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Exploring Pharmacy Trainee Experiential Learning in a Full Scope Collaborative Rural Primary Care Practice: A
1School of Pharmacy, University of Waterloo, Kitchener, ON N2G 1C5, Canada.
Pharmacy trainees in rural primary care settings identified numerous drug therapy problems and provided valuable interventions. Their supervised practice significantly improved intervention acceptance rates, demonstrating their effectiveness in enhancing patient care.
Area of Science:
- Pharmacy Practice
- Rural Health
- Primary Care
Background:
- Limited research exists on pharmacy trainee impact in rural primary care.
- Pharmacy trainees are known to benefit hospital settings.
- Rural primary care settings present unique challenges and opportunities for healthcare professionals.
Purpose of the Study:
- To explore the benefits and impact of pharmacy trainees in a supervised collaborative rural primary care setting.
- To assess the types and significance of drug therapy problems (DTPs) identified by trainees.
- To evaluate the acceptance rate and impact of trainee-led interventions.
Main Methods:
- Retrospective chart review of patient encounters involving pharmacy trainees.
- Classification of DTPs using the Pharmaceutical Care Network Europe (PCNE V9) system.
- Valuation of interventions using the Overhage and Lukes (1999) tool.
Main Results:
- Three pharmacy trainees identified 366 DTPs across 153 patient encounters over 16 weeks.
- Common DTP causes included patient transfers and education needs.
- Interventions requiring prescriber authorization had an 83.25% acceptance rate, 25% higher than urban settings.
- 51% of trainee interventions were classified as significant or very significant.
Conclusions:
- Pharmacy trainees can be effective resources in rural primary care.
- Trainees contribute meaningfully to patient care within collaborative teams.
- Supervised pharmacy trainees enhance the value of pharmacy services in rural communities.
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