..Information to Pharmacists
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    Your Monthly E-Magazine
    DECEMBER, 2002

    Published by Computachem Services

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    GREG DUNCAN

    Perspectives From Monash University

    Practical Placements in Pharmacy Training

    Practical placements, case and problem based learning and other experiential practices are integral to the curricula of many schools of pharmacy today as well as a feature of pre-registration training programs.
    Monash University conducted a symposium on 'Experiential Teaching and Learning in Pharmacy' in September this year to explore this topic.
    This symposium presented an opportunity for academics, preceptors, supervisors and students to explore and share the experience of novel teaching in pharmacy around the world.

    Speakers from Australia, UK, Ireland, USA, Canada, South Africa, Malaysia and Singapore presented their experiences and shared some of their insights into dynamic and flexible teaching in pharmacy. Workshop/PEARL sessions were conducted to explore specific areas of interest in small group settings.
    All of this in Monash's European Centre, Palazzo Vaj, Prato, Italy (on the outskirts of glorious Florence).


    Thanks to the generosity of all presenters we are able to offer unrestricted access to this information, consistent with the intent of the symposium of sharing experiences and resources in a very collegial manner.

    The umbrella Monash Pharmacy Practice Symposium site can be found at http://www.vcp.monash.edu.au/practice/symposia/.

    All main presentations are accessible in their full version as well as abstract form and the contributed papers all have their abstracts.
    Speaker contacts are there too should anyone wish to follow up with particular speakers about their presentation.
    This site has links to the most recent Symposium under the "Prato 2002" link as well as links to information about future symposia.

    Next years symposium, in Melbourne (September 15 & 16, 2003), will consider issues around "Innovation in Teaching and Learning in Pharmacy Practice" and we welcome participation by all interested parties: academics, preceptors, pre-reg supervisors, teacher-practitioners, practising pharmacists, students and anyone else interested in this topic.

    For more information about any aspects of the Monash Pharmacy Practice Symposia please do not hesitate to contact any of the organising committee via the contact details on the symposia website.

    Abstract 1

    The Value of Case-based Learning to Clinical Teaching
    Case based learning is one tool that faculty may use to ensure that students use higher order learning skills to become familiar with a process of patient care. Different types of teaching cases will be discussed in depth as well as their application in various settings. Participants will also be introduced to a method by which they can prepare teaching cases for a variety of purposes.
    Assoc Prof John Rovers, Drake University, Iowa, USA

    Abstract 2

    Developing a Problem-based Learning programme for Pharmacy Students
    In 1999 an opportunity was created to develop an innovative pharmacy curriculum with the opening of two new pharmacy schools in South Africa. At the time of this event, competency standards have just been developed for the profession as well as an Outcomes-based Education approach accepted as the national educational approach for the country.

    Working backwards from the identified exit level and specify outcomes of the competency standards, the concept of an integrated curriculum proved to be logical outflow. Body systems were used to organise the topics of the curriculum, while special provision was made for those areas not covered - such as some Pharmacy Practice and Pharmaceutical areas. The curriculum allowed for an elective in the fourth year and periods of six week experiential training was added at the end of each year in the various sectors of pharmacy.
    Prof Mariette Lowes, Dean, Faculty of Health Sciences, Techniko Pretoria, Sth Africa

    Abstract 3

    Case-Based Authentic Assessment of Clinical Pharmacy Students
    This presentation presents a form of authentic assessment undertaken with third and fourth year Bachelor of Pharmacy students. Students provided individual patient case studies of real patients to which a series of clinical scenarios were added. They were then required to assess the new clinical situation taking into consideration individual patient factors and determine appropriate treatment and education strategies for their patient. A large number of scenarios were developed in areas of respiratory, dermatology and psychiatry to be applied to students patients based on age and prior medical conditions in order to produce a wide range of realistic clinical situations. This assessment also requires students to present their case and clinical response to a group of peers, encouraging the development of general presentation skills and skill in presentation of clinical cases.

    A criterion-referenced scale of assessment was developed and used by the teacher and student’s peers to assess the case presentation and response to the applied scenario. The development of an authentic assessment tool that can be applied to a clinical situation has proved useful for the assessment of undergraduate pharmacy students’ clinical skills.

    The teaching strategy of Problem-based Learning fitted in well with the curriculum design and was implemented from the first year of study. Small groups consist of 6 to 8 students who meet twice a week. Students can request lectures when they feel that more information on a topic is required. Self- motivation and selfdirected learning are important aspects for success and are addressed in the selection process.
    Dr Jennifer Marriott, Victorian College of Pharmacy, Monash University, Victoria, Aust.

    Abstract 4

    Experiential Learning
    Kolb’s experiential learning cycle incorporates four different activities: experience, reflection, abstract conceptualisation and active experimentation. This collaborative presentation will use all activities of the learning cycle to integrate learning theories with current views of knowledge, professional expertise and the use of experiential learning activities in pharmacy education programs. It will explore research findings of expert practice in order to develop an understanding of the learning requirements for the development of professional competence in pharmacy education. The importance of reflection and the impact of professional socialization will also be included, Personal experience of the conference participants of individual student characteristics, group dynamics and experiential learning activities will be used to develop a shared understanding of effective facilitation requirements. Power issues related to assessment and leadership style will also be considered. Finally, reflection of the participants’ experiences will be used to help clarify goals for individual teaching practice.
    Ms Dawn Best, Senior lecturer in physiotherapy, medical educator, co-author of textbook on Quality Supervision, renowned expertise in area of experiential learning in Health professions

    Abstract 5

    Developing an Experiential Placement Program
    Experiential programs may be defined in a number of models and are characterised by contextual learning. The clinical education literature describes the processes inherent in the progression of ‘novice’ to ‘expert’ practitioner. There are a number of tensions in this transition – for the administrators of the program, preceptors as well as students. These include the transition through observation to action and participation, supervision to self-direction and the development from the undergraduate student to the reflective, ethical practitioner. In developing an experiential program there are significant issues to recognise and manage. These include: the culture of the profession and the practice setting, logistics, expectations, goals and objectives, assessment and evaluation of the program. Two experiential programs in pharmacy will be briefly outlined as examples and compared in terms of the development and implementation experience- Monash and Sydney Universities. There are program-specific and program non-specific issues, as well as (from a personal perspective) short and long term lessons to be gained from this experience. Future trends and challenges in experiential programs include multidisciplinary training, utilisation of information literacy and privacy and accountability. Experiential programs and their impact on current and future practitioners may be a highly influential opportunity in pharmacy education.
    Prof Joanne Brien, Chair in Clinical Pharmacy, University of Sydney, Aust.

    Abstract 6

    An experiential placement model for hospital pharmacy
    With expansion of pharmacy courses in Australia from three to four years, universities have incorporated practice-based experience and learning into their undergraduate curricula. This has been an important development, because well-designed practice placements help to enhance students’ professional socialisation and facilitate integration of theoretical knowledge into actual care of patients – both very important attributes given the increasingly clinical role of pharmacists in both community and hospital settings. The Austin & Repatriation Medical Centre (ARMC) is one of several hospitals in Melbourne that run student placement programs on behalf of Monash University and other Australian universities. Hospitals accept up to 20 students at a time for 3-week placements in hospital and clinical pharmacy. This presentation will provide an overview of the ARMC student placement program. It will describe the organisation of the program, the role of pharmacy department staff in supervision and teaching, the role of the on-site program co-ordinator, styles of teaching and learning employed, and the range of activities student are involved in. Our experience with the structured Monash University program, compared with other lessstructured student programs, will be discussed to demonstrate the importance of a well-organised program with clearly defined objectives. The positive and negative aspects of taking on a large involvement in undergraduate student training will be discussed, from a hospital pharmacy perspective. Positive aspects include exposing all undergraduates to hospital pharmacy, helping to improve awareness of, and recruitment to, this area of practice, improving practical and clinical skills in new graduates, and enhancing teaching opportunities and potential for academic appointments for practicing pharmacists. Negative aspects include extra workload and pressure on hospital staff and insufficient resources.

    In early 2001 a hospital pharmacy student placement working party was established by the Victorian Branch of the Society of Hospital Pharmacists of Australia. This aimed to improve the standard of student programs in Victorian hospitals by improving communication between participating hospitals and the university. Membership of the working party includes hospital pharmacists and university staff, and the group has been very successful in achieving its objectives. In addition to improved communication, there has been increased collaboration resulting in development and revision of resources such as checklists, assessment forms and workbooks. The success of this working party will be used to highlight the mutual benefits of improved communication and collaboration between universities and practicing pharmacists.
    Mr Rohan Elliott, Preceptor, Student placement at Austin and Repatriation Medical Centre, Melbourne, Aust.

    A Merry Christmas and a Happy New Year.
    From
    Greg Duncan
    Monash University

     


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