Poster presented at the 5th PCNE Working Symposium 2016: “Work in Progress – Progress in Work”, 19-20 February 2016, Hillerød, Denmark

Bruno, Andreia

Costa, Filipa Alves da

Cotrim, Hortense

Faria, Flávio

Gomes, Perpétua

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Practice-driven restructuring of the pharmacy curricula: focus on advanced services Filipa Alves da Costa1,4, Hortense Cotrim1, Flávio Faria2, Andreia Bruno3, Perpétua Gomes1 1. Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Superior de Ciências da Saúde Egas Moniz (ISCSEM), Caparica, Portugal 2. Instituto Superior de Ciências da Saúde Egas Moniz (ISCSEM), Monte da Caparica, Portugal. 3. FIP Collaborating Centre, UCL School of Pharmacy, London, UK. 4. Registo Oncológico Regional Sul, Instituto Português de Oncologia de Lisboa Francisco Gentil (ROR-Sul, IPOLFG), Lisboa, Portugal         The publication of the Decree 1429/2007 [1] introducing new pharmacy services has made the Integrated Masters of Pharmaceutical Sciences (IMPS) curricula unfit to the new demands of the pharmacist profession. Informal interviews conducted with practitioners confirmed the gap of recent graduates from all faculties to provide enhanced services. Introduction                The impact of this curricula change will only be possible to assess within 2 years, once these students are already in practice. The unit was also submitted to the PPS and it is being evaluated to confirm if further training is required to gained this approved competency in Portugal. Discussion and Conclusions                                                    1. Portaria 1429/2007 published in Diário da República N.º 211 de 2 de novembro de 2007, Série I, p. 7993    2. Bruno A., Bates I., Brock T. And Anderson C. Towards a Global Competency Framework. Am J Pharm Educ 2010;74(3):56.    3. International Pharmaceutical Federation (FIP). Global Competency Framework (GbCF v1) for Services Provided by Pharmacy Workforce. The Hague: International Pharmaceutical Federation; 2012.      5th PCNE Working Symposium 2016; Hillerød, Denmark: “Work in Progress – Progress in Work”, 19-20 February  2016                         To describe the contents identified by the Portuguese Pharmaceutical Society (PPS) as core competencies and to demonstrate how these were incorporated into the new curricula.  Aims                              This curricular unit is mainly practical, where contact hours are divided between 6 core competencies .    The global competency framework (GbCF) of FIP [2,3], considered by the PPS and currently being validated for general practice and specialisations, was used as mapping tool to identify core competencies expected from pharmacy students who will engage in advanced services – unit Administration of Injectable Medicines. Methods References Faculty-based practices are complemented with observational practices made available by community pharmacies, health centres and nursing facilities.  Competence acquisition is evaluated using Objective Structured Assessment of Technical Skills (OSATS) during the semester, and using Objective Structured Clinical Examination (OSCE) at the end of the semester. Competence sustainability is reassessed, using OSATS, 6 months later. The latter is optional for graduation purposes, but compulsory for PPS accreditation. Results Figure 1. Competency 1 - Administration of injectable medicines (16 hours). Intra-muscular and subcutaneous routes Figure 2. Competency 2- Provision of first aid (6 hours) Figure 3. Competency 3 - Wound treatment and bandage application (4 hours) Figure 4. Competency 4 - Measurement, interpretation and monitoring of biomarkers (4 hours) Figure 5. Competency 5 – Case of online order and home delivery of non-prescription medicines (1 hour) 16-year old female emails the pharmacy requesting immediate home-delivery of Levonorgestrel. The student is expected to contact the patient requesting additional information. If requested: She lives in the same village, takes regularly Etinilestradiol + Gestodeno (0.015 mg + 0.06 mg), intercourse 8 hours ago, did not use condom, during this cycle she forgot a white pill, which she took the following day.  Figure 6 Competency 6 – Medication review [MR] (8 hours)  Intermediate  MR Advanced MR Simple MR 4 clusters  20 Competencies 100 Behaviours  Competencies identified: Health promotion Medicines Information and advice Medicines Communication skills  Legal and regulatory practice  Professional and ethical practice Continuing professional development  Core Modules: Fundamental concepts of immunology  Vaccines and/or injectable medicines Legislation and good practice Security of the service Communication with the patient Administration technique Core Modules: Administration of injectable medicines Provision of first aid Wound treatment and bandage application Measurement, interpretation and monitoring of biomakers Online order and home delivery of non-prescription medicines Medication review 

Practice-driven restructuring of the pharmacy curricula: focus on advanced services

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Practice-driven restructuring of the pharmacy curricula: focus on advanced services

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