In-Service Training Handbook (PHR 4514-40 credits) Co-ordinators: Professor Anthony Serracino-Inglott Professor Lilian M. Azzopardi Department of Pharmacy University of Malta October 2011 1 Rationale Fifth year pharmacy students are required to complete this module which represents the wrapping up of the theoretical background provided in the Pharmacy Practice modules presented during the first to the fourth year and the practical experience gained during the Community Pharmacy Practice. The emphasis of this module is that the students are presented with a continuous practical experience of practising in a pharmacy. This practice-oriented approach is supplemented with discussions held with pharmacist tutors. During the practice, students are under the supervision of a pharmacist and the managing pharmacist is responsible to ensure that the student is under the supervision of the pharmacist during all times. Goals • To practise as a professional responsible to ensure safe, effective and rational use of medicines. • To gain experience in interacting with the consumer and meeting patients’ needs. • To participate in discussions with colleagues and other health professionals. • To participate in activities related to promoting healthy lifestyles. • To familiarize with the practical implications of the legal requirements for the practice of pharmacy. • To acquire practical information on the local pharmaceutical services provided. Learning Outcomes By the end of this study unit, the student will be able to: • describe components of pharmacy operations including risk management strategies • manage medication distribution and inventory control • apply problem-solving strategies in pharmacy • develop and maintain documentation systems in pharmacy • plan and perform patient evaluation to identify possible/risk for drug-related and non-drug related problems • manage human and fiscal resources • promote health, wellness and disease prevention 2 Structure This handbook is intended to present the framework of the In-Service Training period. It is directed towards students, managing pharmacists and pharmacists practising at the pharmacy, and Pharmacist Tutors who will be monitoring the performance of the student. Assessment Assessment of students’ knowledge and understanding of the core knowledge required for professional practice and ability to approach practice based problems Written Examination 80% Three two hour written papers consisting of a variety of multiple choice question styles. Negative marking applies (Synoptic Examination) Paper 1: Pharmaceutical Care I: an open book paper, reference sources allowed: Minor Illness or Major Disease? (Edwards and Stillman), Non-prescription medicines (Nathan), Validation Instruments for Community Pharmacy (Azzopardi), BNF, Copy of the Laws of Malta relating to practice of pharmacy. Paper 2: Pharmaceutical Care II: a closed book paper Paper 3: Clinical Pharmacy: a closed book paper Held at the end of the second semester after fifth year of the course. Log book of practice at community pharmacy 10% Reports 10% 3 GUIDELINES Attendance at the pharmacy 1. At the beginning of the academic year (by 10 October) students are requested to fill in Form 5.1 to apply for approval of the pharmacy where they will be attending for the practice. Any changes in the details provided have to be reported using Form 5.2. Form 5.2 should be submitted to the Department as soon as possible. Students are advised to refrain as much as possible to change pharmacy where the practice has been undertaken in the earlier years unless for very valid reasons. 2. The students shall attend the pharmacy for a period of 6 months, which period will be specified by the department by October. The students are expected to attend the pharmacy for practice during all opening hours of the pharmacy throughout the weeks indicated by the department. A half session per week exemption is allocated. For pharmacies which are open on extended hours, the student is expected to be present for 40 hours a week. Students have to notify the department through Form 5.1 on which day of the week will they be making use of this concession. Students are not allowed to undertake any activities during the time allocated for pharmacy practice. 3. Any absence from the pharmacy has to be reported using Form 5.3. Failure to do so may result in non-compliance with the requirements to achieve these credits. Any sickness has to be covered with a medical certificate and student will be asked to take up the missed period of training during another indicated period. Form 5.3 has to be submitted to the Pharmacy Practice Lab as soon as possible. 4. The managing pharmacist is responsible to ensure that the student is under the supervision of a pharmacist at all times. Managing pharmacists are advised that it is considered against the ethical practice to sign any document, including attendance, which are not true to the facts. 5. The students should work under the supervision of the pharmacist and participate in activities undertaken in the provision of professional services, management and upkeep of the pharmacy. Activities students should participate in 6. Dispensing of prescription medicines in accordance with good practice. 7. Counselling of patients when responding to symptoms and when recommending non-prescription medicines. 4 8. Formulation, implementation and documentation of pharmaceutical care plans to manage patient care needs in the management of chronic disease states and in the treatment of common acute diseases. 9. Development of plan for continuity of care across multiple care sites (hospitalcommunity interface) 10. Maintenance and management of the pharmacy (dispensing area, stock control, quality of medicines, storing medicines) 11. Use and upkeep of equipment available in the pharmacy (diagnostic tests, refrigeration) 12. Use of reference material 13. Discussions with other health professionals. Seminars and Assessment 14. Students should daily update the Attendance Record Book which will be supplied by the Department. This will entail that the pharmacist present during each session will sign to confirm the attendance. The Attendance Record Book is a record of attendance and of daily work experience. 15. Students are expected to keep a Log Book whereby a daily entry for attendance at the pharmacy is recorded. Each entry should be countersigned by the pharmacist present. In the Log Book students are expected to present a brief description of the event (case) and discuss the outcome of the intervention. Students are asked to use the Log Book Documentation Sheet to build up the log book. Additional material to the sheet should be used for the student’s reference only. 16. Students will attend for Log Book Tutorials on a once weekly basis according to a schedule which will be issued regularly. When a student is absent for a tutorial a medical certificate has to be presented or an explanatory note sent by email to Professor Lilian M. Azzopardi. The logbooks entries for the missed tutorials should be kept apart and presented in the event that the tutorial is re-scheduled. 17. For each tutorial, the student is expected to present the Attendance Record Book duly completed for the previous week and six Log Book entries. When there is a Public Holiday which coincides with a working day, students are expected to present five Log Book Entries. Log Book Entries presented at each tutorial should run from a Monday to a Saturday. The Log Book entries should be presented on the Log Book Documentation Sheet. Each 5 Log Book Documentation Sheet has to be signed by the pharmacist present. Failure to comply with these requirements will result in the Log Book not being corrected. For the tutorial, students have to present the original and a photocopy of the Log Book Documentation Sheets. The orginal copy will be retained at the department. 18. The student will be assessed on the material presented and also in response to questions put forward during the ensuing discussion with the Pharmacist Tutor assessing the performance. 19. During each tutorial a mark will be assigned. The best marks allotted to 22 log book entries out of 23 tutorials, where the student has a minimum of 22 attendances will be taken as a partial contribution towards the final mark. The accumulated mark from this continuous assessment contributes 10% towards the final credit mark. After each tutorial, the mark is recorded on the Pharmacist Tutor Assessment Sheet. 20. Students are expected to present five reports during the training period. The reports are to be undertaken according to the Schedule of Reports. The reports contribute 10% towards the final credit mark. Each report has to be submitted by Friday of the last week dedicated to the respective report. Submission of the report has to be accompanied by Form 5.4. 21. At the end of the training period students are required to submit the Attendance Record Book. Date of submission will be five days following termination of training period. 22. At termination of training period, the Managing Pharmacist has to submit Form 5.5. 6