Getting Ready for the Real World:
Evaluation of a Post-Rotational P4 Seminar
July 6, 2015
Rolee Das, Pharm.D., BCPS, Clinical Associate Professor
Lucio R. Volino, Pharm.D., Clinical Assistant Professor
Ernest Mario School of Pharmacy, Rutgers, The State University of New
Jersey
Objectives
 Describe the rationale behind development of the Post Rotational
Evaluation and Preparation (PREP) seminar
 Outline the basic components of PREP seminar
 Identify program changes made over the years based on
assessments performed
 Discuss potential future programs and initiatives associated with
PREP seminar
Ernest Mario School of Pharmacy
2
Ernest Mario School of Pharmacy
Rutgers, The State University of New Jersey
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Rutgers Biomedical and Health Sciences
Established 1892
ACPE accredited
Doctor of Pharmacy Degree
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0-6 program
2 year pre-professional + 4 year professional
program
~200 students per class year
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Health Outcomes, Policy, and Economics
Medicinal Chemistry
Pharmaceutics
Toxicology
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Clinical residency
Fellowship
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Graduate Programs
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Dual Degree Programs
Post-doctoral Programs
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Continuing Education
Ernest Mario School of Pharmacy
Post-Doctoral Degree Program Structure
• First (PP1) and Second Pre-Professional (PP2) Year
• Pre-Professional Program Requirements needed for entry to First
Professional Year (P1)
• First-Third Professional Year (P1-P3)
• Introductory Pharmacy Practice Experiences (IPPE)
– Summer between P1 and P2: Community IPPE
– Summer between P2 and P3: Hospital IPPE
• Fourth Professional Year (P4) – Advanced Pharmacy Practice
Experiences (APPE)
– Total of 9 possible APPE rotation cycles
– 8 mandatory APPE rotations (1600 hours)
– Prior to 2011, 7 mandatory (1400 hours)
Ernest Mario School of Pharmacy
Course Development
• Accreditation Standards and Guidelines 2007
– Expected length of APPE not less than 1440 hours (36 weeks)
• 2008: Board Preparation Program
– Result of a requirement to increase experiential hours
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2009: Modification to include active learning/small groups
2010: Course designation
2012: Shortened to 3 days
Annual changes
– Guest speaker topics
– 2011, 2014: Inclusion of Inter-professional Education
Ernest
Mario
Pharmacy
Accreditation
Council
for School
PharmacyofEducation.
Accreditation Standards and Guidelines for the Professional Program in Pharmacy Leading to the Doctor of
Pharmacy Degree. https://www.acpe-accredit.org/pdf/ACPE_Revised_PharmD_Standards_Adopted_Jan152006.pdf. Accessed: May 29,2014.
Capstone Course
• Culminating experience including
– Synthesis
– Application
– Critical evaluation
• Not intended as opportunity to learn new information or skills
• Formats vary
– Research
– Series of activities
• Course
• Paper/Poster/Seminar
– Interdisciplinary course
Ernest
School
of Pharmacy
Wagenaar
TC. Mario
The capstone
course.
Teaching Sociology 1993; 21(3):209-214
Wuller CA. A capstone advanced pharmacy practice experience in research. AJPE 2010; Article 180
2009 Schedule
Time
Monday
Tuesday
Wednesday
Thursday
Friday
8:00-9:00am
Pulmonary
Renal
Psychology
Oncology
Immunizations
9:00-10:00am
Neurology
Toxicology
Pediatrics
OTC
Counseling/Drug
Information
Game
(Family Feud)
Skills Fair – Blood
Pressure, Point of
Care Testing, etc.
Early Practitioner
Pitfalls
10:00-10:30am
10:30am12:00pm
BREAK
Ethics, Etiquette,
Professionalism
Game
(Jeopardy)
Role Playing
(Difficult
Situations)
12:00-1:30pm
BREAK
1:30-3:00pm
Endocrine
Cardiology
ID
Calculations
3:00-4:30pm
Smoking
Cessation
New Jersey
Legislative
Current Events
Rutgers Federal
Credit Union
Alumni
Graduation/
Licensure
1 Hour Topic Review Session
Small Group Breakout Session
Ernest Mario School of Pharmacy
1.5 Hours Topic Review Session
Professional Topic Presentation
Teaching and Guest Speaker Assessment
Assessment of NAPLEX subject review teaching styles and components
(n=241; Class of 2009)
Guest speaker evaluation with respect to
helpfulness and relevance to practice
(n=241; Class of 2009)
Ernest Mario School of Pharmacy
Program Satisfaction
• Small group environment encouraged student participation
– 79% agreed/strongly agreed
• Activities were educational and/or provided insight into
professional issues
– 83% agreed/strongly agreed
• Activities were active and enjoyable
– 84% agreed/strongly agreed
Ernest Mario School of Pharmacy
2010 Schedule
Friday
Time
Monday
Tuesday
Wednesday
Thursday
8:00-9:30am
Pulmonary
Pediatrics
Nephrology
Psychiatry
Drug Information
9:30-11:00am
Oncology
OTC/Self Care
Toxicology
Neurology
Vaccines
Game
(Family Feud)
Game
(Jeopardy)
11:0011:30am
11:30am12:30pm
BREAK
Role Playing
(Difficult
Situations)
Ethics Debate
12:30-2:00pm
Patient Interview /
Physical
Assessment Skills
BREAK
2:00-3:30pm
Endocrine
Cardiology
Calculations
ID
ID
3:30-5:00pm
Student Project
Presentations
Medication
Therapy
Management
and
Immunizations
Licensure
Updates / Issues
for Practicing
Pharmacists /
Managed Care/
PDM / 3rd Party
Professional
Organizations
Panel
Discussion
Pathways to
Success in
Pharmacy
Ernest Mario School of Pharmacy
1.5 Hours Topic Review Session
Small Group Breakout Session
Professional Topic Presentation
Guest Lecture/Topic Review Selection
Evaluations of topic review benefit and relevance to students’ futures in
pharmacy practice (n=192; Class of 2010)]
Ernest Mario School of Pharmacy
Breakout Sessions: Interactive Games
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1 hour activities
Groups of ~35 students
Moderated by 1 faculty + 1 resident/fellow
Activities (role playing, debates, assessments, games)
Pharmily Feud
Ernest Mario School of Pharmacy
Jeopardy
Breakout Sessions Selection
Helpful & Relevant to Future in Pharmacy*
Neutral
Disagree/
Strongly
Disagree
Blank
88%
8%
4%
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Patient Interviewing &
Physical Assessment
Skills
62%
23%
9%
6%
Difficult Situations
62%
22%
15%
1%
Ethics Debate
60%
24%
15%
1%
Activity
Agree/
Strongly Agree
Interactive Games
*(n=192; Class of 2010)
Ernest Mario School of Pharmacy
2014 Schedule
Time
Tuesday
Wednesday
Thursday
8:00-9:30am
Cardiopulmonary
Calculations
OTC Review
9:30-11:00am
Nephrology
ID
Endocrine
11:00-11:30am
BREAK
BREAK
11:30am12:30pm
Game (Family Feud)
Game (Jeopardy)
11:00am-12:00pm
BREAK
12:00-1:00pm
12:30-2:00pm
BREAK
2:00-3:30pm
Neuropsychiatry
3:30-5:00pm
Licensure/Update on Law
1.5 Hours Topic Review Session
Ernest Mario School of Pharmacy
Inter-professional Education
Session (Medication Errors)
1:00-4:00pm
Physical Assessment Skills –
Group 1: 11:30am-12:30pm
BREAK
Physical Assessment Skills –
Group 2: 1:00-2:00pm
Pediatrics
Pathways to Success in Pharmacy
Small Group Breakout Session
Professional Topic Presentation
Summary
• PREP seminar provides therapeutics, educational, professional
and career related development via
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Topic reviews with lectures, cases and practice questions
Interactive games and hands-on showcases
Guest lecturers
Panel discussions
Inter-professional activities
• Well received by students
– Educational
– Interactive
– Enjoyable
Ernest Mario School of Pharmacy
Getting Ready for the Real World:
Evaluation of a Post-Rotational P4 Seminar
July 6, 2015
Rolee Das, Pharm.D., BCPS, Clinical Associate Professor
Lucio R. Volino, Pharm.D., Clinical Assistant Professor
Ernest Mario School of Pharmacy, Rutgers, The State University of New
Jersey