Evaluation of pharmacy students’ clinical interventions on a general medicine practice experience
As colleges of pharmacy prepare a new generation of practitioners, it is important that during practice experiences students learn the impact of clinical interventions. For over ten years, pharmacy students have been a vital part of the multidisciplinary team at the military treatment facility. The overall impact of the student interventions on patient care has not been evaluated. To evaluate the impact, the students began documenting their clinical interventions in Medkeeper RxInterventions™, an online database. The program is used to document faculty and fourth year pharmacy students’ pharmaceutical interventions.
Objective: The objective of this study was to analyze the interventions completed by fourth year pharmacy students during a general medicine advanced pharmacy practice experience at a military treatment facility.
Methods: The students completing their general medicine advanced pharmacy practice experience at the military treatment facility are responsible for self reporting all interventions made during clinical rounds into the Medkeeper RxIntervention™ database. The researchers retrospectively collected and analyzed interventions made from June 2008 to June 2009.
Results: The total number of interventions recorded by 8 fourth year pharmacy students was 114. Students averaged a number of 14.3 interventions during an eight week practice experience. Students spent an average of 5 minutes per intervention. Ninety- five percent of the interventions were accepted.
Conclusion: Fourth year pharmacy students’ recommendations were accepted at a high rate by resident physicians. The high acceptance rate may have the ability to positively impact patient care.
Keywords: Students, Pharmacy. Education, Pharmacy, Graduate. United States.
2. MacKinnon G. Analysis of pharmacy student interventions collected via an internet based system. Am J Pharm Educ. 2003;67(3):1-12.
3. Scarsi K, Fotis M, Noskin G. Pharmacist participation in medical rounds reduces medication errors. Am J Health-Syst Pharm. 2002;59:2089-2092.
4. Kucukarslan S, Peters M, Mlynarek M, Nafziger DA. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Arch Intern Med. 2003;163:2014-2018.
5. Kaboli PH, Hoth AB, McClimon BJ, Schnipper JL. Clinical pharmacists and inpatient medical care. Arch Intern Med. 2006;166:955-964.
6. Kane SL, Weber RJ, Dasta JF. The impact of critical care pharmacists on enhancing patient outcomes. Intensive Care Med. 2003;29:691-698.
7. Jennings HR, Poe K, Eberwein K, et al. Savings associated with the clinical activities of doctor of pharmacy students during advance pharmacy practice experiences. Am J Health-Syst Pharm. 2004;39:101D Presented at 2004 ASHP Midyear Clinical Meeting, Orlando, Florida.
8. Slaughter R, Erickson S, Thomson P. Clinical interventions provided by doctor of pharmacy students. Ann Pharmacother. 1994;28:665-670.
9. Sears E, Generali J. Adverse drug reaction and medication error reporting by pharmacy students. Ann Pharmacother. 2005;39:452-459.
10. King ED, Wilson MA, Van LY, Emanuel FS. Documentation of pharmacotherapeutic interventions of pharmacy students. Pharmacy Practice (Internet). 2007;5(2):95-98.
11. Sauer BL, Heeren DL, Walker RB, King JH, Mussallam NA. Computerized documentation of activities of PharmD clerkship students. Am J Health Syst Pharm.1997;54:1727-1732.
12. Pham DQ. Evaluating the impact of clinical interventions by PharmD students on internal medicine clerkships: the results of a 3 year study. Ann Pharmacother. 2006 Sep; 40(9):1541-1545.
13. Briceland LL, Kane MP, Hamilton RA. Evaluation of patient-care interventions by PharmD clerkship students. Am J Health Syst Pharm. 1992;49(5):1130-1132.
14. Dennehy C, Kroon L, Byrne M, Koda-Kimble MA. Increase in number and diversity of clinical interventions by PharmD. students over a clerkship rotation. Am J Phar Educ.1998;62:373-379.
15. Brockmiller H. Abel CP, Koh-KnoX CP, Birk CW. Cost impact of PharmD candidates’ drug therapy recommendations. Am J Health Syst Pharm. 1999;56(9):882-884.
16. Taylor CT, Church CO, Byrd DC. Documentation of clinical interventions by pharmacy faculty, residents, and students. Ann Pharmacother. 2000;34(7):843-847.
17. Slaughter RL, Erickson SR, Thomson PA. Clinical interventions provided by doctor of pharmacy students. Ann Pharmacother. 1994;28(5):665-670.
18. Pound MW, Miller SM. Written versus oral recommendations made by pharmacy students during internal medicine rotations. Ann Pharmacother. 2007;41(5):772-776.
19. Lundquist L, Moye P. Resident physicians’ acceptance of pharmacy students’ pharmacotherapy recommendations during an ambulatory care advanced pharmacy practice experience. Am J Pharm Educ. 2009;73(8):1-4.
20. Chisholm MA, Hawkins WE, Taylor AT. Providing pharmaceutical care: are pharmacy students beneficial to patients? Hosp Pharm. 1997; 32:371-373.
21. DiVall MV, Zikaras B, Copeland D et al. School-wide clinical intervention system to document pharmacy students’ impact on patient care. Am J Pharm Educ. 2010;74(1);1-8.
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