Student EPA Survey (2018)



Student EPA Survey (2018)Core Entrustable Professional Activities for New Pharmacy Graduates Survey ? Thank you for agreeing to participate in this study regarding the entrustable professional activities (EPAs) for new pharmacy graduates.? We need your input!? You have been invited to participate because you are a Pharm.D. student at one of the following colleges/schools of pharmacy:St. Louis College of PharmacyUniversity of Oklahoma College of PharmacyUniversity of Minnesota College of PharmacyUniversity of Mississippi School of PharmacyThe questionnaire will require only 10-15 minutes to complete.Part One: DemographicsQ1 Please indicate your age:Less than 18 years old18-19 years old20-23 years old24-27 years old28-32 years old33 years old or olderQ2 Please indicate the pharmacy program in which you are enrolled:St. Louis College of PharmacyUniversity of Minnesota College of PharmacyUniversity of Mississippi School of PharmacyUniversity of Oklahoma College of PharmacyQ3 Please indicate your current year in the pharmacy program:First Year (P1Second Year (P2)Third Year (P3)Fourth Year (P4)Q4 Please estimate how much pharmacy practice experience hours you have accumulated to date.? Pharmacy practice experience includes both college/school and employment related experiences where you performed the duties of a pharmacy technician or pharmacy intern.Less than 500 hours500 to 1,500 hoursMore than 1,500 hoursQ5 Rate your level of awareness/understanding of Entrustable Professional Activities (EPAs):This is the first time I have heard of EPAsI have heard of EPAs but I don’t really know what they are or how they are usedI’m aware of EPAs and understand how they are or will be usedPart 2: Agreement with EPA statement AttributesThis questionnaire is intended to gather your opinions about the entrustable professional activities (EPA) for new pharmacy graduates which were recently published by the American Association of Colleges of Pharmacy (AACP). Specifically, we wish to determine if the EPAs are perceived by pharmacy students to be professional responsibilities that they will be expected to perform as a pharmacist. An EPA statement is a description of a unit of work that can be "entrusted" by a supervisor or patient to a health professional to perform. An EPA often involves the completion of several discrete supporting tasks. Here’s an example EPA statement: Collect information to identify a patient’s medication-related problems and health-related needs. You do not need to be familiar with EPAs to complete this survey. ? If you are not familiar with EPAs or want to know more, we encourage you to review (now or later) the AACP Core Entrustable Professional Activities for New Pharmacy Graduates. Click?HERE?to review the document. It’s a short, 2-page document and includes all 15 Core EPAs for new pharmacy graduates. This questionnaire contains 2 questions about each of the 15 EPA statements.? The first question asks whether the activity is relevant to pharmacy practice.? The second question asks whether the activity is an expectation for pharmacist to perform in multiple settings (e.g. would a pharmacist be expected to perform this EPA in community pharmacies, hospital pharmacies, and community health centers). The last 3?questions ask you to rate your CURRENT level of ability to perform the EPAs in the context of a case scenario. There are a total of 33 questions and it will require 12 to 15 minutes to complete.A pharmacist should be entrusted to:Is this EPA relevant to pharmacy practice? (Yes=Agree; No=Disagree)Is this EPA expected of pharmacists in multiple practice settings (e.g., community pharmacy, hospital pharmacy, etc.)? (Yes=Agree; No=Disagree)Collect information to identify a patient’s medication-related problems and health-related needs.Q6 – Yes NoQ7 – Yes NoAnalyze information to determine the effects of medication therapy, identify medication-related problems, and prioritize health-related needs.Q8 – Yes NoQ9 – Yes NoEstablish patient-centered goals and create a care plan for a patient in collaboration with the patient, caregiver(s), and other health professionals that is evidence-based and cost-effective.Q10 – Yes NoQ11 – Yes NoImplement a care plan in collaboration with the patient, caregivers, and other health professionals.Q12 – Yes NoQ13 – Yes NoFollow-up and monitor a care plan.Q14 – Yes NoQ15 – Yes NoCollaborate as a member of an interprofessional team.Q16 – Yes NoQ17 – Yes NoIdentify patients at risk for prevalent diseases in a population.Q18 – Yes NoQ19 – Yes NoMinimize adverse drug events and medication errors.Q20 – Yes NoQ21 – Yes NoMaximize the appropriate use of medications in a population.Q22 – Yes NoQ23 – Yes NoEnsure that patients have been immunized against vaccine-preventable diseases.Q24 – Yes NoQ25 – Yes NoEducate patients and professional colleagues regarding the appropriate use of medications.Q26 – Yes NoQ27 – Yes NoUse evidence-based information to advance patient care.Q28 – Yes NoQ29 – Yes NoOversee the pharmacy operations for an assigned work shift.Q30 – Yes NoQ31 – Yes NoFulfill a medication order.Q32 – Yes NoQ33 – Yes NoCreate a written plan for continuous professional development.Q34 – Yes NoQ35 – Yes NoPart 3: Rated Level of Ability to Perform EPA StatementsInstructions:? Please read the following scenario.? This case is intended to establish a practice setting context for you to consider as you respond to the EPA statements in the final section of this survey.You will not need to recall or use any specific details from the scenario.? You will not be "tested" in any way. ?Case Scenario: ?You are a pharmacist at Main Street Pharmacy which primarily serves patients in an ethnically diverse neighborhood in a medium-sized city.? Main Street Pharmacy typically fills 200 prescriptions per day.? You have two pharmacy technicians that report to you today.? The pharmacy is preparing for its annual inventory (next week) and the pharmacist-in-charge – who is off duty? – has left you a note to “keep today’s order from the wholesaler as light as possible.”? In addition, the pharmacist-in-charge has asked for your input regarding the performance evaluations for the 2 pharmacy technicians to be conducted at the end of the month. You and the pharmacist-in-charge have a collaborative practice agreement with a primary care group located in the same medical plaza with Main Street Pharmacy.? You provide long-term follow-up to patients who have hypertension, diabetes, or take anticoagulants.? The collaborative practice agreement enables you to make medication dose adjustments.? You have point of care testing equipment in your pharmacy.? The portable prothrombin time monitor is new and you are unfamiliar with how to use it. Mrs. Garcia is a 77-year-old Hispanic female who was recently discharged from the hospital.? Mrs. Garcia is accompanied by her daughter.? Mrs. Garcia is new to your pharmacy.? She brings the following prescriptions to you to be filled:Percocet 7.5/500mg tablets – 1 tablet every 4-6 hours as needed for pain #100 ref 0Lovenox 80mg syringes – inject 80mg subcutaneously every 12 hours #10 ref 0Coumadin 5mg tablets – 1 tablet every day except ? tablet on Thursdays #30 ref 0Toprol XL 100mg tablets – 1 tablet every day #30 ref 0Spironolactone 25mg tablets – 1 tablet twice daily #60 ref 0Diovan HCT 160/12.5 tablets – 1 tablet daily #30 ref 0Furosemide 40mg tablets – 1 tablet daily #30 ref 0Actos 30mg tablets – 1 tablet daily #30 ref 0Metformin 1000mg tablets – 1 tablet twice daily #60 ref 0Prozac 40mg capsules – 1 capsule daily #30 ref 0Mrs. Garcia has some difficulty communicating in English and she is unable to fill out the new patient questionnaire that you give to all new patients.? After questioning Mrs. Garcia and her daughter, you are able to determine that Mrs. Garcia has “heart problems” and “diabetes.”? She developed a “blood clot” during the hospitalization. In addition to the prescribed medications, Mrs. Garcia takes low-dose aspirin “most days” to prevent “more heart problems.”? She takes Ginkgo and Ginseng to improve her memory and St. John’s Wort to improve her mood.? Her daughter asks you whether it’s OK to take these “supplements” with her new medications.? Mrs. Garcia has never used an injectable medication before and she’s not too sure what to do. Mrs. Garcia recently moved from another city to live with her daughter and son-in-law.? Her husband died last year.? Due to your pharmacy’s proximity to her new home, she plans to use your pharmacy for all of her prescription drug needs.? She states that she has an appointment with a “new doctor” in the primary care group in your medical plaza in a few days.? She was told she needed to get “blood tests” for the blood thinner. ?She has not had a flu shot in “a long time.” Mrs. Garcia is worried that she won’t be able to afford all of her medications. Although she has Medicare Part D, she hit the “donut hole” last year.There are several professional activities present in this case. Faced with this scenario, please rate your CURRENT LEVEL of ability to perform each of the EPAs based on amount of supervision you feel you would need: RATING SCALE1=Observation only?(I do not yet feel confident in my ability to perform this activity, even with direct supervision)2=Direct Supervision?(I would be able to perform this activity with a pharmacist observing me and providing immediate feedback)3=Indirect supervision?(I would be able to independently perform this activity but with a pharmacist readily available to assist if needed and with an end of day review for feedback) 4=Periodic supervision?(I would be able to independently perform this activity without a pharmacist readily available and would only require someone to review my work for feedback every few weeks)5=General Direction?(I would able to independently perform this activity without a pharmacist readily available and believe I would only require an annual review regarding my performance) EPA STATEMENTSA pharmacist should be entrusted to:RATING SCALEQ36Collect information to identify a patient’s medication-related problems and health-related needs1 2 3 4 5Q37Analyze information to determine the effects of medication therapy, identify medication-related problems, and prioritize health-related needs1 2 3 4 5Q38Establish patient-centered goals and create a care plan for a patient in collaboration with the patient, caregiver(s), and other health professionals that is evidence-based and cost-effective.1 2 3 4 5Q39Implement a care plan in collaboration with the patient, caregivers, and other health professionals1 2 3 4 5Q40Follow-up and monitor a care plan.1 2 3 4 5Q41Collaborate as a member of an interprofessional team.1 2 3 4 5Q42Identify patients at risk for prevalent diseases in a population.1 2 3 4 5Q43Minimize adverse drug events and medication errors1 2 3 4 5 Q44Maximize the appropriate use of medications in a population.1 2 3 4 5Q45Ensure that patients have been immunized against vaccine-preventable diseases.1 2 3 4 5Q46Educate patients and professional colleagues regarding the appropriate use of medications.1 2 3 4 5Q47Use evidence-based information to advance patient care.1 2 3 4 5Q48Oversee the pharmacy operations for an assigned work shift.1 2 3 4 5Q49Fulfill a medication order.1 2 3 4 5Q50Create a written plan for continuous professional development.1 2 3 4 5Part 4: EPA Statements Most and Least Prepared ForEPA STATEMENTSA pharmacist should be entrusted to:Q51-53Choose (X) the?THREE (3) EPAs you feel MOST prepared to do at this point in your education.Q54-56Choose (X) the?THREE (3) EPAs?you feel LEAST prepared to do at this point in your education.Collect information to identify a patient’s medication-related problems and health-related needsAnalyze information to determine the effects of medication therapy, identify medication-related problems, and prioritize health-related needsEstablish patient-centered goals and create a care plan for a patient in collaboration with the patient, caregiver(s), and other health professionals that is evidence-based and cost-effective.Implement a care plan in collaboration with the patient, caregivers, and other health professionalsFollow-up and monitor a care plan.Collaborate as a member of an interprofessional team.Identify patients at risk for prevalent diseases in a population.Minimize adverse drug events and medication errorsMaximize the appropriate use of medications in a population.Ensure that patients have been immunized against vaccine-preventable diseases.Educate patients and professional colleagues regarding the appropriate use of medications.Use evidence-based information to advance patient care.Oversee the pharmacy operations for an assigned work shift.Fulfill a medication order.Create a written plan for continuous professional development. ................
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