best they can be
• High expectations of our students– International projects– “Ask Your Pharmacist” week– 80% graduate with 2:1 or
above
Course philosophy
“Science Transforming Healthcare”
To produce graduates who can apply the principles of science to ensure the optimal use of medicines by the patient, the public, healthcare professionals and society.
A programme producing graduates who:1. Make appropriate clinical judgements
when faced with complex, uncertain and ambiguous situations.
2. Possess a depth of pharmaceutical knowledge to resolve medicines related problems.
3. Use their research skills to underpin their practice
4. Adapt their learning to respond to work independently or as part of a multi-professional team.
5. Adopt and develop patient facing values
6. Show empathy to patients, carers and colleagues and accommodate difference
Overview of MPharm Integration
Chemistry ofDrugs
Nervous System
Respiratory &Musculoskeletal
Clinical Decision Making
Gastrointestinal & Skin
Cardiovascular & Renal
PhysicalPharmaceutics
Principles ofClinical Care
Biochemical Basis of
Therapeutics
Infection & Pharmaceutical
Microbiology
Endocrine & Cancer
Formulation & Analysis
Drugs
Emerging Therapies & Modern Medicines
Medicines Discovery &
Development
Research Project
Vertical Integration:
Applying knowledge and
skills to optimise medicines use.
Become a competent clinician.
Cardiovascular & Renal SystemModule – Year 2
Communicate effectively with the
patient
Understand the normal functions of
the kidneyUnderstand the disease
processes behind renal disease and assessment of renal
functionUnderstand drug design
from discovery to formulation
Therapeutic Options to treat renal disease
Be able to describe the pharmacology of
each of the drugs
Work effectively with other healthcare
professionals in the management of this
patient
Evaluate the patients treatment and be able to
identify problems and solutions
Understand the side effects, dosing profile
and monitoring aspects
Teaching Methods
1. Traditional lectures, practical classes, tutorials and symposia
2. Inter-professional learning
3. Simulation exercises• Forum theatre with patients• Reviewing prescribed therapy• Patient safety
4. Extensive placements experience
5. Student-led sessions• Clinical reasoning tutorials• Ethical debate – complex care decisions
Assessment
1. Variety of approaches
2. Extensive use of clinical examinations
3. Integrated examination papers
4. Focus preparing students for pre-registration experience
5. Range of innovative approaches
Clinical Reasoning Tutorials- Years 2-4• Interpretation of clinical
information– Biochemistry– Signs & symptoms– Cardiac tests
• Use of evidence based guidance(NICE)
• Application of a clinical problem solving framework
• Taught by clinical academic staff – Guy’s & St Thomas,– King’s College Hospital– Maudsley Hospital
Emerging Therapeutics & Modern Medicines – Year 4 – The DebateResearch scientific and ethical evidence to support both the pro and contra positions for their allocated clinical reasoning scenario; present written report and a group defence of either the pro- or contra-stance in the Pharmacy Debate
Example scenarios:
You are a consultant pharmacist working on a neurology ward and have a recently admitted patient suffering Lambert Eaton Myasthenic Syndrome. One of the attending medical team has suggested treatment with the licensed product, Firdapse, while another has suggested use of unlicensed tablets of amifampridine base.
Pro: Your team argue that the patient should be treated with Firdapse.
Contra: Your team argue that the patient should be treated with amifampridine base tablets.
Clinical Placements Overview
First Year: Integrated Principles of Clinical Care Module Placement (12h)
Aim: Professional Orientation
Sessions: 2 days, one sessions per semester (community and hospital)
Second Year: Cardiovascular & Renal Module Placement (30h)
Aim: Safe dispensing; maintaining error logs; CPD entries
Sessions: 4 whole days. (community and hospital)
Third Year: Gastrointestinal & Skin Module Placement (24h)
Aim: Consult to undertake Meds Reconciliation, MUR, NMS, Responding to symptoms
Sessions: Continuous block in GSS module. (community & hospital)
Shadowing
Product quality &basic advice
Patient interaction& problem
solving
Moving from patients withuni-system to multi-system disease
Transition point: Pharmacy student to student pharmacist
Clinical Placements Overview
Third Year: Endocrine Systems and Cancer Placements (48h)
Aim: Medicines optimisation for long term conditions – care planning, prioritisation and evidence base medicine
Sessions: Sessional (4 hr) experiences to represent a minimum of 12 sessions in hospital sectors.
Fourth Year: Science, Practice & Complex Decision Making Placements (40h)
Aim: Medicines optimisation in complex patients
Sessions: Integrated working alongside senior pharmacist for 40 h period (spread over 2 weeks) in complex patients/diseases in community (anticoagulation, diabetes, hypertension etc) or hospital (mental health, oncology, renal, HIV).
Problem Solving – care planning
Supervised care delivery
Moving from patients with multi-system disease to more specialised therapies
– treating outside guidelines