Objectives:   Assess student pharmacist knowledge of pharmacist prescribing of hormonal contraceptives and important details in order to safely and effectively prescribe  Assess student pharmacist attitudes and intention of offering this service if Pennsylvania allows for this innovative role  Assess student perceptions of curricular education to provide direct pharmacy access to hormonal contraceptionhttps://jdc.jefferson.edu/pharmacyposters/1024/thumbnail.jp

D\u27Allesandro, BS, Nicasia

Mayer, PharmD, BCACP, Danielle

Sargent, BS, Ashley

English

Jefferson Digital Commons

Thomas Jefferson University Jefferson Digital Commons College of Pharmacy Posters Jefferson College of Pharmacy 12-2020 Assessing pharmacy student knowledge, intent to practice, and perceptions of current learning as it pertains to pharmacist furnishing of hormonal contraception in Pennsylvania Ashley Sargent, BS Nicasia D'Allesandro, BS Danielle Mayer, PharmD, BCACP Follow this and additional works at: https://jdc.jefferson.edu/pharmacyposters  Part of the Pharmacy and Pharmaceutical Sciences Commons Let us know how access to this document benefits you This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion in College of Pharmacy Posters by an authorized administrator of the Jefferson Digital Commons. For more information, please contact: JeffersonDigitalCommons@jefferson.edu. As health care continues to evolve, pharmacists are increasingly relied upon to provide comprehensive, team-based care. Community pharmacists are some of the most accessible health care providers, offering healthcare services to people who may lack the means to receive care elsewhere.According to the CDC, 45% of all pregnancies were unintended, although many factors influence this statistic, the CDC and theAmerican College of Obstetricians andGynecologists (ACOG) support expandingaccess to care and education.1,2● 41% of women would access hormonalcontraception from their communitypharmacy.3• 25% of those women with undesiredpregnancies said they would have beenmore likely to use contraceptionif it were available at their pharmacies.4A barrier to legislative change is a fear that pharmacists furnishing hormonal contraception would deter women from going to routine gynecology check ups. However ACOG does not require a pelvic exam for initial contraception prescribing and considers community pharmacist access to be an important step in expanding care and referral.2,4  Furthermore, to address these concerns pharmacist protocols incorporate screening for potential complications and history of gynecological care and limits the types of contraception offered. Additionally connection to gynecological services is a critical component of many protocols5.BACKGROUNDOBJECTIVESCurrent Pennsylvania legislation does not allow pharmacists to offer contraception services; however, scope of practice is expanding across other states indicating the importance of training pharmacists and students to prepare for taking on this role. Therefore the objectives of this study were to: RESULTSDISCUSSION● Survey results indicated participants had an overall positive attitude regarding pharmacists’ involvement in providing contraception services and capability in prescribing hormonal contraception. ● Results of knowledge-based questions illustrated expected trends, showing progressively higher scores from P1s to P3s. ● The majority of survey respondents stated inpatient pharmacy as their future practice site with 84.6% intending to prescribe hormonal contraception if allowed to do so. Community-based pharmacy sites made up the second most frequent future practice site with 82.6% intending to prescribe hormonal contraception if allowed to do so. ● For P1s and P2, despite students feeling confident in their ability to recommend hormonal contraception, the majority stated that additional training is needed within their curriculum in order to do so. P3s felt the most confident in their ability to recommend a contraceptive product and had a lower percentage of students stating they needed additional training compared to other years.● The most preferred method to receive this training differed across professional year. P1 students preferred an elective course or a small group discussion/role play opportunities opposed to P2 and P3s preferring either added required lecture time or an elective option. LIMITATIONS● It is difficult to determine when and to what extent contraception pharmacology or therapeutics is offered in various curriculum or if elective course is offered. ● The overall sample size was small, limiting the ability to determine statistical significance across results. ● Knowledge-based questions were not proctored, although participants were asked to refrain from using outside resources, this could not be guaranteed. ● Due to the low number of negative responses (strongly disagree/disagree) in most questions, statistical tests were not adequately powered to compare significance. CONCLUSIONSResults depict that pharmacy students in Pennsylvania overall showed competency in knowledge-based questions regarding hormonal contraception. Students in all pharmacy years, P1 through P3, had an intention to prescribe hormonal contraception in the future if there is an opportunity to do so regardless of future practice site. The need for additional training in multiple aspects of prescribing was shown to be a common consensus among students, with the majority of students suggesting added lecture time. Lastly, many students felt as though having pharmacists prescribe hormonal contraception without a prescription from a physician, would benefit women’s health in general. The data demonstrates the need for future studies to assess additional students’ opinions and how to adequately prepare student pharmacists for this possible innovative role in Pennsylvania. REFERENCES1. Centers for Disease Control and Prevention. Reproductive Health: Unintended pregnancy:. https://www.cdc.gov/reproductivehealth/contraception/unintendedpregnancy/index.htm. Accessed November 20, 20202. Over-the-counter access to hormonal contraception. ACOG Committee Opinion No. 788. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;134:e96-105. https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Access-to-Hormonal-Contraception3. Grossman D, Ellertson C, Abuabara K, Blanchard K, Rivas FT. Barriers to contraceptive use in product labeling and practice guidelines. Am. J. Public Health 2006;96(5):791-799. doi:10.2105/AJPH.2004.040774.4. Sable MR, Libbus MK, Chiu JE. Factors affecting contraceptive use in women seeking pregnancy tests: Missouri, 1997. Fam. Plann. Perspect. 2000;32(3):124-131.5. Rodriguez MI, Anderson L, Edelman AB. Prescription of Hormonal Contraception by Pharmacists in Oregon: Implementation of House Bill 2879. Obstet Gynecol. 2016;128(1):168-170. doi:10.1097/AOG.0000000000001474Assessing pharmacy student knowledge, intent to practice, and perceptions of current learning as it pertains to pharmacist furnishing of hormonal contraception in PennsylvaniaAshley Sargent, BS;1 Nicasia D’Allesandro, BS;2 Danielle Mayer, PharmD, BCACP31,2 PharmD Candidate 2021, Thomas Jefferson University, Philadelphia PA; 3Dept. of Pharmacy Practice, Thomas Jefferson University, Philadelphia PA METHODSStudy Design: An electronic survey was created and piloted in the fall of 2020. The survey included seven sections: professional experiences, future work settings, knowledge-based questions, attitudes, future intentions, curriculum perceptions, and demographics.Study Population: Pharmacy students in their first through third professional year currently enrolled in one of the 7 Pennsylvania pharmacy schools.Survey: A recruitment letter containing the anonymous electronic Qualtrics survey was sent via email. The survey was closed after 4 weeks, and results were analyzed using descriptive statistics and chi-square analyses. KNOWLEDGE-BASED QUESTIONS19% of P1s scored a 100% on the five questions, opposed to 44% and 62% of P2s and P3s, respectivelyAssess student pharmacist knowledge of pharmacist prescribing of hormonal contraceptives and important details in order to safely and effectively prescribe1Assess student pharmacist attitudes and intention of offering this service if Pennsylvania allows for this innovative role2Assess student perceptions of curricular education to provide direct pharmacy access to hormonal contraception3

Assessing pharmacy student knowledge, intent to practice, and perceptions of current learning as it pertains to pharmacist furnishing of hormonal contraception in Pennsylvania

https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1024&context=pharmacyposters

Assessing pharmacy student knowledge, intent to practice, and perceptions of current learning as it pertains to pharmacist furnishing of hormonal contraception in Pennsylvania

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