A Precepting-Focused Advanced Pharmacy Practice Experience in Academia

Description of the Opportunity: Traditional advanced pharmacy practice experiences (APPEs) in academia provide students exposure to job responsibilities and expectations of pharmacy faculty members. The purpose of this manuscript is to describe the development and structure of a precepting-focused academic APPE, APPE student perceptions of the experience, and introductory pharmacy practice experience (IPPE) student perceptions of being precepted by APPE students. Innovation: An academic pharmacy APPE was developed to emphasize preceptor development in addition to traditional academic pharmacy topics and responsibilities. Pre- and post-experience surveys were completed by APPE students to collect perceptions of academic pharmacy and precepting. During the experience, APPE students, under the supervision of faculty, precepted IPPE students, who were given the opportunity to assess the APPE student’s precepting ability by completing a survey following the experience. Descriptive statistics were used to analyze the results. Findings: Nine students completed the academic APPE and the corresponding pre- and post-surveys. All students indicated the rotation increased their understanding of academia, and the majority (7/9) indicated an increased confidence in their precepting ability. Eighty-five IPPE students evaluated the APPE students, and the majority (78%) rated the quality of instruction from APPE students as “similar” to faculty instruction. Conclusion: The structure of this experience allowed APPE students to gain exposure to academia and increase confidence in precepting, while facilitating the delivery of the IPPE program. Results indicate offering an academic APPE with an emphasis on experiential teaching is a potential strategy to prepare future pharmacy preceptors. Article Type: Note

“Daltexpharma”: A Case Addressing Potential Pharmaceutical Cargo Theft

Case Synopsis This paper is provided as an innovative resource for those in the academic and training arenas to use as a case example in discussing the problem of pharmaceutical cargo theft. The case delves into the worldwide, on-going dilemma of pharmaceutical trucking cargo theft losses and the effects of such theft. For those unfamiliar with the case method of instruction, the paper’s ending may be rather unsettling. But that is where the student’s learning and faculty instruction process come together. Typically, students (whether in teams or individually) will fully develop their responses based on the queries provided at the end. Faculty may then proceed in any number of ways to elicit the students’ insights in a classroom setting. For decades the pharmaceutical industry has been plagued with a plethora of criminal acts that impact the daily processes and procedures of operations. Pharmaceutical warehouse and trucking thefts have not only aided in the currently debilitating state of the opioid crisis in the United States, but these thefts also aid the black market in the illegal sale of diverted prescription drugs. Due to the lack of security measures, vulnerability of the truck drivers, their rigs, and the value of the cargo being transported, pharmaceutical theft is a lucrative opportunity for organized crime. The case presented here describes the issues within the pharmaceutical industry as companies must deal with “last mile” cargo thefts. Daltexpharma represents a synthesized, hypothetical example of a pharmaceutical firm that must develop policies to deal with such potential thefts in its supply chain. Although a fictitious company, the case realistically details the important factors to consider in establishing strong security practices that may be necessary for a pharmaceutical company operating in today’s environment. In order to protect the integrity and security of the authors’ case notes, particularly for use in an academic setting, the Journal’s editor will maintain control of them. They may be obtained by faculty upon presenting their request to the Editor. Article Type: Instructional Tool

Peer-Led Point-of-Care Ultrasound; A Potential Ally to Rural Medicine

Objectives Point of care ultrasound (POCUS) is increasingly used in rural settings where it’s portability,and imaging capabilities make it effective clinically. POCUS teaching has traditionally relied on faculty instruction, which is limited by the small number of certified faculty members. The UOttawa POCUS interest group deployed peer-teaching since 2018, which overcomes the instructor barrier by employing experienced medical students to train preclerkship students. This paper will evaluate the efficacy of the peer-led POCUS workshops as a learning format. Methods 3-hour POCUS workshops were held for Cardiac, MSK, Aorta, and eFAST scans from October 2018 to June 2019. Students with prior experience in POCUS were identified as peer-teachers, and were trained by an expert physician prior to the workshop. Peer-teachers taught a small group, with physician experts rotating through groups for technical support. Surveys were sent out to students who participated in the workshops assessing the following categories:utility, learning experience,workshop efficacy, tutor competence, and interest. Descriptive statistics and thematic analysis was reported for the quantitative and qualitative data, respectively. Results 45 participants completed the survey. The surveys showed positive support for the aforementioned categories, with the average score being greater than 4. From the thematic analysis, the four main strengths of the peer-led format are: Trainer competence, learner comfort, situational teaching, and opportunity to practice. Conclusion Peer-led workshops are an effective format for POCUS training in instructor-constrained settings. These workshops can be translated to rural settings in lieu of a formal POCUS training program.

Find the gap: evaluating library instruction reach using syllabi

Academic libraries deliver library instruction, but how good are practitioners at measuring the effectiveness of their efforts? One medium-sized Canadian university library undertook a new approach to assessing its library instruction programme by collaborating with faculty members and engaging with their course content. Looking initially at recently-offered information literacy (IL) sessions, the study challenged commonly-held assumptions on the programme, and established a number of broad conclusions. All faculty members from two disciplines were invited to submit syllabi for courses taught in the past few years. In addition to those courses that regularly scheduled sessions in the library, the authors received course content from instructors that had not traditionally booked library instruction, providing a unique opportunity for analysis and to learn about research content in the course, requirements of independent use of the library, inclusion of standards on academic integrity, inclusion of a cumulative project, the presence of library instruction, critical thinking, library assignments, general reference to the library and its resources, and whether professors conduct library-type instruction. The findings point to a number of strengths and weaknesses of the library’s instruction programme for these departments, and challenged a number of assumptions. The absence of a library instruction session did not mean the absence of a research requirement or required library usage. The conclusions from the syllabi analysis suggest a need for diversification of services associated with library instruction and increased collaboration between librarians and faculty to support student learning and research. The impact of this study will be seen in both future library instruction programme evaluation and the strengthening of that programme. The results, with the potential to expand to other disciplines, will help inform the development of new methods of delivering library services that support faculty instruction patterns, consultative course planning and collaborative teaching. This project has presented new lines of inquiry for long-term IL programmes across undergraduate curricula within each discipline.

Development of Simulator Guidelines for Resident Assessment in Flexible Endoscopy

Virtual reality (VR) simulators may hold a role in the assessment of trainee abilities independent of their role as instructional instruments. Thus, we piloted a course in flexible endoscopy to surgical trainees who had met Accreditation Council for Graduate Medical Education endoscopy requirements to establish the relationship between metrics produced by a VR endoscopic simulator and trainee ability. After a didactic session, we provided faculty instruction to senior residents for Case 1 upper endoscopy and colonoscopy modules on the CAE Endoscopy VR. Course conclusion was defined as a trainee meeting all proficiency standards in basic endoscopic procedures on the simulator. Simulator metrics and course evaluation comprised data. Eleven and eight residents participated in the colonoscopy and upper endoscopy courses, respectively. Average time to reach proficiency standards for esophagogastroduodenoscopy was 6 and 13 minutes for colonoscopy after a median of one (range, one to two) and one (range, one to four) task repetitions, respectively. Faculty instruction averaged 7.5 minutes of instruction per repetition. A subjective course evaluation demonstrated that the course improved learners’ knowledge of the subject and comfort with endoscopic equipment. Within a VR-based curriculum, experienced residents rapidly achieved task proficiency. The resultant scores may be used as simulator guidelines for resident assessment and readiness to perform flexible endoscopy.

The Effects of Part-Time Faculty on First Semester Freshmen Retention: A Predictive Model Using Logistic Regression

Part-time faculty clearly serve a valuable purpose in higher education; however, their increased use raises concerns for administrators, faculty, and policy makers. Part-time faculty members spend a greater proportion of their overall time teaching, but the initial evidence suggests that these instructors are less available to students and are less engaged with the campus environment. Recent research attempts to connect part-time faculty utilization to student outcomes. This study explored the effects of exposure to part-time faculty instruction on student retention. Typical first-year students entering the study institution between 1999 and 2003 received over one-quarter of their total first-year instruction from part-time faculty. Furthermore, results show that as exposure to part-time faculty instruction increases, the odds of being retained decrease. Because the use of part-time faculty varies based on institutional type, additional research should focus on diverse institutional settings.