Prevalence and Impact of Pharmacy Students as Patient Care Extenders in Medically Underserved Community Pharmacies

2019 ◽  
pp. 089719001988106
Author(s):  
Nicole White ◽  
Kimberly Galt ◽  
John E. Ridgway ◽  
Maryann Z. Skrabal ◽  
Rhonda Jones ◽  
...  
Keyword(s):  
Patient Care ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Medically Underserved ◽  
Care Needs ◽  
Student Placement ◽  
Care Services ◽  
Practice Experience ◽  
Underserved Community ◽  
Care Activity

Objective: The objective of this study is to evaluate the prevalence and describe the patient care impact of student pharmacists completing community pharmacy rotations in medically underserved areas (MUAs) in Nebraska. Methods: A list of pharmacy student advanced pharmacy practice experience placements over a 3-year period were obtained from 2 pharmacy schools in Nebraska and then mapped in relation to MUAs in the state. A mixed-methods approach was used to compare and relate findings of a student-logged patient care activity database and semistructured interviews with pharmacy preceptors of participating students. Results: Pharmacy students were placed in 21 (13%) of 159 identified pharmacies located in MUAs. Pharmacy preceptors felt students improved the quality of patient care provided as a result of more uninterrupted time with the patient. Preceptors also indicated that student presence assists both the student and the practicing pharmacist engage in more patient care services. Conclusion: There exists a significant opportunity to utilize advanced pharmacy practice students to extend patient care services and address health-care needs in underserved communities, but student placement in MUAs should be optimized.

Expanding Experiential Opportunities Through Patient Care Services

2010 ◽  
Vol 23 (6) ◽  
pp. 575-578 ◽  
Author(s):  
Denise Soltis ◽  
Schwanda K. Flowers
Keyword(s):  
Patient Care ◽  
Pharmacy Practice ◽  
The United States ◽  
Pharmacy Education ◽  
Pharmacy Students ◽  
University Of Arkansas ◽  
Medical Sciences ◽  
Care Services ◽  
Immunization Services ◽  
The University

A new set of standards, ACPE Standards 2007, adopted by the Accreditation Council for Pharmacy Education (ACPE), required all pharmacy programs to include introductory pharmacy practice experiences (IPPEs) to represent 5% of the curriculum and advance pharmacy practice experiences (APPEs) to represent 25% of the curriculum. This required many pharmacy programs to revise their curriculum to meet these requirements. The challenge of satisfying the increased accreditation requirements along with the increased number of new pharmacy programs in the United States has resulted in increased competition for experiential sites. Drake University College of Pharmacy and Health Sciences and the University of Arkansas for Medical Sciences (UAMS) College of Pharmacy utilized innovative immunization services to help meet the ACPE Standards 2007. Drake utilized P2 and P3 students who were trained to give immunizations in an IPPE patient care elective in order to help experiential sites in their immunization efforts. Senior pharmacy students at UAMS were involved in expanding APPE opportunities by developing immunization clinics and providing immunizations at their experiential sites. Both pharmacy programs were successful in expanding experiential opportunities by focusing on immunizations. Students, preceptors, and patients all benefit from utilizing student pharmacist at experiential sites to provide patient care services.

Improving student education and patient care through an innovative introductory pharmacy practice experience

2011 ◽  
Vol 68 (8) ◽  
pp. 655-660 ◽  
Author(s):  
Paul C. Walker ◽  
Kathy S. Kinsey ◽  
Michael D. Kraft ◽  
Nancy A. Mason ◽  
John S. Clark
Keyword(s):  
Patient Care ◽  
Pharmacy Practice ◽  
Student Education ◽  
Practice Experience

Prevalence of Cognitive Impairment Among Elderly Patients Upon Hospital Admission Using Mini-Cog™ Assessments Performed by Advanced Pharmacy Practice Experience Students

2018 ◽  
Vol 33 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Nghi (Andy) Bui ◽  
Mobolaji Adeola ◽  
Rejena Azad ◽  
Joshua T. Swan ◽  
Kathryn S. Agarwal ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Hospital Admission ◽  
Patient Outcomes ◽  
Hospital Readmission ◽  
Hospital Readmissions ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Day Hospital ◽  
Practice Experience

Background: Older adults with cognitive impairment may have difficulty understanding and complying with medical or medication instructions provided during hospitalization which may adversely impact patient outcomes. Objective: To evaluate the prevalence of cognitive impairment among patients aged 65 years and older within 24 hours of hospital admission using Mini-Cog™ assessments performed by advanced pharmacy practice experience (APPE) students. Methods: Students on APPE rotations were trained to perform Mini-Cog™ assessments during routine medication education sessions from February 2017 to April 2017. The primary end point was the prevalence of cognitive impairment indicated by a Mini-Cog™ score of ≤3. Secondary end points were the average number of observed Mini-Cog™ practice assessments required for APPE students to meet competency requirements, caregiver identification, and 30-day hospital readmissions. Results: Twelve APPE students completed the training program after an average of 4.4 (standard deviation [SD] = 1.0) graded Mini-Cog™ assessments. Of the 1159 admissions screened, 273 were included in the analysis. The prevalence of cognitive impairment was 55% (n = 149, 95% confidence interval [CI]: 48%-61%). A caregiver was identified for 41% (n = 113, 95% CI: 35%-47%) of patients, and 79 patients had a caregiver present at bedside during the visit. Hospital readmission within 30 days of discharge was 15% (n = 41, 95% CI: 11%-20%). Conclusion: Cognitive impairment could substantially impair a patient’s ability to comprehend education provided during hospitalization. Pharmacy students can feasibly perform Mini-Cog™ assessments to evaluate cognitive function, thereby allowing them to tailor education content and involve caregivers when necessary.

Discrepancies Identified Through a Telephone-Based, Student-Led Initiative for Medication Reconciliation in Ambulatory Psychiatry

2017 ◽  
Vol 31 (3) ◽  
pp. 304-311 ◽  
Author(s):  
Marie E. Albano ◽  
Jolene R. Bostwick ◽  
Kristen M. Ward ◽  
Thomas Fluent ◽  
Hae Mi Choe
Keyword(s):  
Retrospective Analysis ◽  
Medication Reconciliation ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Prescription Medications ◽  
Medication Discrepancies ◽  
Team Members ◽  
Practice Experience ◽  
Call Schedule ◽  
Clinically Significant

Purpose: To identify the number of medication discrepancies following establishment of a telephone-based, introductory pharmacy practice experience student-driven, medication reconciliation service for new patients in an ambulatory psychiatry clinic. Secondarily, to identify factors impacting medication discrepancies to better target medication profiles to reconcile and to evaluate whether the implementation of a call schedule effected clinic no-show rates. Methods: This was a retrospective analysis of a telephone-based medication reconciliation service from June 2014 to January 2016. Results: At least 1 medication discrepancy was identified among 84.7% of medication profiles (N = 438), with a total of 1416 medication discrepancies reconciled (3.2 discrepancies per patient). Of the 1416 discrepancies, 38.6% were deletions, 38.9% were additions, and 22.5% were changes in dosage strength or frequency. Discrepancies pertaining to prescription medications totaled 57.8%. Student pharmacists were critical team members in the service. Patient’s age, number of medications on the patient’s list, and number of days since the last medication reconciliation were not clinically significant determinants for targeting medication profiles. There was a statistically significant reduction in the clinic no-show rates following implementation of a call schedule compared with no-show rates prior to call schedule implementation. Conclusion: This student pharmacist–led telephone medication reconciliation service demonstrated the importance of medication reconciliation in ambulatory psychiatry by identifying numerous discrepancies within this population. Further, we demonstrated pharmacy students across various levels of education can assist in this process under the supervision of a pharmacist.

scholarly journals Value of Pharmacy Students Performing Population Management Activity Interventions as an Advanced Pharmacy Practice Experience

2019 ◽  
Vol 83 (5) ◽  
pp. 6759 ◽  
Author(s):  
Elizabeth C. Cannon ◽  
Emily B. Zadvorny ◽  
Sarah D. Sutton ◽  
Sheila L. Stadler ◽  
Leslie K. Ruppe ◽  
...  
Keyword(s):  
Pharmacy Practice ◽  
Population Management ◽  
Pharmacy Students ◽  
Management Activity ◽  
Practice Experience
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