Early Clinical Experiences for Second-Year Student Pharmacists at an Academic Medical Center

Objective. To examine student outcomes associated with the Student Medication and Reconciliation Team (SMART) program, which was designed to provide second-year student pharmacists at the University of North Carolina (UNC) Eshelman School of Pharmacy direct patient care experience at UNC Medical Center

Early Clinical Experiences for Second-Year Student Pharmacists at an Academic Medical Center

Objective. To examine student outcomes associated with the Student Medication and Reconciliation Team (SMART) program, which was designed to provide second-year student pharmacists at the University of North Carolina (UNC) Eshelman School of Pharmacy direct patient care experience at UNC Medical Center. Design. Twenty-two second-year student pharmacists were randomly selected from volunteers, given program training, and scheduled for three 5-hour evening shifts in 2013-2014. Pre/post surveys and reflection statements were collected from 19 students. Data were analyzed with a mixed methods approach. Assessment. Survey results revealed an increase in student self-efficacy (p<0.05) and positive perceptions of SMART. Qualitative findings suggest the program provided opportunities for students to develop strategies for practice, promoted an appreciation for the various roles pharmacists play in health care, and fostered an appreciation for the complexity of real-world practice. Conclusion. Early clinical experiences can enhance student learning and development while fostering an appreciation for pharmacy practice

Microbial indicators as a diagnostic tool for assessing water quality and climate stress in coral reef ecosystems

Microorganisms play a fundamental role in the functioning and stability of coral reef ecosystems. However, environmental disturbances can trigger alterations to the natural microbial community composition and their functional traits with potentially detrimental consequences for host organisms, such as corals, sponges and algae and concomitant implications for the entire coral reef ecosystem. Coral reefs are increasingly affected by localized impacts such as declining water quality and global pressures derived from human-induced climate change, which severely alters the natural conditions on reefs and can push dominating benthic life forms towards the limit of their resistance and resilience. Microorganisms can respond very rapidly to these altered environmental conditions so defining their natural variability over spatial and temporal gradients is critical for early and accurate identification of environmental disturbances. The rapid response of microbes to environmental change is likely to confer significant advantages over traditional reef monitoring methods, which are based on visual signs of health deterioration in benthic coral reef macroorganisms. This review discusses the potential of microbes as early warning indicators for environmental stress and coral reef health and proposes priorities for future research