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Published on: September 20, 2018
An interprofessional clinical toxicology advanced pharmacy practice experience
Valerie B Clinard1, Thomas E Kearney2, Daniel J Repplinger3
1Department of Clinical Pharmacy, University of California San Francisco, School of Pharmacy, 513 Parnassus Avenue, S-126, San Francisco, CA 94143-0403, United States.
This study details an advanced pharmacy practice experience in clinical toxicology. The program successfully enhanced student pharmacists' confidence in managing poisoning cases and understanding the pharmacist's role.
Area of Science:
- Pharmacy Education
- Clinical Toxicology
- Poison Control
Background:
- Clinical toxicology integrates science, research, and patient care for human poisonings.
- Exposure to natural and synthetic toxins necessitates specialized knowledge.
- The California Poison Control System (CPCS) provides a critical setting for toxicological expertise.
Purpose of the Study:
- To describe the components of an elective advanced pharmacy practice experience (APPE) in clinical toxicology.
- To evaluate the effectiveness of the APPE in preparing student pharmacists for toxicology practice.
- To highlight the role of pharmacists in poison control and management.
Main Methods:
- The APPE incorporated case management, educational exercises, and self-study modules.
- Active learning included high-fidelity simulation scenarios and an antidote tasting session.
- Student pharmacists participated in case presentations and consultations.
Main Results:
- 82 student pharmacists completed the APPE between April 2012 and October 2017.
- Post-simulation surveys showed a significant increase in student belief in the pharmacist's role in diagnosis and management (60% to 78.8%).
- Student evaluations of preceptors and the learning experience averaged over 4.5/5, with positive feedback on collaboration.
Conclusions:
- An APPE in clinical toxicology at CPCS was successfully designed and implemented.
- The program fostered an interprofessional, collaborative learning environment.
- The APPE effectively prepared student pharmacists to understand the pharmacist's role in clinical toxicology.
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