Thai stakeholder's perceptions of the introduction of the Doctor of Pharmacy programme

Global pharmacy education and pharmacy practice continue to face remarkable changes. Many countries are undergoing major transformations in the field of pharmacy education. In developing countries, there is an increasing trend towards adopting the PharmD degree. Thai pharmacy education has transitioned from having two entry-level degrees – a 5-year BPharm (with three main tracks: pharmaceutical care, pharmaceutical sciences, social and administrative pharmacy) and a traditional 6-year PharmD (pharmaceutical care) programme – to a single national 6-year PharmD programme or ‘an all-PharmD programme’ (including industry pharmacy and pharmaceutical care tracks). Similar to other countries that have also been transitioning to ‘an all-PharmD programme’, there was limited evidence for the merit of the transition in Thailand. Although opinions and questions put forth on social media networks triggered debates about the need for the transition, there is a lack of an evidence-based and in-depth investigation about the reasons for this transition. This thesis explores the experiences and perceptions held by stakeholders concerning the transition towards an all-PharmD programme in Thailand. The study used a mixed methods approach through a quantitative analysis of surveys (Phase 1 and Phase 2) and interviews with stakeholders who were involved in pharmacy education (Phase 3). Findings from the three phases and other resources were triangulated and validated (by comparing and confirming them) to provide a better picture of the transition of pharmacy education in Thailand. Phase 1: A survey of the status of Thai pharmacy education. This study aimed to explore the status of pharmacy education in Thailand by using a questionnaire survey. The surveys were distributed to the deans of all 19 faculties of pharmacy in Thailand. The response rate was 84% (n = 16). Characteristics of the Faculties of Pharmacy, the teaching staff, types of PharmD programme, the number of training sites and quality assurance mechanisms were reported. The results showed that the Thai PharmD curriculum includes industrial pharmacy and clinical pharmacy tracks that differentiate it from the traditional US PharmD programme, which only focuses on patient care. There was a shortage of academic staff in the pharmaceutical care area and some faculties needed to better prepare for their training sites. Phase 2: A survey of the pharmacists’ perceptions towards the suitability of the PharmD graduates employed in hospital and community pharmacy settings and the competencies difference between the BPharm and the PharmD graduates. This study aimed to explore Thai pharmacists’ perceptions regarding the suitability of the PharmD graduates employed in hospital and community pharmacy settings, as well as the competency differences between the BPharm and PharmD graduates. A cross-sectional survey questionnaire was distributed to 180 hospital pharmacists and 200 community pharmacists during two conferences. The response rate was 55.6% among hospital pharmacists and 20% in the community pharmacists group. The findings highlighted that the PharmD graduates were suited for large hospital settings as they were well coordinated with the health care team. However, there were concerns regarding the suitability of the PharmD graduates for primary care settings, because of their lack of training in health promotion. Half of the respondents perceived PharmD graduates as having higher competencies in clinical activities and being more prepared to work than BPharm graduates. However, the other half of the respondents perceived the competencies of both pharmacy qualifications as being similar; PharmD graduates provide non-clinical activities similar to BPharm graduates, due to numerous barriers (e.g., high workload in dispensing services and the shortage of pharmacists) preventing PharmD pharmacists from providing direct pharmaceutical care services. Phase 3: Thai stakeholder’s perceptions of the introduction of the PharmD programme: a qualitative study. This qualitative study aimed to understand the experiences and perceptions of stakeholders, regarding the transition to an all-PharmD programme in Thailand. Semi-structured interviews were conducted with 130 stakeholders (e.g., policy makers, educators, health care providers, patients, students, and parents). The data were audio recorded, transcribed verbatim and analysed using an inductive thematic analysis. Three main themes were derived from the findings: 1) influences on the transition (e.g., the US-Thai consortium for the development of pharmacy education); 2) perceived benefits (e.g., improved pharmacy competencies from generalist to specialists); and 3) concerns (e.g., the higher cost of a longer period of study, and insufficient preceptors and training sites). This PhD study carries important implications for both universities and policy makers. Faculties of pharmacy should consider a long-term plan to develop sufficient qualified academic staff and preceptors. Policy makers should prepare a strategic plan for the future workforce supply and requirements, increase the flexibility of the PharmD curriculum during its transition stage, and prepare a supportive and enabling system for PharmD graduates to provide advanced practice at their full potential. Close coordination between faculties, the Pharmacy Council of Thailand and pharmacy professional organisations is needed to ensure that pharmacy education provides the necessary competencies for graduates to offer a high level of needed pharmacy services. Further research focussing on the outcome, impact and efficiency of the PharmD programme is also needed. To conclude, in this thesis, the issues surrounding the transition to an all-PharmD programme in Thailand were carefully investigated. This study reflects the influences and the requirements of the transition that it was initiated, in order to meet the need for higher levels of competency for the nation’s pharmacists and is influenced by many factors. The stakeholders perceived benefits from the transition. They thought that the PharmD graduates will have higher competencies and be ready to work as pharmacists compared to graduates from the previous pharmacy curriculum. The findings also addressed the following issues concerning curriculum change: the higher costs of a longer period of study, the mismatch between the pharmacy graduates’ competency and the job market’s needs and the shortage of qualified preceptors

Does a transition in education equate to a transition in practice?: Thai stakeholder’s perceptions of the introduction of the Doctor of Pharmacy programme

BackgroundPharmacy education and pharmacy practice are facing remarkable changes following new scientific discoveries, evolving patient needs and the requirements of advanced pharmacy competency for practices. Many countries are introducing or undertaking major transformations in pharmacy education. The Thai pharmacy curriculum has been changed from a 5-year BPharm and a 6-year PharmD to only a 6-year PharmD programme. Curriculum change processes usually involve stakeholders, including both internal and external educational institutions, at all levels. This study aims to understand the experiences and perceptions of stakeholders regarding the transition to an all-PharmD programme in Thailand.MethodsSemi-structured interviews were conducted in Thailand with 130 stakeholders (e.g., policy makers, pharmacy experts, educators, health care providers, patients, students and parents) from August-October 2013. The interviews were audio recorded, transcribed verbatim and analysed using an inductive thematic analysis.ResultsThree main themes were derived from the findings: 1. influences on curriculum change (e.g., the needs of pharmacists to provide better patient care, the US-Thai consortium for the development of pharmacy education); 2. perceived benefits (e.g., improve pharmacy competencies from generalists to specialists, ready to work after graduation, providing a high quality of patient care); and 3. concerns (e.g., the higher costs of study for a longer period of time, the mismatch between the pharmacy graduates’ competency and the job market’s needs, insufficient preceptors and training sites, lack of practical experience of the faculty members and issues related to the separate licenses that are necessary due to the difference in the graduates’ specialties).ConclusionsThis is the first study to highlight the issues surrounding the transition to the 6-year PharmD programme in Thailand, which was initiated due to the need for higher levels of competency among the nation’s pharmacists. The transition was influenced by many factors. Many participants perceived benefits from the new pharmacy curriculum. However, some participants were concerned about this transition. Although most of the respondents accepted the need to go forward to the 6-year PharmD programme, designing an effective curriculum, providing a sufficient number of qualified PharmD preceptors, determining certain competencies of pharmacists in different practices and monitoring the quality of pharmacy education still need to be addressed during this transitional stage of pharmacy education in Thailand

Hospital pharmacists’ perceptions of the suitability of doctor of pharmacy graduates in hospital settings in Thailand

BACKGROUND: Thai pharmacy education has moved to an all Doctor of Pharmacy (PharmD) programme. However, there has been no previous research about the perceptions regarding the suitability of PharmD graduates employed in hospital settings, which is the major pharmacy workforce in Thailand. METHODS: A cross-sectional survey questionnaire was distributed to 180 hospital pharmacists at the 2013 Association of Hospital Pharmacy (Thailand) conference. This study aimed to explore Thai hospital pharmacists’ perceptions concerning the suitability of the PharmD graduates employed in hospital settings and the competency differences between the Bachelor of Pharmacy (BPharm) and PharmD graduates. Descriptive statistics were used to present the participants’ demographics and their perceptions. An inductive thematic analysis was used to analyse the open-ended written answers. RESULTS: Ninety-eight valid responses were included in the data analysis (response rate of 55.6 %). The majority of the respondents (76.5 %) felt that the PharmD graduates were suited for the hospital setting and addressed its need for more professionals working in pharmaceutical care and with multi-disciplinary teams. Approximately 55 % of respondents agreed that there were competency differences between the BPharm and PharmD graduates. Major themes emerged in response to the open-ended written answers showing that PharmD graduates had high competency in patient care services and readiness to work, particularly in large hospitals, due to their training to work in specialised areas (e.g., special clinics, ward rounds). However, PharmD graduates require more training in health promotion and humanistic skills and need the system to promote the role of PharmD in pharmaceutical care. CONCLUSIONS: PharmD graduates were suited for hospital settings. However, there were concerns regarding the suitability of the PharmD graduates for the community hospital and primary care hospital settings because of their insufficient training in health promotion and disease prevention. Half of the respondents perceived PharmD graduates as having higher competencies in clinical activities and being more prepared to work than BPharm graduates. However, the other half of the respondents perceived the competency of both pharmacy qualifications as being similar, as PharmD graduates provide non-clinical activities similar to BPharm graduates due to the high workload in dispensing services and the shortage of hospital pharmacists, which prevent PharmD graduates from providing direct pharmaceutical care services. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12909-015-0471-6) contains supplementary material, which is available to authorized users

Thai stakeholder's perceptions of the introduction of the Doctor of Pharmacy programme

Global pharmacy education and pharmacy practice continue to face remarkable changes. Many countries are undergoing major transformations in the field of pharmacy education. In developing countries, there is an increasing trend towards adopting the PharmD degree. Thai pharmacy education has transitioned from having two entry-level degrees – a 5-year BPharm (with three main tracks: pharmaceutical care, pharmaceutical sciences, social and administrative pharmacy) and a traditional 6-year PharmD (pharmaceutical care) programme – to a single national 6-year PharmD programme or ‘an all-PharmD programme’ (including industry pharmacy and pharmaceutical care tracks). Similar to other countries that have also been transitioning to ‘an all-PharmD programme’, there was limited evidence for the merit of the transition in Thailand. Although opinions and questions put forth on social media networks triggered debates about the need for the transition, there is a lack of an evidence-based and in-depth investigation about the reasons for this transition. This thesis explores the experiences and perceptions held by stakeholders concerning the transition towards an all-PharmD programme in Thailand. The study used a mixed methods approach through a quantitative analysis of surveys (Phase 1 and Phase 2) and interviews with stakeholders who were involved in pharmacy education (Phase 3). Findings from the three phases and other resources were triangulated and validated (by comparing and confirming them) to provide a better picture of the transition of pharmacy education in Thailand. Phase 1: A survey of the status of Thai pharmacy education. This study aimed to explore the status of pharmacy education in Thailand by using a questionnaire survey. The surveys were distributed to the deans of all 19 faculties of pharmacy in Thailand. The response rate was 84% (n = 16). Characteristics of the Faculties of Pharmacy, the teaching staff, types of PharmD programme, the number of training sites and quality assurance mechanisms were reported. The results showed that the Thai PharmD curriculum includes industrial pharmacy and clinical pharmacy tracks that differentiate it from the traditional US PharmD programme, which only focuses on patient care. There was a shortage of academic staff in the pharmaceutical care area and some faculties needed to better prepare for their training sites. Phase 2: A survey of the pharmacists’ perceptions towards the suitability of the PharmD graduates employed in hospital and community pharmacy settings and the competencies difference between the BPharm and the PharmD graduates. This study aimed to explore Thai pharmacists’ perceptions regarding the suitability of the PharmD graduates employed in hospital and community pharmacy settings, as well as the competency differences between the BPharm and PharmD graduates. A cross-sectional survey questionnaire was distributed to 180 hospital pharmacists and 200 community pharmacists during two conferences. The response rate was 55.6% among hospital pharmacists and 20% in the community pharmacists group. The findings highlighted that the PharmD graduates were suited for large hospital settings as they were well coordinated with the health care team. However, there were concerns regarding the suitability of the PharmD graduates for primary care settings, because of their lack of training in health promotion. Half of the respondents perceived PharmD graduates as having higher competencies in clinical activities and being more prepared to work than BPharm graduates. However, the other half of the respondents perceived the competencies of both pharmacy qualifications as being similar; PharmD graduates provide non-clinical activities similar to BPharm graduates, due to numerous barriers (e.g., high workload in dispensing services and the shortage of pharmacists) preventing PharmD pharmacists from providing direct pharmaceutical care services. Phase 3: Thai stakeholder’s perceptions of the introduction of the PharmD programme: a qualitative study. This qualitative study aimed to understand the experiences and perceptions of stakeholders, regarding the transition to an all-PharmD programme in Thailand. Semi-structured interviews were conducted with 130 stakeholders (e.g., policy makers, educators, health care providers, patients, students, and parents). The data were audio recorded, transcribed verbatim and analysed using an inductive thematic analysis. Three main themes were derived from the findings: 1) influences on the transition (e.g., the US-Thai consortium for the development of pharmacy education); 2) perceived benefits (e.g., improved pharmacy competencies from generalist to specialists); and 3) concerns (e.g., the higher cost of a longer period of study, and insufficient preceptors and training sites). This PhD study carries important implications for both universities and policy makers. Faculties of pharmacy should consider a long-term plan to develop sufficient qualified academic staff and preceptors. Policy makers should prepare a strategic plan for the future workforce supply and requirements, increase the flexibility of the PharmD curriculum during its transition stage, and prepare a supportive and enabling system for PharmD graduates to provide advanced practice at their full potential. Close coordination between faculties, the Pharmacy Council of Thailand and pharmacy professional organisations is needed to ensure that pharmacy education provides the necessary competencies for graduates to offer a high level of needed pharmacy services. Further research focussing on the outcome, impact and efficiency of the PharmD programme is also needed. To conclude, in this thesis, the issues surrounding the transition to an all-PharmD programme in Thailand were carefully investigated. This study reflects the influences and the requirements of the transition that it was initiated, in order to meet the need for higher levels of competency for the nation’s pharmacists and is influenced by many factors. The stakeholders perceived benefits from the transition. They thought that the PharmD graduates will have higher competencies and be ready to work as pharmacists compared to graduates from the previous pharmacy curriculum. The findings also addressed the following issues concerning curriculum change: the higher costs of a longer period of study, the mismatch between the pharmacy graduates’ competency and the job market’s needs and the shortage of qualified preceptors

Additional file 2: of Hospital pharmacists’ perceptions of the suitability of doctor of pharmacy graduates in hospital settings in Thailand

Differences among the competency standard guidelines for licensure examination of the 5-year BPharm, the 2008 Announced 6-year PharmD programme and the 2012 Announced 6-year PharmD programme [14–17]. (DOCX 29 kb