Currents in Pharmacy Teaching and Learning最新文献_第2页

Scoping review of entrepreneurship in community pharmacy: Bringing together education and practice

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-20 DOI: 10.1016/j.cptl.2025.102308

Shane Scahill, Maryam Pirouzi

Objective

The evolving landscape of community pharmacy practice emphasizes the integration of entrepreneurship with clinical roles, recognizing pharmacists as crucial primary healthcare providers. This scoping review explores the community pharmacy entrepreneurship for both education and practice. Key themes and gaps in the literature are identified to highlight areas for collaboration between educators and practitioners.

Methods

A scoping review following the Arksey and O'Malley framework and JBI's guidelines, to ensure methodological rigor. Literature searches were performed across SCOPUS, PubMed, and EMBASE (via Ovid), supplemented by citation searches. The strategy focused on entrepreneurship, primary healthcare, and pharmacy education. After screening and removing duplicates, relevant publications were selected through team discussion, resolving discrepancies by consensus. All included papers were coded for key themes and patterns, followed by thematic analysis to uncover key insights and trends in the field.

Results

The review identified 39 relevant articles, with 24 focusing on pharmacy education, 11 on pharmacy practice, and 4 addressing both. Key themes in education included the need for entrepreneurship education, teaching methods, student interest in pharmacy ownership, essential skills, and knowledge gaps. In practice, themes included the dual role of pharmacists, gaps in entrepreneurial knowledge, entrepreneurial orientation, and the importance of fostering an entrepreneurial spirit and culture.

Conclusion

Disparities were observed between pharmacy education and practice. Education literature emphasized preparing students for entrepreneurial roles, while practice literature focused on real-world challenges and the need for essential entrepreneurial knowledge, skills, and attitudes.

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引用次数: 0

Economizing the curriculum as a strategy for mitigating increased workload caused by enrollment-induced faculty downsizing

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-19 DOI: 10.1016/j.cptl.2025.102307

Daniel L. Brown

From 2001 to 2014, pharmacy enrollment increased 78 %, but it has decreased 29 % since 2018. Almost 60 % of pharmacy schools experienced a drop in enrollment of more than 25 % in only 5 years.

Faculty attrition is a natural consequence of declining enrollment, as programs reduce expenses in response to falling tuition revenue. Pharmacy faculty decreased 11 % from 2018 to 2023, causing heavier workload demands. Increased faculty workload can be addressed by retooling curricular content and delivery, to make it more efficient.

The situation calls for innovative thinking and new approaches toward solving old problems. Visionary academic leadership is needed to guide the academy through an era of declining resources by fundamentally changing the design and delivery of pharmacy education.

引用次数: 0

Beyond blood sugar: Navigating the complex landscape of diabetes management through a diabetes elective course

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-17 DOI: 10.1016/j.cptl.2025.102303

Emily Eddy , Brittany Long , Benjamin D. Aronson

Introduction

Providing optimal care to complex patients can push pharmacists into an unclear gray area, requiring the use of clinical judgment, critical thinking, and problem-solving. Two diabetes-focused elective courses were developed to better prepare student pharmacists for working in this gray area on advanced pharmacy practice experiences (APPEs) and beyond.

Objectives

The primary objective was to evaluate how completion of a diabetes elective course affected student pharmacists' attitudes and perceived abilities, knowledge, preparedness, and self-efficacy in providing patient care in the real world.

Methods

This mixed-methods study evaluated two diabetes-focused pharmacy elective courses to determine outcomes on students a year later and to determine the most impactful course elements. A survey was sent to graduating pharmacy students to compare perceptions of knowledge and abilities, attitudes, and self-efficacy among those who did and did not take the electives. Elective-taking students were invited to participate in virtual interviews to further garner their experiences in caring for patients with diabetes and reflections on the course.

Results

Fifty-four students (42.5 %) completed the survey. Generally, completion of either elective appeared to be statistically related to perceptions of knowledge, skills, and behavioral attitudes, whereas no difference was found for self-efficacy. Eight students participated in one-on-one interviews and two major themes emerged of dealing with the gray areas of patient care and preparation for APPEs.

Conclusion

The study findings suggest that the diabetes electives helped students to be better prepared for their APPE experiences and ultimately take care of patients with diabetes.

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引用次数: 0

Frequency, impact and response to pharmacy students experiencing distressing APPE-related events 药学专业学生遭遇 APPE 相关痛苦事件的频率、影响和应对措施

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-16 DOI: 10.1016/j.cptl.2024.102233

Kate Newman , Valerie Ruehter

Introduction

Work-related trauma has been extensively studied in medicine and nursing, revealing its frequent occurrence among both students and practicing professionals. This phenomenon has not been described in pharmacy despite pharmacists and student pharmacists working in similar clinical environments. This study aims to investigate the frequency, impact, and response to distressing events during Advanced Pharmacy Practice Experiences (APPEs) among pharmacy students.

Methods

An anonymous survey was distributed twice to 233 fourth-year pharmacy students at the end of each semester at two public schools of pharmacy during the 2021–2022 academic year. The survey collected demographic information, frequency of distressing events, perceived personal impact, and preceptor/site response. Descriptive statistics were used to analyze the quantitative survey results.

Results

A total of 132 responses were included in the analysis (response rate: 28.3 %). Among participants, 64.4 % reported experiencing at least one distressing event during their APPE rotations. The most reported event types were patient-care-related events (43 %) and student-provider/preceptor conflicts (33.8 %). Distressing events occurred in all rotation types. Of respondents experiencing a distressing event, 44.8 % indicated it had lasting impact. A debriefing discussion with someone at the site only occurred for 35.3 %. Open-ended comments from students revealed suggestions for colleges and schools to enhance operational procedures as well as recommendations for sites and preceptors to provide better proactive support to students and improve their response following a distressing event experience.

Conclusion

Students are experiencing distressing events during APPEs and frequently report that these situations are not being discussed, emphasizing the need for interventions and support. Additional research to understand long-term impact of these experiences and best approaches for prevention and response is warranted.

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引用次数: 0

Black International Faculty in U.S. Academia: Reflections of a pharmacy educator

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-16 DOI: 10.1016/j.cptl.2024.102226

Ruth Jeminiwa

Background

Black international faculty enhance diversity in pharmacy schools, are well suited to mentor international students, support cultural competence training for students, and may contribute substantially to research activities in schools of pharmacy. Understanding the experiences of black international faculty is critical to their recruitment and retention in pharmacy schools. Yet, there is very limited research about the experience of black international faculty in US pharmacy schools.

Purpose

This reflection paper seeks to highlight the unique challenges experienced by black international faculty in US pharmacy schools, drawing from both personal experiences and existing literature. This reflection and perspective study also provides recommendations to improve black international faculty representation and experience.

Discussion

Black international faculty experience structural, interpersonal, and internalized racism, as depicted by the Mechanism of Oppression Framework provided by Weinreb and Sun. US pharmacy schools need to take decisive actions to combat racism and improve the experience and representation of black international faculty. Regular faculty and student trainings on topics such as racism, implicit bias, stereotype threats, and impostor's syndrome should be mandated. A safe space should be provided for faculty to express their concerns about racism. Teaching ability should be assessed objectively by using reliable and validated measures of teaching effectiveness after reviewing recorded lectures or peer observations of teaching.

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引用次数: 0

Student perceptions and outcomes from asynchronous versus synchronous remote learning in a pharmacy skills course

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-13 DOI: 10.1016/j.cptl.2025.102299

Stephanie L. Hsia , Gabriela Mackey , Raka Mondal , Crystal Zhou

Objective

Compare the effectiveness and characterize student experiences between asynchronous and synchronous remote pharmacy skills learning sessions in first-year (P1) and second-year (P2) pharmacy students.

Methods

Mixed-methods study consisting of qualitative analysis of semi-structured interviews and quantitative analysis of Objective Structured Clinical Examination (OSCE) performance and post-course questionnaires. An inductive thematic analysis of the interviews was conducted. Wilcoxon signed-rank tests were conducted to compare student-rated efficacy of aspects of the asynchronous and synchronous sessions. Chi-squared tests were conducted to compare pass rates between the 2020 Zoom (remote) OSCEs, which were assessments based on the asynchronous and synchronous remote sessions. We also compared pass rates of analogous 2019 in-person and 2020 Zoom (remote) OSCEs, which assessed the same skills across both years.

Results

Students described advantages and disadvantages for asynchronous and synchronous sessions along the themes of learning, feedback and preparation. For asynchronous sessions, students described value from one-on-one peer interactions and feedback and being more prepared for the session and practice. For the synchronous sessions, students emphasized the value of real-time feedback from faculty and facilitators. Overall, there was not a strong preference for one format. There was no difference in 2020 OSCE pass rates between the asynchronously and synchronously taught skills. P1 students in 2020 performed better on the OSCE conducted over Zoom for the asynchronous sessions, compared to 2019 in-person OSCEs.

Conclusion

An asynchronous remote format can be effective for teaching patient care skills that are lower on Bloom's taxonomy. Transitioning a synchronous session to asynchronous should be done thoughtfully. Aspects that make an asynchronous session effective include one-on-one peer interactions and learning, specific, individualized feedback from peers and faculty, and detailed and comprehensive learning materials.

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引用次数: 0

Innovation in teaching and learning: Gamification toward enhancing the performance of entrepreneurial skills and leadership skill in pharmacy student

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-13 DOI: 10.1016/j.cptl.2025.102301

Namfon Sribundit , Surasit Lochid-amnuay , Waranee Bunchuailua , Nattiya Kapol , Panoopat Poompruek , Kamolpat Ratsameeratyatum , Sirikanlaya Benjawan , Burin T. Sriwong , Rapeepun Chalongsuk , Sineenart Krichanchai

Introduction

Entrepreneurship and leadership are essential skills for pharmacy students, yet traditional lecture-based methods may not effectively develop these competencies. Gamification, an innovative teaching approach, has been underutilized in pharmacy education for non-pharmaceutical skills. This study employed gamification to enhance entrepreneurship and leadership skills among fifth-year pharmacy students at Silpakorn University, Thailand.

Objective

To (1) assess students' self-efficacy in entrepreneurship and leadership, and (2) evaluate student satisfaction and perceived benefits of Shark Tank-inspired gamification.

Methods

An exploratory post-then-pre-assessment was conducted with 65 students (76.9 % response rate). The survey included 18 statements on entrepreneurship and leadership self-efficacy. Students also rated overall skills and satisfaction with the gamified learning environment. Descriptive statistics and paired t-tests were performed using IBM SPSS Statistics version 20.

Results

The observations indicate improvements in entrepreneurship and leadership skills (p < 0.01). Overall, post-gamification assessments showed mean scores of 4.04 ± 0.96 for entrepreneurship and 4.08 ± 0.85 for leadership, respectively. Students expressed high satisfaction with the learning environment, noting freedom and a relaxed setting (4.32 ± 0.81), teamwork-based activities (4.20 ± 0.82), and supportive advisor motivation (4.20 ± 0.98). Key perceived benefits included enhanced creativity through group work (4.32 ± 0.95), exposure to diverse pharmacy models (4.30 ± 0.85), and improved understanding of pharmacy management content and presentation skills (4.28 ± 0.92).

Conclusion

This study highlights the effectiveness of gamification in building critical non-pharmaceutical skills in pharmacy education. Key success factors include immersive world-building, structured gamified simulations, and personalized feedback.

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引用次数: 0

Impact of a Managed Care Elective on Pharmacy students’ Confidence Performing Transitions of Care via Telehealth

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-12 DOI: 10.1016/j.cptl.2025.102304

Tricia Gangoo-Dookhan , Genevieve Hale , Matthew Seamon , Nicole A. Lopez , Sandy Belcher , Layla Shuaibi , Alexandra Perez

Background

With rising costs to the US healthcare system, managed care has become a vital component to cost containment and improved patient care. Pharmacy education provides a solid foundation in clinical and administrative sciences. However, managed care principles have not been widely and universally incorporated into the pharmacy curricula.

Objective

To evaluate the impact of a novel elective course in managed care topics on pharmacy students’ perceived understanding and confidence to deliver transitions of care (TOC) services via telehealth (i.e. telephonically).

Methods

This cohort study employed a sequential three-module based managed care elective course within a pharmacy curriculum. In module one, students received didactic lectures on managed care pharmacy and navigating electronic health records (EHR). In modules two and three, students engaged telephonically with real patients, who were referred to pharmacy faculty from collaborating physician offices through an online cloud based EHR, to perform Comprehensive Medication Reviews (CMR), Targeted Medication Reviews (TMR), and TOC consultations. The primary outcome was students’ perceived understanding and confidence in performing TOC services via a survey pre- and post-elective course. A calculation of of 30-day hospital readmissions rates conducted by comparing patients who received these services versus those who did not is also described in this report.

Results

Students demonstrated a statistical improvement in perceived understanding and confidence in performing TOC services post-elective course across a total range of 17 survey questions (p<0.05). Incidentally, 11.8 % of patients who were contacted and completed a call with students had a 30-d readmission compared to a previously reported national benchmark.

Conclusions

Education in managed care and providing pharmacy students the opportunity to practice telehealth strategies for services commonly performed in pharmacy practice, such as TOC, are of value in the pharmacy curriculum to prepare students for the growth in digital health and expanding opportunities outside of traditional community and hospital settings.

{"title":"Impact of a Managed Care Elective on Pharmacy students’ Confidence Performing Transitions of Care via Telehealth","authors":"Tricia Gangoo-Dookhan , Genevieve Hale , Matthew Seamon , Nicole A. Lopez , Sandy Belcher , Layla Shuaibi , Alexandra Perez","doi":"10.1016/j.cptl.2025.102304","DOIUrl":"10.1016/j.cptl.2025.102304","url":null,"abstract":"<div><h3>Background</h3><div>With rising costs to the US healthcare system, managed care has become a vital component to cost containment and improved patient care. Pharmacy education provides a solid foundation in clinical and administrative sciences. However, managed care principles have not been widely and universally incorporated into the pharmacy curricula.</div></div><div><h3>Objective</h3><div>To evaluate the impact of a novel elective course in managed care topics on pharmacy students’ perceived understanding and confidence to deliver transitions of care (TOC) services via telehealth (i.e. telephonically).</div></div><div><h3>Methods</h3><div>This cohort study employed a sequential three-module based managed care elective course within a pharmacy curriculum. In module one, students received didactic lectures on managed care pharmacy and navigating electronic health records (EHR). In modules two and three, students engaged telephonically with real patients, who were referred to pharmacy faculty from collaborating physician offices through an online cloud based EHR, to perform Comprehensive Medication Reviews (CMR), Targeted Medication Reviews (TMR), and TOC consultations. The primary outcome was students’ perceived understanding and confidence in performing TOC services via a survey pre- and post-elective course. A calculation of of 30-day hospital readmissions rates conducted by comparing patients who received these services versus those who did not is also described in this report.</div></div><div><h3>Results</h3><div>Students demonstrated a statistical improvement in perceived understanding and confidence in performing TOC services post-elective course across a total range of 17 survey questions (<em>p</em><0.05). Incidentally, 11.8 % of patients who were contacted and completed a call with students had a 30-d readmission compared to a previously reported national benchmark.</div></div><div><h3>Conclusions</h3><div>Education in managed care and providing pharmacy students the opportunity to practice telehealth strategies for services commonly performed in pharmacy practice, such as TOC, are of value in the pharmacy curriculum to prepare students for the growth in digital health and expanding opportunities outside of traditional community and hospital settings.</div></div>","PeriodicalId":47501,"journal":{"name":"Currents in Pharmacy Teaching and Learning","volume":"17 5","pages":"Article 102304"},"PeriodicalIF":1.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of culture and lived experiences on health professions education and practice 文化和生活经验对卫生专业教育和实践的影响。

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-01 DOI: 10.1016/j.cptl.2024.102263

Miriam C. Purnell , Tiffany S. Maxwell , Latasha Wade

Health professions educators are not immune to the impact our lived experiences and associated cultures, including healthcare professional/higher education culture, can have on the development and manifestation of biases. These biases can impact students during the admissions process, their interactions with faculty in the classroom, selection for rewards and recognition, and access to research opportunities. Likewise, our colleagues can be affected during the hiring process, in their assignment to committees, and during the promotion and tenure process. Patients on the receiving end of bias can have poorer treatment outcomes and their perception of the clinical encounter can be impacted. Educational institutions and faculty must employ strategies, including cultural humility to create an inclusive environment for faculty, staff, and students.

卫生专业教育工作者也不能幸免于我们的生活经历和相关文化（包括卫生专业/高等教育文化）对偏见的发展和表现的影响。这些偏见会在录取过程中影响学生，影响他们在课堂上与教师的互动，影响他们对奖励和认可的选择，影响他们获得研究机会的机会。同样，我们的同事在招聘过程中、在分配给委员会的过程中、在晋升和终身任职过程中也会受到影响。接受偏倚的患者可能会有较差的治疗结果，他们对临床遭遇的感知可能会受到影响。教育机构和教职员工必须采取策略，包括文化谦逊，为教职员工和学生创造一个包容的环境。

引用次数: 0

Evaluation of medication appropriateness index in cardiovascular outpatient clinic: A cross-sectional study 评估心血管门诊的用药适当性指数：横断面研究

IF 1.3 Q3 EDUCATION, SCIENTIFIC DISCIPLINES

Currents in Pharmacy Teaching and Learning

Pub Date : 2025-02-01 DOI: 10.1016/j.cptl.2024.102262

Qusai Y. Al-Share, Rawand A. Khasawneh, Abeer M. Rababa'h, Fadi N. Asfar, Yara N. Mohammad

Background

Older adults often have polypharmacy and multimorbidity. Cardiovascular diseases (CVDs) are the most common multimorbidities in older adults and are linked to wide range of adverse drug effects and drug-related problems. The medication appropriateness index (MAI) has been widely used in several patient settings to assess Potentially Inappropriate Medication (PIM) prescribing in older adults.

Objectives

The purpose of this study was to evaluate PIM prescribing in cardiovascular disease outpatient clinic. It also aimed at assessing the validity of the MAI to detect and quantify PIMs specifically in CVD outpatient clinics.

Methods

This was a cross-sectional, single-center study in cardiovascular outpatient setting. Demographic, clinical, and medication information from older adults (≥ 65 years old) were collected and reviewed. Two clinical pharmacists randomly selected 70 patients, evaluated 539 medications, and assessed their appropriateness using the MAI. The Statistical Package for the Social Sciences (SPSS) descriptive and logistic regression analyses was to calculate the number of PIMs, the MAI scores, and factors associated with PIM prescribing.

Results

Our data showed that 87.1 % of patients had at least one PIM and the number of PIMs per patient was 2.10. Approximately 60 % of the patients had an MAI weighted score of zero (no prescription error). The mean MAI score per patient was 17.61 and the mean MAI score per medication was 2.72. The overall agreement between the two raters was 87.3 % with moderate chance-adjusted agreement as indicated by the kappa static of 0.43. The factors that were associated with increased PIM prescribing were the total number of medications and being ≥85 years old.

Conclusion

A relatively high prevalence of PIMs was found in the studied population. The MAI is a reliable and valid tool to detect PIM prescribing in CVD outpatient clinics. It mandates implementing specific measures to reduce PIMs.

背景：老年人通常患有多种疾病。心血管疾病（CVDs）是老年人最常见的多病症，与广泛的药物不良反应和药物相关问题有关。用药适当性指数（MAI）已被广泛应用于多种患者环境中，以评估老年人潜在用药不当（PIM）的情况：本研究旨在评估心血管疾病门诊中的潜在用药不当处方。研究还旨在评估 MAI 在心血管疾病门诊中检测和量化 PIM 的有效性：这是一项在心血管病门诊进行的横断面单中心研究。收集并审查了老年人（≥ 65 岁）的人口统计学、临床和用药信息。两名临床药剂师随机抽取了 70 名患者，评估了 539 种药物，并使用 MAI 评估了这些药物的适当性。通过社会科学统计软件包（SPSS）的描述性分析和逻辑回归分析，计算了PIM的数量、MAI评分以及与PIM处方相关的因素：数据显示，87.1% 的患者至少使用过一次 PIM，每位患者使用 PIM 的次数为 2.10 次。约 60% 的患者 MAI 加权得分为零（无处方错误）。每位患者的平均 MAI 得分为 17.61，每种药物的平均 MAI 得分为 2.72。两位评分者之间的总体一致性为 87.3%，卡帕静态值为 0.43，表明存在中等程度的机会调整一致性。与 PIM 处方增加相关的因素是药物总数和年龄≥85 岁：结论：在所研究的人群中，PIMs 的发生率相对较高。MAI 是检测心血管疾病门诊中 PIM 处方的可靠有效工具。它要求采取具体措施减少 PIMs。

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引用次数: 0