Sleep Medication in Older Adults: Identifying the Need for Support by a Community Pharmacist

Many older adults take benzodiazepines and sedative-hypnotics for the treatment of sleep disorders. With a view to considering the possible discontinuation of hypnotics, the objectives of the present study were to describe bedtime habits and sleep patterns in older adults and to identify the sleep medications taken. An expert group developed a structured interview guide for assessing the patients’ bedtime habits, sleep patterns, and medications. During an internship in a community pharmacy, 103 sixth-year pharmacy students conducted around 10 interviews each with older adults (aged 65 or over) complaining of sleep disorders and taking at least one of the following medications: benzodiazepines, benzodiazepine derivatives (“Z-drugs”), antihistamines, and melatonin. A prospective, observational study was carried out from 4 January to 30 June 2016. The pharmacy students performed 960 interviews (with 330 men and 630 women; mean ± standard deviation age: 75.1 ± 8.8). The most commonly taken hypnotics were the Z-drugs zolpidem (n = 465, 48%) and zopiclone (n = 259, 27%). The vast majority of patients (n = 768, 80%) had only ever taken a single hypnotic medication. The median [interquartile range] prescription duration was 120 (48–180) months. About 75% (n = 696) of the patients had at least 1 poor sleep habit, and over 41% (n = 374) had 2 or more poor sleep habits. A total of 742 of the patients (77%) reported getting up at night—mainly due to nycturia (n = 481, 51%). Further, 330 of the patients (35%) stated that they were keen to discontinue their medication, of which 96 (29%) authorized the pharmacist to contact their family physician and discuss discontinuation. In France, pharmacy students and supervising community pharmacists can identify problems related to sleep disorders by asking simple questions about the patient’s sleep patterns. Together with family physicians, community pharmacists can encourage patients to discuss their hypnotic medications.

Evaluation of faculty inter-variability OSCE grade scoring on overall student performance in a laboratory course

Introduction: Objective structured clinical examinations (OSCEs) are considered the gold standard for evaluating pharmacy students’ clinical skills due to their reliability and validity. Aim: The purpose of this study was to determine whether faculty inter-variability in OSCE grading had a significant impact on a student’s overall performance. Methods: A retrospective analysis was conducted using data from two cohorts of third-year pharmacy students. Descriptive statistics, simple linear regression, and multivariate linear regression analyses were conducted. Results: There were 120 students that participated in the OSCE with a mean score of 66.7%. Higher scores in the Integrated Therapeutics (IT) 2 lecture series and the IT 2 lab course corresponded to better OSCE scores. Out of 17 evaluators, six were found to rate students significantly lower and one was found to rate students significantly higher in comparison to a reference evaluator who evaluated students closest to the overall mean. Conclusion: It is likely that standardised grading, and possibly additional training, may be needed to ensure a fair and appropriate evaluation of OSCE performance.

Evaluation of pharmacy students’ knowledge and perceptions of transitions of care services

Introduction: Studies support incorporation of pharmacists and pharmacy students to improve health and financial outcomes during transition of care (TOC). Standardisation of TOC educational training is currently lacking in pharmacy curricula. Methods: This study employed a cross-sectional, descriptive study with a convenience sample at one college of pharmacy. Students participated in an anonymous Qualtrics survey including items on TOC service understanding and educational training. Results are reported as means and standard deviation for continuous data; frequencies and percentages for categorical data. Results: Of 116 survey responses, 112 provided informed consent. Seventy-eight percent of respondents stated they have learned about TOC and 66% felt they understood what TOC entails. When asked to identify disease states commonly targeted for TOC, 77% responded incorrectly to this item. When asked to select TOC clinical activities, 66% incorrectly selected medication dispensing. Ninety-six percent of respondents replied that additional educational training on TOC would be beneficial. Conclusion: There is a discrepancy in students’ perception of TOC services with their actual knowledge of TOC services based on survey responses.

An entrepreneurial activity implementation and assessment among pharmacy students amid the COVID-19 pandemic lockdown

Objective: To implement and assess innovation and entrepreneurship (IE) learning experience in professional pharmacy students using presentations based on the Shark Tank model. Methods: First-year doctor of pharmacy students were invited to participate in an IE learning experience emphasising the importance of self-care needs of the society during the early phase of the COVID-19 pandemic crisis. Students’ proposals were assessed by Sharks (inquisitors) based on a grading rubric, and a post-activity survey captured students’ reflections of their experience. Results: Twelve students participated in the IE activity, and presented their proposals virtually in a Shark Tank style format. Students’ scores for the proposals ranged from 87.5% (capable entrepreneurs) to 56.8% (incapable entrepreneurs), with the winner receiving a gift certificate. Survey ratings given by students on a scale of one to five for the IE activity were overwhelmingly favourable, with both the activity (4.73 (1.09)) and presentation style (4.27 (0.37)) viewed to be timely and relevant. Conclusion: An IE learning activity was implemented and assessed in the pharmacy programme using Shark Tank style presentations. The authors believe such initiatives, conducted either virtually or face-to-face, could serve as prototypes for professional pharmacy schools interested in creating exciting ways to implement IE activities in their programmes.

Applying Communication Ethics to Pharmacy Students' Education

This chapter addresses the problem of applying communication ethics to pharmacy students' education. The purpose of the chapter is to stimulate reflection about the importance of teaching and integrating communication ethics in their curricula in order to make pharmacists capable of professional counselling to the patients by pharmaceutical care. Existing literature refers mainly of the effectiveness of teaching ethics in medical education, engineering, accounting, psychology, and business. There is little evidence about using this concept in the pharmacist's activity and their communication with the patients. Consequently, this chapter tries to provide an overview of how communication ethics can be integrated in the educational curricula for pharmacy students. It is the responsibility of the higher education institutions to offer to pharmacy students a modern, adequate, and upgraded curricula program to increase the communication skills of the future pharmacists.

Explaining the influence behind Malaysia’s pharmacy students’ career choices within the pharmaceutical industry

Objective: The pharmaceutical industry has been portrayed as a promising sector for pharmacy graduates. Nonetheless, little is known about pharmacy students’ preferences, knowledge, and attitudes toward careers in the pharmaceutical industry, as well as the factors that may influence them. Method: A self-developed questionnaire was administered to pharmacy students in public and private universities in Malaysia from October to November 2018 via online platforms. Results: Only 38.8% out of 433 students who completed the survey stated their preference for working in the pharmaceutical industry. The mean (SD) of knowledge, perceived syllabus, and attitudes related to pharmaceutical industry career preferences were 8.73 (1.77) (full score of 12), 28.50 (5.83) (full score of 40), and 30.59 (4.32) (full score of 50), respectively. Students from private universities, those in years one and three of study, and those with higher attitude scores were more likely to choose the pharmaceutical industry as their career option. Conclusion: Increasing exposure to pharmaceutical industry careers that involve patient contact and clinical knowledge application is needed to improve students’ attitudes toward pursuing a career in this field.

Virtual OSCE: Experience and challenges with a large cohort of pharmacy students

In response to the inability to conduct conventional face-to-face objective structured clinical examination (OSCE) due to the COVID-19 lockdown, this study explored options to design virtual OSCE (vOSCE) that meets the objectives and standards of effective competency-based assessment for a large cohort of pharmacy students. The vOSCE required advanced planning of the actual assessment and technical conduct. The development of a master plan consisting of the types of competencies to test, topics and number of cases, and assessment rubrics, guided the team members to develop an adequate OSCE assessment module. Technical aspects included recruitment of examiners, simulated patients (SP), technical support, and a platform for vOSCE. The main challenges were to ensure well-ordered vOSCE and a stable internet connection for examiners, SP, and students. Google Meet was utilised due to its functionality, familiarity, and low internet consumption to all parties involved. Feedback was obtained from stakeholders to improve future OSCE conduct.

Student’s Awareness Towards Corruption Cases in Indonesia

Background : The current corruption case in Indonesia are severely problematic since it is normalized by society. As a response, the current agenda of the Indonesian government to tackle it is by raising awareness of youth towards Indonesia’s corruption case. Aim : This study aims to knowing the importance of anti-corruption education and its applications among students. Method : The methodology of this study is the use of a qualitative survey on Faculty of Pharmacy students and interviews with representatives of students of the Faculty of Pharmacy. The population of this study is students of Airlangga University. The sample of this study is 52 students of class C the Faculty of Pharmacy Result : Students have awareness about corruption and even proposed that the current anti-corruption education is not enough to tackle corruption. Recommendation : The researcher suggests that students can be brave to campaign about the importance of anti-corruption education to the public. Limitation : The limitation of this study is that it is difficult to conduct research because in the online pandemic era, this results in delays in the research process.