Evaluation of the entrustable professional activities (EPAs) of the population health promoter domain by North Dakota pharmacists

Keywords: Pharmacists, Students, Pharmacy, Education, Pharmacy, Schools, Pharmacy, Accreditation, Competency-Based Education, Internship, Nonmedical, Pharmacies, Medication Errors, Population Health, North Dakota


Objective.  Entrustable Professional Activities (EPAs) are a list of professional tasks (with associated competency ratings) that pharmacy educational organizations support, and accreditation organizations require, for assessment by colleges and schools of pharmacy. This manuscript assesses the perceived frequency of performing EPAs in the population health promoter (PHP) domain among pharmacists practicing in North Dakota.

Methods.  This survey assessed the self-reported EPA activities (inclusive of the PHP domain) of registered pharmacists living and practicing in North Dakota. There were 990 pharmacists surveyed, and 457 (46.1%) of pharmacists responded.

Results. Within the PHP domain, pharmacists reported performing “Minimize adverse drug events and medication errors” most frequently (mean=3.4, SD=2.0), followed by “Ensure that patients have been immunized against vaccine-preventable diseases” (mean=2.3, SD 2.3), “Maximize the appropriate use of medications in a population” (mean=2.2, SD 2.3), and “Identify patients at risk for prevalent diseases in a population” (mean=1.3, SD=1.9). In these Core EPAs PHP domains, the clinical pharmacists reported the highest level, followed by pharmacy managers and staff pharmacists.

Conclusion. Pharmacists in North Dakota reported that EPAs in the PHP domain are practiced regularly. Thus, EPAs in the PHP domain have potential as a means to assess outcomes in pharmacy education and practice.



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ten Cate O, Scheele F. Competency-based postgraduate training: can we bridge the gap between theory and clinical practice?. Acad Med. 2007;82(6):542-547. https://doi.org/10.1097/acm.0b013e31805559c7

ten Cate O. Entrustability of professional activities and competency-based training. Med Educ. 2005;39(12):1176-1177. https://doi.org/10.1111/j.1365-2929.2005.02341.x

Hauer KE, Kohlwes J, Cornett P, Hollander H, Ten Cate O, Ranji SR, Soni K, Iobst W, O'Sullivan P. Identifying entrustable professional activities in internal medicine training. J Grad Med Educ. 2013;5(1):54-59. https://doi.org/10.4300/jgme-d-12-00060.1

Pittenger AL, Chapman SA, Frail CK, Moon JY, Undeberg MR, Orzoff JH. Entrustable Professional Activities for Pharmacy Practice. Am J Pharm Educ. 2016;80(4):57. https://doi.org/10.5688/ajpe80457

Haines ST, Pittenger A, Plaza C. Describing Entrustable Professional Activities Is Merely the First Step. Am J Pharm Educ. 2017;81(1):18. https://doi.org/10.5688/ajpe81118

Jarrett JB, Berenbrok LA, Goliak KL, Meyer SM, Shaughnessy AF. Entrustable Professional Activities as a Novel Framework for Pharmacy Education. Am J Pharm Educ. 2018;82(5):6256. https://doi.org/10.5688/ajpe6256

Pittenger AL, Copeland DA, Lacroix MM, Masuda QN, Mbi P, Medina MS, Miller SM, Stolte SK, Plaza CM. Report of the 2016-17 Academic Affairs Standing Committee: Entrustable Professional Activities Implementation Roadmap. Am J Pharm Educ. 2017;81(5):S4. https://doi.org/10.5688/ajpe815s4

Haines ST, Gleason BL, Kantorovich A, McCollum M, Pittenger AL, Plaza CM, Stolte SK, Trujillo JM. Report of the 2015-2016 Academic Affairs Standing Committee. Am J Pharm Educ. 2016;80(9):S20. https://doi.org/10.5688/ajpe809s20

Haines ST, Pittenger AL, Stolte SK, Plaza CM, Gleason BL, Kantorovich A, McCollum M, Trujillo JM, Copeland DA, Lacroix MM, Masuda QN, Mbi P, Medina MS, Miller SM. Core Entrustable Professional Activities for New Pharmacy Graduates. Am J Pharm Educ. 2017;81(1):S2. https://doi.org/10.5688/ajpe811s2

Scott DM, Kelsch MP, Hanel M, Friesner DL. Appraisal of the entrustable professional activities (EPAs) patient care provider domain by North Dakota pharmacists. Pharm Pract (Granada). 2019;17(4):1607. https://doi.org/10.18549/pharmpract.2019.4.1607

Scott DM, Naughton CA, Petry N, Friesner DL. Assessment of Practice Management Entrustable Professional Activities by Pharmacists in North Dakota. Am J Pharm Educ. 2019;83(10):7486. https://doi.org/10.5688/ajpe7486

Scott DM. Assessment of pharmacists' perception of patient care competence and need for training in rural and urban areas in North Dakota. J Rural Health. 2010;26(1):90-96. https://doi.org/10.1111/j.1748-0361.2009.00270.x

Draugalis JR, Coons SJ, Plaza CM. Best practices for survey research reports: a synopsis for authors and reviewers. Am J Pharm Educ. 2008;72(1):11. https://doi.org/10.5688/aj720111

Scott DM, Strand M, Undem T, Anderson G, Clarens A, Liu X. Assessment of pharmacists' delivery of public health services in rural and urban areas in Iowa and North Dakota. Pharm Pract (Granada). 2016;14(4):836. https://doi.org/10.18549/pharmpract.2016.04.836

Dillman D, Smyth J, Christian L. Internet, Mail, and Mixed Mode Surveys: The Tailored Design Method. 3rd edition. Hoboken, NJ: John Wiley and Sons; 2009.

Nulty D. Adequacy of response rates to online and paper surveys: What can be done? Assess Eval High Educ 2008;33(3):301-314. https://doi.org/10.1080/02602930701293231

Slack MK, Baidoo B. Chapter 10: Bivariate analysis and comparing groups. In: Principles of Research Design and Drug Literature Evaluation. Aparasu R, Bentley J, eds. Burlington, MA: Jones and Bartlett; 2015.

Friesner, D. Institutional policy making in (in)action: The case of pharmacy ownership in North Dakota. J Econ Issues 2009;43(4):1025-1042. https://doi.org/10.2753/JEI0021-3624430410

Strand MA, Scott DM, Undem T, Anderson G, Clarens A, Liu X. Pharmacist contributions to the ten essential services of public health in three National Association of Boards of Pharmacy regions. J Am Pharm Assoc (2003). 2017;57(3):395-401. https://doi.org/10.1016/j.japh.2017.02.021

Gaither CA, Doucette WR, Kreling DH, Mott DA, Schommer JC. Final Report of 2014 National Pharmacist Workforce sample survey to determine contemporary demographic practice characteristics and quality of work-life. https://www.aacp.org/sites/default/files/finalreportofthenationalpharmacistworkforcestudy2014.pdf (accessed Mar 24, 2020).

Skoy ET, Kelsch M, Hall K, Choi BJ, Carson P. Increasing adult immunization rates in a rural state through targeted pharmacist education. J Am Pharm Assoc (2003). 2020. [Ahead of Print]. https://doi.org/10.1016/j.japh.2020.04.014

Strand MA, Eukel H. A Primary Prevention Approach to the Opioid Epidemic. Am J Public Health. 2019;109(6):861-863. https://doi.org/10.2105/ajph.2019.305060

Eukel HN, Skoy E, Werremeyer A, Burck S, Strand M. Changes in Pharmacists' Perceptions After a Training in Opioid Misuse and Accidental Overdose Prevention. J Contin Educ Health Prof. 2019;39(1):7-12. https://doi.org/10.1097/ceh.0000000000000233

Strand MA, Eukel H, Burck S. Moving opioid misuse prevention upstream: A pilot study of community pharmacists screening for opioid misuse risk. Res Social Adm Pharm. 2019;15(8):1032-1036. https://doi.org/10.1016/j.sapharm.2018.07.011

How to Cite
Scott DM, Kelsch M, Zhang A, Friesner DL. Evaluation of the entrustable professional activities (EPAs) of the population health promoter domain by North Dakota pharmacists. Pharm Pract (Granada) [Internet]. 2020Aug.12 [cited 2021Jul.26];18(3):1980. Available from: https://pharmacypractice.org/journal/index.php/pp/article/view/1980
Original Research