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Pharmaceutical care- urgency: Proposing a practical clinical framework for pharmacy students.

Lawrence D Jackson1, Dean Yang2, Diane Vella2

  • 1Department of Pharmacy, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON M4N 3M5, Canada; Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College Street, Toronto, ON M5S 3M2, Canada.

Currents in Pharmacy Teaching & Learning
|November 18, 2022
PubMed
Summary

Pharmacy students struggle to prioritize drug therapy problems (DTPs). A new framework, focusing on knowledge and urgency, improves student confidence and aligns with preceptor practices in clinical settings.

Keywords:
APPE studentDrug therapy problemPharmaceutical carePrioritizationUrgency

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Area of Science:

  • Pharmacy Education
  • Clinical Pharmacy Practice
  • Healthcare Professional Training

Background:

  • Prioritizing drug therapy problems (DTPs) presents a challenge for pharmacy students during experiential placements.
  • This indicates a need for improved pre-placement preparation and resource modification for effective clinical reasoning.

Purpose of the Study:

  • To develop and evaluate a modified DTP prioritizing framework tailored for pharmacy students.
  • To enhance students' clinical reasoning skills and confidence in addressing DTPs within the pharmaceutical care process.

Main Methods:

  • An informal focus group assessed students' baseline DTP prioritizing capabilities.
  • Participants ranked medical condition urgency and proposed resolution timeframes.
  • Feedback was gathered on a proposed DTP prioritizing framework incorporating curricular knowledge, urgency, and action timelines.

Main Results:

  • Student DTP urgency rankings were significantly more heterogeneous (R=0.61) than those of pharmacists (R=0.807).
  • Students reported the framework enhanced their development of expertise through its focus on curricular knowledge.
  • Preceptors found the framework mirrored their practice and would aid student guidance.

Conclusions:

  • The modified DTP prioritizing framework can enhance student success in experiential settings.
  • The framework also supports preceptor development by providing a structured approach to guiding students.
  • Implementation of this framework may bridge the gap in student preparedness for DTP prioritization.