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Development of innovative simulation teaching for advanced general practice clinical pharmacists

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Abstract

Background. Advanced General Practice Clinical Pharmacists (GPCPs) are expected to manage patients by undertaking clinical assessment then make safe, competent autonomous decisions. Simulation provides a safe learning environment to develop clinical skills, but is rarely used for postgraduate pharmacist development. Aim. Design and deliver innovative simulation teaching to support Advanced GPCPs in Scotland. Setting. General Practice.Development. Experienced clinical pharmacy educators designed a simulation day with ten scenarios based on general practice clinical presentations. Learning objectives were mapped to the National Advanced GPCP competency framework. Implementation. Simulation took place at the National Skills Education Hub, Louisa Jordan National Hospital, Glasgow, November 2020. Participants were briefed prior to each immersive simulation. Mannequins were used if clinical signs were expected to be identified on examination. Verbal and written feedback was given after each simulation. Evaluation. Pre and post simulation questionnaires were developed. Increase in confidence and competence were reported in all areas pertaining to application of consultation and clinical skills. Qualitative comments from the participants regarding the training course were also favourable with respondents highlighting the value of the training, especially in terms of developing confidence via the real-time feedback. Conclusion. This innovative simulation evaluated as being of value to GPCPs in developing clinical confidence and competence when dealing with a variety of typical General Practice scenarios. Plans are underway to establish a Scottish Pharmacy Simulation Faculty which could support this training in each health board.

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References

  1. The Scottish Government. Prescription for excellence: a vision and action plan for the right pharmaceutical care through integrated partnerships and innovation. Edinburgh: The Scottish Government; 2013.

  2. The Scottish Government. Achieving excellence in pharmaceutical care: a strategy for Scotland. Edinburgh: Scottish Government; 2017.

  3. The Scottish Government. The 2018 General Medical Services Contract for Scotland. Edinburgh: Scottish Government; 2017.

  4. Scottish Government Polypharmacy Model of Care Group. Polypharmacy Guidance, Realistic Prescribing. 3rd Ed ed. Edinburgh: Scottish Government; 2018.

  5. Stewart D, Bennie M, MacLure K, Newham R, Cunningham S, Bruce R, et al. Evaluation of pharmacy teams in GP practice. 2018; https://pure.strath.ac.uk/ws/portalfiles/portal/88119819/Stewart_Bennie_etal_RGU_University_of_Strathclyde_2018_Evaluation_of_Pharmacy_teams.pdf. Accessed June/8th, 2021.

  6. NHS Education for Scotland. General Practice Clinical Pharmacist: Competency and Capability Framework. 1st ed. Edinburgh: NES; 2016.

  7. Royal Pharmaceutical Society. Advanced Practice Framework. 2013; Available at: https://www.rpharms.com/resources/frameworks/advanced-pharmacy-framework-apf. Accessed 02/02, 2021.

  8. Royal College of General Practitioners Scotland, Royal Pharmaceutical Society Scotland. RCGP Scotland and RPS Scotland Joint Statement: Breaking down the barriers - how pharmacists and GPs can work together to improve patient care. Available at: http://www.rpharms.com/current-campaigns--scotland-pdfs/rpsscotlandrcgpjointstatement.pdf. Accessed Feb/24th, 2014.

  9. Bradley P. The history of simulation in medical education and possible future directions. Med Educ. 2006;40:254–62.

    Article  Google Scholar 

  10. McGaghie WC, Issenberg SB, Petrusa ER, Scalese RJ. A critical review of simulation-based medical education research: 2003–2009. Med Educ. 2010;44:50–63.

    Article  Google Scholar 

  11. Seybert AL. Patient simulation in pharmacy education. Am J Pharmaceut Ed. 2011;75:187.

    Article  Google Scholar 

  12. Seybert AL, Smithburger PL, Benedict NJ, Kobulinsky LR, Kane-Gill S, Coons JC. Evidence for simulation in pharmacy education. J Am Coll Clin Pharm. 2019;2:686–92.

    Article  Google Scholar 

  13. Branch C. Pharmacy students’ learning and satisfaction with high-fidelity simulation to teach drug-induced dyspepsia. Am J Pharmaceut Ed. 2013;77(2):30.

    Article  Google Scholar 

  14. Reape A, Lips-Nassif C, Bailey L, Ashwell P, Brown D. The use of human patient simulators for teaching UK pharmacy students about critical care. Pharm Ed. 2011;11:1–7.

    Google Scholar 

  15. Croft HA, Glass B, Gilligan C, Rasiah R, Levett-Jones T. Integrated simulation-based skills assessment for evaluating pharmacist competence: A scoping review. Pharm Ed. 2019;19:381–96.

    Google Scholar 

  16. Lloyd M, Watmough S, Bennett N. Simulation-based training: applications in clinical pharmacy. Pharm J. 2018;10. https://pharmaceutical-journal.com/article/research/simulation-based-training-applications-in-clinical-pharmacy

  17. Kirkpatrick DL, Kirkpatrick JD. Evaluating training programs: the four levels. 3rd ed. Oakland: Berrett-Koehler Publishers; 2006.

    Google Scholar 

  18. Terry D, Ganasan S, Aiello M, Huynh C, Wilkie V, Hughes E. Pharmacists in advanced clinical practice roles in emergency departments (PARED). Int J Clin Pharm. 2021. https://doi.org/10.1007/s11096-021-01275-6.

    Article  PubMed  Google Scholar 

  19. Forsyth P, Rushworth GF. Advanced pharmacist practice: where is the United Kingdom in pursuit of this ‘Brave New World’? Int J Clin Pharm. 2021. https://doi.org/10.1007/s11096-021-01276-5.

    Article  PubMed  Google Scholar 

  20. Bates I, Bader LR, Galbraith K. A global survey on trends in advanced practice and specialisation in the pharmacy workforce. Int J Pharm Pract. 2020;28:173–81.

    Article  Google Scholar 

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Acknowledgements

The authors would like to acknowledge the following groups and organisations for their help with the set-up, design and delivery of this course: staff of the Louisa Jordan National Hospital for their assistance in the set-up of this course; Robert Gordon University School of Pharmacy & Life Sciences, NES, NHS Highland & NHS Shetland for releasing teaching staff to participate in the design and delivery of the course.

Funding

Funding for the development of this course was given by NES. Funding for the delivery of this teaching was given by NES and the HPERC.

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Correspondence to G. F. Rushworth.

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Rushworth, G.F., Innes, C., Macdonald, A. et al. Development of innovative simulation teaching for advanced general practice clinical pharmacists. Int J Clin Pharm 43, 817–824 (2021). https://doi.org/10.1007/s11096-021-01305-3

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  • DOI: https://doi.org/10.1007/s11096-021-01305-3

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