Objectives and the Revised PharmD Curriculum: An Update Donald A. Godwin, PhD Executive Associate Dean for Education At the completion of this activity, the participant will be able to: Describe the major changes to the accreditation standards for pharmacist education Explain the major differences between current and revised PharmD curriculums Evaluate how these curricular changes will better prepare students for clinical rotations and practice as pharmacists Philosophy and Emphasis Standards have been refined to ensure that graduating students are practice-ready and team-ready What does this mean to you? UNM is striving for graduates who are beyond practice-ready in general settings via curricular revision including more practice experience during first three years of program. Importance of assessment Feedback should be provided to students throughout the curriculum (didactic and experiential) Philosophy and Emphasis Greater emphasis on critical educational outcomes identified by Center for the Advancement of Pharmacy Education (CAPE) and the assessment of the level of student achievement of these outcomes CAPE 2013 Foundational Knowledge Essentials for Practice and Patient-Centered Care Approach to Practice and Care Personal and Professional Development Focus Development of students professional knowledge, skills, abilities, behaviors, and attitudes Manner in which programs assess students acquisition of knowledge and application of knowledge to practice Mastery of skills and achievement of competencies Importance of both curricular and co-curricular experiences in advancing the professional development of students Developing interprofessional skills (teamwork) Organization Education Outcomes CAPE 2013 Structure and Process to Promote Achievement of Education Outcomes Planning and Organization Educational Program for the PharmD Degree Students Resources Assessment Educational Outcomes Structure and Process 1
Fall Break & Remediation Fall Break & Remediation Remediation & APPE Remediation & Summer Break Fall Break & Remediation Remediation & Summer Break 1/11/2017 Curricular Revision Process Driving factors ACPE self-study,, CAPE 2013 Input sought Best practices from other curriculum around the country peer schools, aspirational schools Extensive literature review Focus groups Preceptors, employers, recent alumni, P4 students Faculty retreats Keynote speakers Curricular Revision Process Faculty work groups/task forces Integrated Pharmacotherapy (disease state based) Patho/P col/med Chem/Therapeutics Pharmaceutics Dosage forms and PK Aspects of Patient Care Social/Behavioral/Administrative Sciences Law/Management/Econ/Epi/Ethics/Public Health Communications/Professional Development P1 year July Aug Sept Oct Nov Dec 2 3 6 7 10 11 14 15 17 18 1 2 3 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 4 5 8 9 12 13 16 801 Applied Biochemistry 805 Pathophysiology & 811 Intro to Pharmacology & 815 Intro to Integrated Immunology Med Chem Pharmacotherapeutics/Self-care Clinical applications of basic biochemical processes at the Foundations of pathophysiology Fundamentals of pharmacology Concepts of IP, self care topics, CAM, drug molecular, cellular and and immunology and medicinal chemistry information organismal level 802 Physical Pharmacy and 809 Pharmacy & Health Care Biopharmaceutics Delivery Principles impacting drug Introduction to the US health care development and the delivery systems and role of performance of pharmaceutical pharmacy/pharmacists dosage forms. 804 Public Health Concepts of public & population health 803 Aspects of Patient Care I Top 200, dispensing skills/function, drug information, calculations, medical terminology, professional communication, IPPE 807 Introduction to Pharmacy Practice and Communication Instruction and activities by reinforcing key communications skills, including cultural influences, patient interviewing and counseling. 810 Fundamentals of 817 Intro to Law, Ethics & Social Issues Pharmacokinetics/Parenteral Dosage Forms Legal, ethical and social issues that will impact patients and health care Influence of ADME on the time course of drug levels in body as well as fundamental principles of parenteral dosage forms 813 Aspects of Patient Care II Top 200, non-sterile compounding, professional communication, integration with self care, drug information, IPPE 819 Professional Development I 1 cr :Fnd of self-discovery; Prof'l & Identity P2 year June/July Aug Sept Oct Nov Dec 2 3 7 10 11 14 15 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 4 5 6 8 9 12 13 16 17 Community IPPE 820 Integrated Pharmacotherapy I 825 Integrated Pharmacotherapy II 830 Integrated Pharmacotherapy III 835 Integrated Pharmacotherapy IV General Ambulatory Care: General Ambulatory Care: General Ambulatory Care: Infectious Complex Ambulatory Care: Renal; Cardiology; Pulmonary Endocrinology; Diseases Endocrinology; Pulmonary; Musculoskeletal/Pain; Psychiatry Cardiology; GI 824 Non-Parenteral Dosage Forms 828 Pharmacoepidemiology & Research Design Fundamental principles of nonparenteral dosage forms, their Basics of pharmacoepidemiology, design and the processes used in biostatistics, evaluation of research manufacturing and compounding design 823 Aspects of Patient Care III Drug information, professional communication, PPCP, integration with IP 1 & 2, IPPE 829 Professional Development II 1 cr :Fnd of self-discovery; Prof'l & Identity 836 Pharmacoeconomics Role of economics in health care: Formularies, cost containment, cost effectiveness 832 Evidenced Based Clinical 837 Pharmacy Management and Decision Making Operations Use of primary literature, its Management & operation of evaluation and use of clinical pharmacies guidelines 833 Aspects of Patient Care IV Sterile preparations, physical assessment, drug information, PPCP, integration with IP 3 & 4, and IPPE 839 Professional Development III 1 cr :Fnd of self-discovery; Prof'l & Identity P3 year June/July Aug Sept Oct Nov Dec 2 3 6 7 9 14 15 17 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 1 4 5 8 10 11 12 13 16 Institutional 840 Integrated Pharmacotherapy 845 Integrated Pharmacotherapy 850 Integrated Pharmacotherapy 855 Clinical Capstone IPPE V VI VIII 5 credits Integrating essential core pharmacy Complex Ambulatory Care: Complex Ambulatory Care: Complex Hospital Care: Renal, practice topics. The philosophy of Infectious Disease Neurology; Psychiatry Critical care, Clinical Toxicology & this course is to facilitate student Emergency Preparedness; learning and hold students Cardiology; Pulmonary; accountable for prior learning in an Coagulation; GI integrated manner using complex patient scenarios. 842 Safe Meds & Informatics 847 Integrated Pharmacotherapy VII Concepts/risk management for medication safety. Pharmacy Complex Hospital Care: Oncology informatics. 843 Aspects of Patient Care V Physical assessment, drug information, journal clubs, DUR, MTM, PPCP, integration with IP 5-7, and IPPE 849 Professional Development IV 1 cr :Fnd of self-discovery; Prof'l & Identity formation; leadership; career development & pathways; Contemporary issues in 851 Emerging Trends in Pharmacy 1 credit Topics of changes in pharmacy research and practice 854 Advanced Law and Ethics Preparation for MJPE; Ethical decision making 853 Aspects of Pt Care VI IPPE, integration with IP 8 859 Professional Development V 1 cr :Fnd of self-discovery; Prof'l & Identity P4 year Remaining with nine 4-weeks APPE Advanced Community 1 Advanced Hospital -1 Ambulatory Care - 1 General Medicine Inpatient - 1 Specialty Patient Care - 2 Non-patient focused - 1 (max of 2) Electives (any of the above) - 2 2
Integrated Pharmacotherapy (IP) IP Example Clinical Capstone Couse Complex Ambulatory Care Introduction to IP/Self-Care Advanced Pharmacy Practice Experiences Complex Hospital Care General Ambulatory Care - Applied Biochemistry - Pathophysiology & Immunology - Intro to Pharmacology & Med Chem Cardiology Gen Amb Care Hypertension Dyslipidemia Complex Amb Care Ischemic Heart Disease Arrhythmias Complex Hospital Acute Stroke Acute Heart Failure VTE and anticoagulation How does revised curriculum address new requirements? CAPE 2013 Outcomes Foundational Knowledge Integrated throughout curriculum UNM s Approach: Integrated Pharmacotherapy Course series Spiral nature of integration, which aims to introduce, reinforce and build in complexity Essentials for Practice and Care Patient-centered care Medication use systems management Health and wellness Population-based care Public health refocus (P1 and extended across curriculum) Aspects of patient care Integrated IPPE throughout P1-P3 years CAPE 2013 Outcomes Standards 2016 Readiness Survey Approach to Practice and Care Problem solving Education Patient Advocacy Interprofessional collaboration Cultural sensitivity Communication Aspects of patient care Integrated IPPE throughout P1- P3 years Greater emphasis and assessment of co-curriculum Personal and Professional Development Self-awareness Leadership Innovation and entrepreneurship Professionalism UNM Approach 5 course professional development series Work with Innovate ABQ Co-curriculum The ACPE Board expected each college to be in compliance by July 1, 2016 To assist ACPE in monitoring compliance, each college had to respond to a brief survey regarding its plans for compliance with important aspects of Standards 2016 by April 1, 2016 Pharmacist Patient Care Process Interprofessional Education Co-curricular activities Preceptor Training and Development 3
Standard 10: Curriculum Design, Delivery and Oversight 10.8. Pharmacists Patient Care Process (PPCP) The curriculum prepares students to provide patientcentered collaborative care as described in the Pharmacists Patient Care Process model endorsed by the JCPP. UNM Approach PPCP process will be more fully integrated into our new curriculum Building in complexity in a stepwise approach across our six Aspects of Patient Care courses, reinforced in our integrated pharmacotherapy series as well as capstone course and applied longitudinally in IPPEs and APPEs Pharmacists Patient Care Process How to Implement the Pharmacists Patient Care Process, Marialice Bennet and Mary Ann Kliethermes editors, American Pharmacists Association incorporate student pharmacists into patient care services using the PPCP? Standard 11: Interprofessional Education Interprofessional Collaborative Practice 4 IPE Core Competencies 39 individual IPE subcompetencies cultivate interprofessional opportunities or activities into your site for student pharmacists? 4
Assessment of Co-Curricular Activities Co-Curriculum Student involvement in experiences that complement, augment, and/or advance what is learned in the formal curriculum Student portfolios help in documenting student progressive achievement of the competencies. Include student self-assessment, as well as faculty and preceptor assessments Students excel in co-curricular activities including community outreach, service to professional organizations and advocacy Plan to enhance portfolio system to better capture student activities This portfolio will be regularly assessed in a standardized manner in the Professional Development courses by faculty, preceptors, and/or alumni become involved in the co-curricular activities of the College through participation and/or assessment? Current situation Questions Curriculum has been fully approved by the University College has decided to implement new curriculum for both P1 and P2 cohorts of students College working on implementation plan Day to day schedule, classrooms, etc. Launch date August 7, 2017 5