ANNUAL PRECEPTOR CONFERENCE April 13, 2016 April ril 11 11, 20 - - PowerPoint PPT Presentation

April ril 11 11, 20 2013 13

to the

ANNUAL PRECEPTOR CONFERENCE

April 13, 2016

Theme for the Day

Theme for the Day: Feed∙back

NOTICE THE FIRST PART OF THE WORD IS “FEED”…so we should all love it!

• helpful information or criticism that is given to someone to

say what can be done to improve a performance, product, etc.

• something (such as information or electricity) that is

returned to a machine, system, or process

• an annoying and unwanted sound caused by signals being

returned to an electronic sound system

http://www.merriam-webster.com/dictionary/feedback

Goal and Objectives

Goal: To provide guidance and practical ways to enhance preceptorship instruction and practice among University of Mississippi preceptors Objectives:

• Apply practices shared by preceptors in similar settings to improve

student pharmacy practice experiences.

• Describe and apply tools for effective preceptor-learner feedback.
• Discuss assessment and evaluation policies and procedures to

improve consistency among practice experiences.

• Discuss principles of home infusion related to pharmacy practice in

Mississippi.

School of Pharmacy in ACTION

• Dr. David F. Gregory
• Dr. Seena B. Haines
• Dr. Leigh Ann Ross

School of Pharmacy Preceptor Conference

Clinical Affairs Update April 13, 2016

School of Pharmacy

Oxford (UM) ----------------- Jackson (UMMC)

Education, Research, Service, Healthcare

Leadership

• Dr. LouAnn Woodward

Vice Chancellor for Health Affairs Dean, School of Medicine

Education

Clinical Opportunities

Research Opportunities

Service Opportunities

Script Your Future

• 2-month National Campaign
• National Consumers League
• Focus on Medication Adherence
• Community Events (Interprofessional)

– 14 events – 380 Medication Adherence wallet cards

• Communication and Social Media

2016 Nelson Order

• Dr. Bridgett Chisolm

2016 UMMC Nelson Order School of Pharmacy

• Highest teaching honor at UMMC

recognizing faculty who have provided the finest attention to student education

• 2016 SOP nominee for the

Regions Bank TEACH (Toward Educational Advancement in Care and Health) Prize

Practice Advancement

• Community-Based Research Program
• Division of Pharmacy Professional Development
• Student/Employee Health
• Post Graduate Training

Community-Based Research Program

Projects

• Pharmacy Cardiovascular Risk Reduction

Sponsor: MSDH/CDC *PARTNERSHIP WITH FEDERALLY QUALIFIED HEALTH CENTERS

• Diabetes Rural Telehealth Network

Sponsor: UMMC/GE Healthcare/C Spire *GOVERNORS INITIATIVE

• Pharmacist Linkage in Care Transitions

Sponsor: NACDS Foundation *PARTNERSHIP WITH UMMC, WALGREENS, AND MS DIVISION OF MEDICAID

Division of Pharmacy Professional Development

• Dr. Stuart Haines

Professional Development

Division of Pharmacy Professional Development

 Continuing Education  Community Pharmacy Development

Interest Groups Residency Interest Group (RIG) Community Pharmacy Interest Group Post-Graduate Training CBRP – PGY1 Community Pharmacy Residency Program – 2009  1 to 3 positions – Jackson and Oxford PGY2 Ambulatory Care Residency Program – 2015  1 to 2 positions

Residency Training

Mississippi Pharmacy Residency Programs

Biloxi

• Gulf Coast Veterans Health Care System PGY1 Pharmacy Practice

Residency Program (2) Desoto

• BMH PGY1 Pharmacy Practice Residency Program (2)

Meridian

• Vital Care of Meridian PGY1 Pharmacy Practice Residency Program (1)

Oxford

• BMH PGY1 Pharmacy Practice Residency Program (2)
• UM SOP PGY1 Community Pharmacy Residency Program (1)

Tupelo

• NMMC PGY1 Pharmacy Practice Residency Program (3)

Residency Training

Mississippi Pharmacy Residency Programs

Jackson

• G.V. (Sonny) Montgomery VAMC PGY1 Pharmacy Practice Residency

Program (3)

• St. Dominic Hospital PGY1 Pharmacy Practice Residency Program (2)
• UM SOP PGY1 Community Pharmacy Residency Program (2)
• UMMC PGY1 Pharmacy Practice Residency Program (6)
• Walgreens PGY1 Community Pharmacy Residency Program (1)
• UM SOP PGY2 Ambulatory Care Residency Program (2)
• UMMC PGY2 Infectious Diseases Residency Program (1)
• UMMC PGY2 Critical Care Residency Program (1)

Residency Training

Mississippi Pharmacy Residency Programs

Area PGY1 Progams (Positions) PGY2 Progams (Positions) Mississippi 10 (25) 3 (4) Area PGY1 Progams (Positions)* PGY2 Progams (Positions) North Mississippi 4 (8) 0 (0) Central Mississippi 6 (15) 3 (4) South Mississippi 1 (2) 0 (0) * One program has sites in two geographic regions.

Residency Training

2016 National Statistics 2016 UM School of Pharmacy Results

PGY1 Programs Phase I Enrolled Phase I Matched Phase II Enrolled Phase II Matched Match Rate UM Class of 2016 32 27 4 1 84.8% PGY1 PGY2 Total Applicants Participating 4864 865 5729 Matched 3309 644 3953 Not Matched 1556 220 1776 Match Rate 68% 75% 69% PGY1 Programs 2011 2012 2013 2014 2015 2016 # Students 19 15 23 14 15 29

Residency Training

2016 National Statistics 2016 UM School of Pharmacy Results

PGY1 Programs Phase I Enrolled Phase I Matched Phase II Enrolled Phase II Matched Match Rate UM Class of 2016 32 27 4 1 84.8% PGY1 PGY2 Total Applicants Participating 4864 865 5729 Matched 3309 644 3953 Not Matched 1556 220 1776 Match Rate 68% 75% 69% PGY1 Programs 2011 2012 2013 2014 2015 2016 # Students 19 15 23 14 15 29

Center for Clinical and Translational Science

National Center for Natural Products Research

• Dr. Larry Walker

Director, NCNPR

• Dr. Richard Summers

Associate Vice Chancellor for Research UMMC

Vision

The Center for Clinical and Translational Science (CCTS) will be a national leader in clinical and translational research.

Mission

CCTS will facilitate the translation of basic research discoveries into clinically validated therapies to improve the health of populations in Mississippi and beyond.

Vision and Mission

Definition of Translational Research Process

Source: Blumberg RS, Dittel B, Hafler D, von Herrath M, Nestle FO. Unraveling the autoimmune translational research process layer by layer. Nat Med. 2012 Jan 6;18(1):35-41.

Figure 2: Stages of Translational Research

Research Focus Areas

Clinical Research Core UM School of Pharmacy West Wing

CCTS Implementation Timeline

Jan – Dec 2016

Proposal/Business Plan Internal Approvals

Jan – June 2017

Infrastructure External Approvals

July 2017 – June 2018

Fiscal Year One

School of Pharmacy Preceptor Conference

Clinical Affairs Update April 13, 2016

D E P A R T M E N T O F P H A R M A C Y P R A C T I C E U P D A T E S E E N A L . H A I N E S , P H A R M D , B C A C P , F A S H P , F A P H A , B C - A D M A P R I L 1 3 , 2 0 1 6

The University of Mississippi

www.google.images

http://www.ashp.org/REMS

Field Work: Faculty and Administrative Experience

Scholarship of Teaching Scholarship of Engagement Grant Funding- ~1,000,000

Director for 3 Safety-Net Clinics And Diabetes Ed. Research Center

www.google.images

Medical Missions

Other Interests

Self Monitoring Problem Solving

Contingency Management Cognitive Restructuring

Social Support Stress Management Stimulus Control

Joining Ole Miss Phramily

Performance Performance

Now Future

Curriculum/Experiential Highlights

Practice Department Curriculum

Horizontal align courses to help PY2 and PY3 connect the dots and learning in a low stakes environment (simulation and standardized patients). Technology (Educast) aids in student reflection- patient interview skills in the expanding skills lab. IPE in courses (both campuses) –nursing, dietetics, and speech pathology on Oxford campus and with medical, nursing, physical therapy, occupational therapy students on Jackson campus.

Department Pharmacy Practice: New Faculty

Jamie Wagner –Clinical Assistant Professor, Department of Pharmacy Practice

 PharmD: Midwestern University Chicago

College of Pharmacy (2012)

 Residency: PGY1 Henry Ford Hopsital,

Detroit, MI (2012-13)

 Infectious Diseases Outcomes Fellowship:

Wayne State University/ Henry Ford Hopsital, Detroit, MI (2013-15)

 Clinical Practice Site: Inpatient Internal

Medicine at UMMC

 Research Interests: Outcomes-based

research, epidemiology related to antibiotic resistance, practical applications

• f appropriate use/ antibiotic stewardship

Faculty Recruitment Efforts

Clinical Assistant Professor / Non-tenure track position (Jackson Campus) Clinical Assistant Professor / Non-tenure track position (Oxford Campus) Associate Professor/ Tenure track position (Jackson Campus)

Experiential & Academics Integration

Over 300 preceptors for IPPE/APPE experiences

PY3 problem- based learning facilitation

Teamwork Makes the Dream Work

First Impression with the Students

• Purpose
• Logistics
• Have FUN!

Feedback Cases

• Dr. Haines

Preceptors of the Year

2015 APPE:

• Dr. Jay Pitcock

IPPE:

• Dr. Danny Riche

2016 APPE:

• Dr. Laurie Fleming

IPPE:

• Dr. Tripp Dixon

Preceptor Perspective

• Dr. Cindy Dumas

Review of the PEP Manual

• Key Differences – “New Look” with Special

thanks to Krissy Gilbert

• APPE and IPPE Information

Review of the PEP Manual

• Number and length of rotations

– Length is 5 weeks – Total number is 8 rotations – Mid-point evaluation should be between 2nd and 3rd weeks

• Four required courses

– Community – Institutional – Adult Medicine – Ambulatory Care

• Four electives, two of which must be patient care

Review of the PEP Manual (continued)

• Health and Administrative Requirements

– Hepatitis B, TB skin test, Other Vaccinations, Random Drug Testing – Registration with State Board of Pharmacy – Professional Liability Insurance – BLS for Healthcare Providers – Medical/Hospitalization Insurance – HIPAA Compliance Training – Others?

• Note that students are responsible for ensuring they have met

these requirements and should be able to provide documentation if needed

Review of the PEP Manual (continued)

• Grades

– Community and Institutional Courses are Pass/Fail – All other courses receive letter grades (ABCF) – I Grades (Incomplete)

• Attendance

– Students are required to be at the rotation for a minimum of 200 hours during the 5-week period; community and institutional rotations may allow for four 10-hr days, all others should be five 8-hr days – During patient care experiences, patient interaction should be maximized

Review of the PEP Manual (continued)

• Excused absences

– Independence Day – Labor Day – MLK Day – Good Friday – Spring Break

• School-sponsored absences

– Career Workshop – Aug – Residency Showcase – Oct – Career Recruitment Day – Sept or Oct – Awards Day – Apr – Seminar Day – Fall and Spring – PCOA/NAPLEX - Spring

Review of the PEP Manual (continued)

• Absences to attend Pharmacy Meetings

– MPhA in June – MSHP in July or August – ASHP in December – APhA in March or April

• Interview absences (one day in spring)
• Absences due to illness
• Tardiness and unexcused absences
• Personal issues and extracurricular employment

Review of the PEP Manual (continued)

• Dress Code

– UMMC policy for students – Students expected to adhere to site-specific policies

• Contact by Students

– Letter and CV two weeks prior – Phone or email contact one week prior

• Supervision of Students

– MSBP policies – Communication with students – Financial compensation not allowed

• Evaluations

– Midpoint – Final – Incomplete

• Student Presentations and Physical Skills Assessment

requirements and Student Portfolio Review

Review of the PEP Manual (continued)

http://www.pharmacy.olemiss.edu/pharmacy_ practice/rxpep.html

To find the PEP site simply go to pharmd.org and click on Preceptor Zone

• r type in the above address

Preceptor Resources

• Preceptor Resources in PEP Manual

Programmatic Assessment

Other Reminders:

• Syllabi and Rotation Expectations

– Templates on PEP website

• Site Visit Evaluations
• Exemplary Practices
• APPE Activities

– Core Activities – Advanced Activities

• APPE Transcripts
• Online Evaluations (E*value)

– Midpoint – Transcript Review – Final

Go to www.e-value.net and login with your User ID and Password The three main areas of focus for Preceptors are the Schedules, Evaluations and My Profile sections in E*Value

My Profile

Click on Password Change to begin changing your login details Start by clicking on My Profile to access areas where you can change your login information and view a daily calendar with your rotation schedules pre- populated in

To change your User ID and Password type in whatever you would like for it to be and click Update for each one

Schedules

The Schedules tab will allow you to gain access to your schedule of student rotations

Click on Rosters to pull up your schedule for the year

The Schedule Report defaults to a 1 year time frame and that can be adjusted by changing the start and end dates. Click on Next to generate your schedule

Your Schedule will be displayed similar to this

Evaluations

Click on Evaluations in

• rder to complete

Pending Evaluations about students or to view Completed Evaluations

Clicking Pending will generate a list

• f evaluations

that need to be completed Once the list is produced you can click Edit Evaluation to begin the evaluation

Be sure to complete all items in the evaluation Click Submit to complete the evaluation once you are finished or click Save For Later to finish at a later time

Preceptor Reports will allow you to view all evaluations that you have completed Click Submitted By Me to pull up a list of all your previously completed evaluations

You can now go back through and review any evaluations that you have completed

Other Resources: AccessPharmacy

Go to www.rx.olemiss.edu/accesspharmacy/ Choose the "off-campus" link Username: pharmacy Password: Farm@Olemiss16 in the popup dialog box that appears (not the AccessPharmacy login screen). Confirm that the name of the school shows up in the corner of the AccessPharmacy screen. This is important.

Other Resources: APhA PharmacyLibrary

Go to www.rx.olemiss.edu/pharmacylibrary Choose the "off-campus" link Username: pharmacy Password: Farm@Olemiss16

Other Resources: The Pharmacist’s Letter

• Partnership with the School
• Preceptor Toolbox
• Continuing Education (articles, webinars)
• Journal Club activities with student and

preceptor versions

• Activity ideas
• Syllabi, orientation, and calendar examples
• Special assignments

Other Resources: The Pharmacist’s Letter

How to set up your access: If you don't have access, you will need to set up your School of Pharmacy Preceptor CE ID # as follows:

• 1. Locate the Pharmacist‘s Letter link on the PEP website or click here directly:

http://www.pharmacistsletter.com/?referer=umississippi/ptrn

• 2. Click I Don‘t Have a CE ID # in the yellow box on the right
• 3. Fill out the form with your information and click Continue
• 4. Verify your information and click to confirm your status as a preceptor for the

University of Mississippi School of Pharmacy Your CE ID # will be automatically created and you‘ll be able to use it from any internet-connected computer to access Preceptor Training & Resource Network.

Preceptor Resources: New and On the Horizon

Online Preceptor Application Rotation Catalog for Student Preceptor Development Modules Preceptor Development Documentation

Focus on: Feed∙back

Wrap-Up and Moving Forward

It’s about the Students and the Patients and the Profession

Circles of Life : ROTATIONS

We Welcome Your FEED∙BACK!

Wrap-Up and Moving Forward Curricular Transformation

New Curriculum

• APPEs will change from EIGHT 5-week

experiences to TEN 4-week (calendar month) experiences

• Will likely begin in 2017-2018 academic year

Potential Schedule

January PY3 PY4 * February PY3 PY4 March PY3 PY4 April PY2 PY3 PY4 May PY1 PY4 June PY4 July PY4 August PY3 PY4 September PY3 PY4 October PY3 PY4 November PY3 PY4 December PY1 PY3 Rotation Months by Class (APPE 10 Month Plan) PY2

* Each PY4 student would have one “Flex-month” IPPEs may or may not remain same

FEED∙BACK NEEDED, PLEASE

STRENGTHS AND WEAKNESSES OF STUDENTS (from Survey at 2014 Preceptor Conference)

3.70 3.80 3.90 4.00 4.10 4.20 4.30 Assess patient drug therapy Apply knowledge of specified drugs and drug classes Apply knowledge of specific physiologic systems Apply knowledge of specific disease pathology and comorbid conditions Evaluate and interpret patient data Relative to others, UM externs appear to be comparable or even excellent at "assessing patient drug therapy" 1a 1b 1c 1d 1e 1f 4.23 4.12 3.93 4.15 4.08 4.29

Patient Drug Therapy

3.85 3.9 3.95 4 4.05 4.1 4.15 4.2 4.25 4.3 Provide comprehensible, effective drug information to education in the professional setting Serve as a reliable and credible source of drug information Effectively educate patients using all appropriate communication modalities(verbal, written, other) Present effective educational programs and presentations to public and health care professional audiences. Relative to others, UM externs appear to be comparable or even excellent at "providing durg information and educating others. 3a 3b 3c 3d 3e

Providing Drug Info and Educating Others

APPE INTRODUCTION FORM IDEA NOTE CARD FOR OTHER SUGGESTIONS / FEED∙BACK

FEED∙BACK from Your PEP DIRECTOR:

Remember to obtain CE credit, turn in the statement of attendance form and be looking for an email with a link to complete an online evaluation.

You’re PHARMAZING… THANK YOU for your dedication to the SOP!

KEEP THE P.E.P.

Professionalism + Enthusiasm + Positive Attitude

=

P.E.P.