Outcomes of a Pharmacotherapy/Research Rotation in a Family Medicine Training Program
|
|
- Colleen Jenkins
- 5 years ago
- Views:
Transcription
1 Vol. 40, No Residency Education Outcomes of a Pharmacotherapy/Research Rotation in a Family Medicine Training Program Julie A. Murphy, PharmD, BCPS; Sarah P. Shrader, PharmD, BCPS; Audrey K. Montooth, MD Background and Objectives: The effects of a required pharmacotherapy/research rotation in family medicine residency programs, precepted by a clinical pharmacist, have not been documented in the literature. This study evaluated the effects that a focused pharmacotherapy/research rotation had on family medicine residents knowledge of pharmacotherapy and research topics. Methods: During the first year of a family medicine residency, 15 residents were required to complete 1 month in pharmacotherapy and research. They spent time observing a pharmacist-run clinic and discussing pharmacotherapy and research topics. Residents completed a 20-question pretest and a posttest consisting of 15 pharmacotherapy and five research questions while on the rotation. Higher scores on the tests indicated higher levels of knowledge. The differences in mean scores were evaluated using paired t tests. Results: Overall, the mean score on the pretest was compared to on the posttest. Mean scores on the pharmacotherapy and research components for the pretests and posttests were 7.27 compared to and 2.87 compared to 4.20, respectively. Conclusions: A focused pharmacotherapy/research rotation, precepted by a clinical pharmacist, increases family medicine residents knowledge. (Fam Med 2008;40(6):395-9.) One third of adults in the United States take more than five medications, and 1.5 million preventable adverse drug events occur each year. 1 Approximately 65% of primary care office visits end with the clinician providing a prescription for a medication, and more than one third of patients are provided with prescriptions for multiple medications. 2 New and costly medications are developed and marketed each year, and the amount of medical information that is published in the scientific literature is also increasing; from , there were more than 2.5 million citations in the medical literature. 3 Despite the growing amount of medical information and increasing medication usage, current medical students and residents report a lack of training in pharmacotherapy and evidence-based medicine. 4-5 Formalized training in the area of pharmacotherapy and research may be needed. From the Mercy Family Medicine Residency Program and St Louis College of Pharmacy (Dr Murphy); Department of Family Medicine, Medical University of South Carolina and South Carolina College of Pharmacy (Dr Shrader); and Esse Health, St Louis (Dr Montooth). About 30% of family medicine residency programs have a pharmacist directly involved in teaching pharmacotherapy. 6 The majority of these pharmacists hold academic appointments in schools of pharmacy or medicine. Clinical pharmacists complete 4 years of doctorate training related to medications, and the majority of clinical pharmacists also have a minimum of 1 year of postdoctorate residency or fellowship training focusing on pharmacology, medication interactions, pharmacotherapy, research, and evidence-based medicine. This training permits pharmacists to serve as faculty members and teach residents about appropriate medication use and evidence-based medicine. In contrast to the established role in which clinical pharmacists participate in family medicine residency programs, the outcomes of their participation have not been established. We established a pharmacotherapy/ research rotation at the Forest Park Hospital Family Medicine Residency Program with the objective of teaching residents about the principles of rational drug therapy evaluation, prescribing, and monitoring and additionally teaching the principles of medical research
2 396 June 2008 Family Medicine and evidence-based medicine. The pharmacotherapy/ research rotation was created around the six core competencies in the Accreditation Council for Graduate Medical Education (ACGME) requirements and the curriculum focused on adult and community medicine, resident research, and scholarly activity topics suggested by the Residency Assistance Program (RAP) and the Society of Teachers of Family Medicine (STFM) Group on Pharmacotherapy. 7-9 The ACGME requirements state that additional faculty may be needed to teach about medications and their interactions, and in our situation the additional faculty member was a pharmacist. 7 This study evaluated the effect of a focused pharmacotherapy/research rotation, precepted by a pharmacist, on family medicine residents knowledge of the aforementioned topics. The study was granted an exemption from formal review by our institutional review board. Methods During the first year of residency, residents in our program are required to complete a 1-month pharmacotherapy/research/behavioral medicine rotation. The goal of the pharmacotherapy/research portion of the rotation was to provide learning opportunities that enabled residents to develop and/or refine the knowledge, skills, and attitudes necessary to provide pharmaceutical care with an evidence-based approach. The specific objectives for the pharmacotherapy and research components of the rotation are listed in Table 1. From July 2004 through June 2006, residents on this rotation spent time participating in various activities related to pharmacotherapy and research. The clinical pharmacists facilitated the sessions for the residents and for the majority of activities, pharmacy students and a pharmacy resident were also present. A summary of the residents schedule and activities is listed in Table 2. Topics of Education During the rotation, each resident reviewed the safety, tolerability, efficacy, and pharmacoeconomics of selected medication classes related to primary care disease states addressed in the ACGME requirements for family medicine (anticoagulation, diabetes, hyperlipidemia, hypertension, immunizations, and pulmonary disorders). They also received current guidelines for use of these medication classes. When time permitted, residents selected additional pharmacotherapy topics of interest to them (eg, treatment of migraines, seizures, contraception, infectious disease, etc). During the rotation orientation, residents were provided a copy of a CD-ROM containing some of the current treatment guidelines and review articles of the pharmacotherapy topics listed above. In addition, they were provided with a 1-hour tutorial of effective search strategies and resources to obtain drug information. The residents were required to obtain treatment guidelines on the additional pharmacotherapy topics of interest to them and review articles for two of the topic discussions to practice their searching skills. The topic discussions generally lasted about 3 hours and incorporated some aspects of active learning or hands-on demonstration (cases, jeopardy, glucometer education, insulin administration, and inhaler technique). This rotation accounted for the largest amount of pharmacotherapy information on common disease states encountered during residency training, though residents were also exposed to these topics throughout the year during conferences and while providing direct patient care in the clinic and on the inpatient service. Pharmacy Clinic The residents observed and participated in a pharmacist-run clinic throughout the month. The clinic provided care for patients within the family medicine practice (often referred to as the clinic by the residents) and used a collaborative drug therapy management protocol to adjust medications and provide education for patients with common chronic diseases encountered in primary care. Diseases that the pharmacist-run clinic managed included anticoagulation, diabetes, hypertension, hyperlipidemia, and travel medicine. The residents applied the information they learned from pharmacotherapy discussions and in the pharma- Table 1 Pharmacotherapy/Research Rotation Objectives Pharmacotherapy Objectives Assess patient-specific disease states Evaluate patient-specific drug therapy and therapeutic problems Communicate with patients and health professionals Collaborate with patients, caregivers, and health professionals Select and recommend a comprehensive drug therapy plan Monitor drug therapy Educate patients and health professionals Research Objectives Describe the importance of research in patient care Summarize basic research designs Evaluate the components of a research article Explain the findings of a research article Use appropriate resources to complete literature searches Formulate a research question Collect and analyze data to answer a research question
3 Residency Education Vol. 40, No Table 2 Pharmacotherapy/Research Rotation Schedule Number of Half Days Activity 6 Reading time 5 Participate in behavioral medicine clinic 5 Pharmacotherapy topic discussions 3 Family medicine conference 3 Participate in pharmacist-run clinic 3 Resident office hours in family medicine office 2 Research topic discussions 1 Medical record review 1 Observation in a community pharmacy 1 Rotation orientation 10 Vacation cist-run clinic to their own patients via chart reviews. They brought multiple patient charts to one 3-hour chart review session focusing on their prescribing patterns and adherence to treatment guidelines. For the majority of residents, many areas in need of improvement were identified, and they were encouraged to implement changes in pharmacotherapy management at the next patient encounter. Research Discussions The residents participated in two 3-hour research discussions. During the first session, the discussion focused on ethical principles of research and the function of institutional review boards. The second session was about study designs. Residents were to read a case report, a case-control study, a cohort study, a randomized controlled trial, and a meta-analysis that were provided for them. The advantages and disadvantages of the various designs were reviewed. They also reviewed biostatistics, including basic concepts, descriptive statistics, sensitivity, specificity, predictive value, statistical inference techniques, correlation, and regression. The residents applied the information they learned during these discussions while presenting at journal club and writing a drug information paper on a topic that they selected and researched. Evaluation Residents completed a 20-question test on the first day (pretest) and the last day (posttest) of the rotation to assess their knowledge. The test consisted of 15 pharmacotherapy questions (anticoagulation, n=1; diabetes, n=3; hyperlipidemia, n=4; hypertension, n=3; immunizations, n=2; pulmonary, n=2) and five research questions. Sample questions are shown in the Appendix. The full list of questions is available from the author. Analysis The paired t test was used to determine overall differences in mean scores between the pretests and posttests. The paired t test was also used to determine the differences in scores on the individual topics between the pretests and posttests. One subanalysis was conducted to compare the pretests of residents completing the rotation during the first 6 months and the second 6 months of the residency year. The unpaired t test was used to determine overall differences in mean scores between the pretests and posttests for the subanalysis. Results Fifteen family medicine residents were included in the study. Out of 20 total possible correct answers, the mean score on the pretest was compared to on the posttest (P<.0001), with higher scores indicating more correct answers. Mean scores on the pharmacotherapy and research components for the pretests and posttests were 7.27 out of 15 compared to (P<.0001) and 2.87 out of 5 compared to 4.20 (P=.0006), respectively. Resident performance in the specific pharmacotherapy topic areas improved (Figure 1), though this improvement was not significant for questions relating to hypertension (P=.054). Six residents completed the rotation during the first 6 months of the residency year, and nine residents completed the rotation during the second 6 months. The mean score on the pretests for those in the first 6 months was 9.67 compared to for the second 6 months (P=.5162). Discussion A required pharmacotherapy/research rotation, precepted by a clinical pharmacist during the family medicine residents first year, significantly increased their knowledge about subjects taught during the rotation. Additionally, there was no difference in pretest performance if the rotation was completed in the first 6 months of the year compared to the second 6 months of the year, suggesting that baseline knowledge was not significantly influenced by other residency experiences throughout the year. The findings from this study are important for several reasons. First, they suggest that residents may have learned more from the pharmacotherapy rotation than from their regular clinical rotations. Second, the pharmacotherapy rotation offers a way to teach residents about the growing amount of pharmacotherapy information, appropriate medication use, evidence-based medicine, and research-related principles. Many family medicine residency programs already have a clinical pharmacist on faculty. The pharmacist s responsibili-
4 398 June 2008 Family Medicine Figure 1 Family Medicine Resident Performance on Pharmacotherapy Topic Questions P=.0032 P=.0025 P=.0192 P=.0479 P=.0001 ties could be adapted to offer an experience similar to the one described in our program within the residency curriculum. Offering a pharmacotherapy/research rotation creates opportunities to meet the ACGME core competencies and fulfill curricular topics suggested by RAP and the STFM Group on Pharmacotherapy for family medicine resident education. Limitations Our study has several limitations that should be considered when interpreting the results. First, the findings of our study apply to residency programs that have a pharmacist on faculty. It has been suggested that family medicine residency programs that do not have a clinical pharmacist involved might collaborate with departments of pharmacy in local hospitals or universities, but we do not know if this approach would produce similar outcomes. Second, while our results show there was a significant improvement in knowledge of pharmacotherapy and research topics when pretest and posttest results were compared, the test was written by the clinical pharmacy preceptors of the rotation and the possibility that preceptors were teaching to the test exists. Third, while there was a significant improvement in test scores, residents only had average scores despite completion of the rotation. Residents still could not answer all questions correctly after the rotation, so knowledge acquisition was not maximal. Fourth, this study was performed in a single family medicine residency program with no control group, and the sample was relatively small. It is unclear if these positive findings regarding this required pharmacotherapy/research rotation would translate across a larger resident population or in other programs. Further, this study only evaluated residents knowledge base of pharmacotherapy/research while on the rotation. It did not evaluate whether their increased knowledge translated into better clinical performance or whether improved knowledge was retained over time. Conclusions Our results suggest that a focused pharmacotherapy/ research rotation, precepted by a clinical pharmacist, significantly increases residents knowledge of these topics. The ACGME requirements suggest that additional faculty may be needed to teach residents about medications and interactions. Collaborations between
5 Residency Education Vol. 40, No family medicine programs and departments of pharmacy in hospitals or colleges of pharmacy can help provide these structured pharmacotherapy/research rotation opportunities for family medicine residents. Acknowledgments: This study was previously presented, in part, at the 2007 Society of Teachers of Family Medicine Annual Spring Conference in Chicago. Stephanie Evans, PharmD, BCPS, assisted with the development of the 20-question test. Corresponding Author: Address correspondence to Dr Murphy, St Louis College of Pharmacy, 4588 Parkview Place, St Louis, MO Fax: jmurphy@stlcop.edu. Re f e r e n c e s 1. Institute of Medicine. Preventing medication errors. Report brief. July 2006: errors%20new.pdf. Accessed June 1, Centers for Disease Control. National Ambulatory Medical Care Survey: 2004 summary. Accessed June 1, United States National Library of Medicine. National Institutes of Health. Accessed June 1, Brater DC, Nierenberg DW. Medical student education in clinical pharmacology and therapeutics. Ann Intern Med 1988;108: Adcock BB, Byrd DC, O Neal MR. The need for comprehensive pharmacotherapy curricula. Acad Med 1998;73: Dickerson LM, Denham AM, Lynch T. The state of clinical pharmacy practice in family practice residency programs. Fam Med 2002;34(9): Program requirements for graduate medical education in family medicine. pdf. Accessed June 1, Recommended curriculum guidelines for family Medicine Residents. Accessed June 1, Bazaldua O, Ables AZ, Dickerson LM, et al. Suggested guidelines for pharmacotherapy curricula in family medicine residency training: recommendations from the Society of Teachers of Family Medicine Group on Pharmacotherapy. Fam Med 2005;37(2): Appendix Sample Questions From Knowledge Test 1. According to the National Cholesterol Education Program (Adult Treatment Panel III) Treatment Guidelines, when should a fasting lipid panel be checked after starting your chosen therapy? A. 3 weeks B. 6 weeks C. 3 months D. 6 months 2. A 49-year-old patient with diabetes is started on lisinopril 10 mg daily for hypertension and microalbuminuria. His baseline serum creatinine is 1.2 mg/dl. As recommended by the guidelines, you recheck the serum creatinine in 1 week. Based on the increase in serum creatinine from baseline, at what threshold should you discontinue the lisinopril? A. > 10% B. > 15% C. > 35% D. > 50% 3. Which of the following medications decreases a patient s international normalized ratio when coadministered with warfarin? A. amiodarone B. rifampin C. ciprofloxacin D. erythromycin 4. Which of the following trial designs is good for studying rare diseases or if an exposure occurred long ago? A. Case-control study B. Cohort study C. Randomized controlled trial D. Meta-analysis 5. Which of the following statistical tests is most appropriate when comparing three or more groups from one experiment? A. t Test B. Mann-Whitney U Test C. Wilcoxon Test D. Analysis of Variance
Dionne Lowder Knapp, PharmD, BCPS, CPP Curriculum Vitae
Dionne Lowder Knapp, PharmD, BCPS, CPP Curriculum Vitae Personal Information Home: Work: 3616 Oak Hills Drive Greenville, NC 27834 (252) 757-3161 Eastern Area Health Education Center 2000 Venture Tower
More informationThe patient-centered medical
Primary Care Residents Want to Learn About the Patient- Centered Medical Home Gerardo Moreno, MD, MSHS; Julia Gold, MD; Maureen Mavrinac, MD BACKGROUND AND OBJECTIVES: The patient-centered medical home
More informationPL Preceptor News June 2012
PL Preceptor News June 2012 In This Issue: Save your spot in the summer Preceptor Live CE webinars Get the new PL Journal Club materials 18 hours of home-study Preceptor Training CE available How to update
More informationBasic Standards for Residency Training in Internal Medicine. American Osteopathic Association and American College of Osteopathic Internists
Basic Standards for Residency Training in Internal Medicine American Osteopathic Association and American College of Osteopathic Internists BOT Rev. 2/2011 TABLE OF CONTENTS I. Introduction... 3 II Mission...
More informationDoctor of Public Health (DrPH) Degree Program Curriculum for the 60 Hour DrPH Behavioral Science and Health Education
College of Pharmacy and Pharmaceutical Sciences Institute of Public Health Doctor of Public Health (DrPH) Degree Program Curriculum for the 60 Hour DrPH Behavioral Science and Health Education Behavioral
More informationIMPLEMENTATION GUIDE
Postgraduate Year 1 Community Pharmacy Residency Program IMPLEMENTATION GUIDE Author: Lauren B. Angelo Contributing Author/Editor: William A. Miller Supported by a grant from the Community Pharmacy Foundation
More informationGUIDELINES FOR COMBINED TRAINING IN PEDIATRICS AND MEDICAL GENETICS LEADING TO DUAL CERTIFICATION
GUIDELINES FOR COMBINED TRAINING IN PEDIATRICS AND MEDICAL GENETICS LEADING TO DUAL CERTIFICATION PREAMBLE This document is intended to provide educational guidance to program directors in pediatrics and
More informationErin L. St. Onge Cabernet Circle University of Florida Research and Academic Center at Lake Nona
Erin L. St. Onge Home: Office: 2732 Cabernet Circle University of Florida Ocoee, FL 34761 Research and Academic Center at Lake Nona Phone: (407)721-7560 College of Pharmacy Email: stonge@cop.ufl.edu 6550
More informationCritical Care Current Fellows
Critical Care Current Fellows Table 341. CRITICAL CARE: CURRENT FELLOWS: Current national standards for fellowship training include expectations of at least 12 months of clinical experience. Do you believe
More informationGlobal Health Interprofessional Program Summer Zambia
Global Health Interprofessional Program Summer 2018 - Zambia Title of Proposed Project School Faculty name Appointed department(s) Assessment of medical and pharmacy student knowledge of antimicrobial
More information360 Huntington Ave R218 TF (617)
Curriculum Vitae BRANDON DIONNE, PHARMD, BCPS, AAHIVP 360 Huntington Ave R218 TF (617) 373-7460 Boston, MA 02115 b.dionne@northeastern.edu EDUCATION AND TRAINING PGY2 Pharmacy Residency in Infectious Diseases
More informationThe One Minute Preceptor: 5 Microskills for One-On-One Teaching
The One Minute Preceptor: 5 Microskills for One-On-One Teaching Acknowledgements This monograph was developed by the MAHEC Office of Regional Primary Care Education, Asheville, North Carolina. It was developed
More informationErin L. St. Onge. Valencia Community College Orlando, Florida. University of Central Florida College of Medicine Orlando, Florida
Erin L. St. Onge Office: University of Florida Research and Academic Center at Lake Nona College of Pharmacy 6550 Sanger Rd Orlando, FL 32827 Phone: (407)313-7004 Email: stonge@cop.ufl.edu EDUCATION/TRAINING
More informationLongitudinal Integrated Clerkship Program Frequently Asked Questions
Longitudinal Integrated Clerkship Program Frequently Asked Questions The University of Vermont Larner College of Medicine offers a rural longitudinal integrated clerkship (LIC) at the Hudson Headwaters
More informationContemporary Opportunities and Challenges for teaching Pharmacogenomics to Student Pharmacists
Contemporary Opportunities and Challenges for teaching Pharmacogenomics to Student Pharmacists Kristin Weitzel, Pharm.D., FAPhA Associate Director, UF Health Personalized Medicine Program Associate Chair
More informationThe role of the physician primarily
ORIGINAL ARTICLES Incorporating Population Medicine Into Primary Care Residency Training Wayne S. Dysinger, MD, MPH; Valerie King, MD, MPH; Tina C. Foster, MD, MPH; Dominic Geffken, MD, MPH BACKGROUND
More informationUIC HEALTH SCIENCE COLLEGES
Academic Mission Report: Board of Trustees March 10, 2010 Joseph A. Flaherty, MD Dean, College of Medicine INNOVATION EXCELLENCE SERVICE Brief History 1858 Illinois Eye and Ear Infirmary opens 1859 College
More informationTennessee Chapter Scientific Meeting
Tennessee Chapter Scientific Meeting 2017 October 27 28, 2017 Franklin Marriott Cool Springs Franklin, TN Register Online Today! Current Clinical Guidelines in Internal Medicine This live activity has
More informationContract Promotional Review Committee support for the Pharmaceutical Industry. Medical Affairs Regulatory Legal
Contract Promotional Review Committee support for the Pharmaceutical Industry Medical Affairs Regulatory Legal DISCUSSION TOPICS Situation Review Peer Review Institute Our Services Client Advantages Summary
More informationThe development of our plan began with our current mission and vision statements, which follow. "Enhancing Louisiana's Health and Environment"
The Associate Dean of Assessment and the Assessment Committee are responsible for the collection, analysis, and dissemination of data collected within the School. Sources of information include internally
More informationPharmaceutical Medicine as a Specialised Discipline of Medicine
Pharmaceutical Medicine as a Specialised Discipline of Medicine Gerfried K.H. Nell Director, NPC Nell Pharma Connect Austria Slide 1 Pharmaceutical Medicine..is a medical scientific discipline concerned
More informationUpdate on the Affordable Care Act. Association of Business Administrators September 24, 2014
Update on the Affordable Care Act Association of Business Administrators September 24, 2014 1 Planning Assumptions Collaborative effort with Provost Office and School Working Group Affordable Care Act
More informationEDUCATION. MEDICAL LICENSURE State of Illinois License DEA. BOARD CERTIFICATION Fellow, American Academy of Pediatrics FACULTY APPOINTMENTS
CURRICULUM VITAE Jody Lack M.D., F.A.A.P. Associate Professor of Pediatrics Associate Director, Pediatric Graduate Medical Education Division Director of Pediatric Hospital Medicine Southern Illinois University
More informationPhysician Assistant Studies
The Graduate School Physician Assistant Studies / 343 Physician Assistant Studies http://www.siumed.edu/paprogram/ SCHOOL OF MEDICINE Graduate Faculty: Browning, Ronald, Clinical Instructor, Emeritus,
More informationMeet the Preceptors. Jeremy Rose, Pharm.D., BCPS Preceptor for Infectious Diseases, Antimicrobial Stewardship
Meet the Preceptors Laura Adkins,, Residency Program Director and Preceptor for Drug Information/Medication Safety, Pharmacy & Therapeutics Laura graduated from Rutgers University College of Pharmacy in
More informationInterprofessional Education Assessment Strategies
Interprofessional Education Assessment Strategies December 2, 2016 Webinar Moderated by: Melissa Dinkins, PharmD Presenters! John H. Tegzes, MA, VMD, Dipl. ABVT! Heather B. Congdon, PharmD, BCPS, CDE!
More informationProcess Evaluations for a Multisite Nutrition Education Program
Process Evaluations for a Multisite Nutrition Education Program Paul Branscum 1 and Gail Kaye 2 1 The University of Oklahoma 2 The Ohio State University Abstract Process evaluations are an often-overlooked
More informationCHA/PA Newsletter. Exploring the Field of Hospitalist Medicine. CHA/PA Fall Banquet
Page 1 of 9 Current information about the CHA/PA Physician Assistant Program at the University of Colorado Denver. Is this email not displaying correctly? View it in your browser. CHA/PA Newsletter Read
More informationKing-Devick Reading Acceleration Program
King-Devick Reading Acceleration Program The Effect of In-School Saccadic Training on Reading Fluency and Comprehension in First and Second Grade Students: A Randomized Controlled Trial David Dodick, MD*,1;
More informationPROGRAM REQUIREMENTS FOR RESIDENCY EDUCATION IN DEVELOPMENTAL-BEHAVIORAL PEDIATRICS
In addition to complying with the Program Requirements for Residency Education in the Subspecialties of Pediatrics, programs in developmental-behavioral pediatrics also must comply with the following requirements,
More informationNext Steps for Graduate Medical Education
Next Steps for Graduate Medical Education Osteopathic Graduate Medical Education (OGME) and the Single Graduate Medical Education (GME) Accreditation System A white paper prepared by the American Association
More informationUpdate on the Next Accreditation System Drs. Culley, Ling, and Wood. Anesthesiology April 30, 2014
Accreditation Council for Graduate Medical Education Update on the Next Accreditation System Drs. Culley, Ling, and Wood Anesthesiology April 30, 2014 Background of the Next Accreditation System Louis
More informationSummarizing Webinar Protocol and Guide for Facilitators
Summarizing Webinar Protocol and Guide for Facilitators Bringing STakeholders Together for Engagement in Research for the Selection of Arthroplasty Implant Devices (BeTTER SAID) Title: How can patient
More informationSurgical Residency Program & Director KEN N KUO MD, FACS
Surgical Residency Program & Director KEN N KUO MD, FACS 1 Taiwan Surgical Association Residency Director Meeting September 17, 2011 November 5, 2011 2 Three Stages of Education Undergraduate medical education
More informationFACTS. & Figures. University of Pennsylvania School of Medicine University of Pennsylvania Health System
FACTS & Figures University of Pennsylvania School of Medicine University of Pennsylvania Health System 2011 OVERVIEW Penn Medicine is among the most highly regarded academic medical centers in the world.
More informationSchool of Pharmacy & Pharmaceutical Sciences
School of Pharmacy & Pharmaceutical Sciences About Trinity Located in the heart of Dublin city and founded in 1592, Trinity College Dublin is an historic university making a modern impact. As Ireland s
More informationAn Analysis of PharmD Industry Fellowships
An Analysis of 2015-16 PharmD Industry Fellowships Usama Aslam, 2017 Doctor of Pharmacy Candidate at MCPHS University and IPhO Chapter Management Network Intern, Phyllis Lee, PharmD, Regulatory Affairs
More informationPREPARING FOR THE SITE VISIT IN YOUR FUTURE
PREPARING FOR THE SITE VISIT IN YOUR FUTURE ARC-PA Suzanne York SuzanneYork@arc-pa.org 2016 PAEA Education Forum Minneapolis, MN Saturday, October 15, 2016 TODAY S SESSION WILL INCLUDE: Recommendations
More informationCPD FOR A BUSY PHARMACIST
CPD FOR A BUSY PHARMACIST MEET EMILY You are logged in as Emily Murphy (logout) LEADING PRACTICE ADVANCING STANDARDS THE PROFESSION PRACTICE & RESEARCH COURSES & EVENTS MY INSTITUTE ABOUT THE INSTITUTE
More informationGRADUATE STUDENT HANDBOOK Master of Science Programs in Biostatistics
2017-2018 GRADUATE STUDENT HANDBOOK Master of Science Programs in Biostatistics Entrance requirements, program descriptions, degree requirements and other program policies for Biostatistics Master s Programs
More informationMission Statement To achieve excellence in our Pharm.D. and graduate programs through innovative education and leading edge research.
Mission Statement To achieve excellence in our Pharm.D. and graduate programs through innovative education and leading edge research. We will achieve our mission by graduating outstanding future pharmacists
More informationParamedic Science Program
Paramedic Science Program Paramedic Science Program Faculty Chair Michael Mikitish Chair, Emergency Services Department Emergency Medical Services (EMS) An Associate of Science degree in Paramedic Science
More informationUse of the Kalamazoo Essential Elements Communication Checklist (Adapted) in an Institutional Interpersonal and Communication Skills Curriculum
Use of the Kalamazoo Essential Elements Communication Checklist (Adapted) in an Institutional Interpersonal and Communication Skills Curriculum Barbara L. Joyce, PhD Timothy Steenbergh, PhD Eric Scher,
More informationJohn W. Norbury, 1 Clinton E. Faulk, 1 Kelly M. Harrell, 2 Luan E. Lawson, 3 and Daniel P. Moore Introduction
Rehabilitation Research and Practice Volume 2016, Article ID 6197961, 6 pages http://dx.doi.org/10.1155/2016/6197961 Research Article Impact of a Revised Curriculum Focusing on Clinical Neurology and Musculoskeletal
More informationMASTER OF EDUCATION (M.ED), MAJOR IN PHYSICAL EDUCATION
Master of Education (M.Ed), Major in Physical Education 1 MASTER OF EDUCATION (M.ED), MAJOR IN PHYSICAL EDUCATION Major Program The sports education concentration (master s only or master's and teacher
More informationJoint Board Certification Project Team
in Optometry: Framework Initial Report of the January 27, 2009 JBCPT Mission Statement Develop and propose an attainable, credible and defensible model for in Optometry and maintenance of certification
More informationThomas Jefferson University Hospital. Institutional Policies and Procedures For Graduate Medical Education Programs
Thomas Jefferson University Hospital Institutional Policies and Procedures For Graduate Medical Education Programs Table of Contents Dispute Resolution Procedure 1 Duty Hours 2 Duty Hours Requests for
More informationUsing a Simulated Practice to Improve Practice Management Learning
640 October 2009 Family Medicine Practice Management Using a Simulated Practice to Improve Practice Management Learning Leigh LoPresti, MD; Patrick Ginn, MD, MBA; Robert Treat, PhD Background and Objectives:
More informationModified Systematic Approach to Answering Questions J A M I L A H A L S A I D A N, M S C.
Modified Systematic Approach to Answering J A M I L A H A L S A I D A N, M S C. Learning Outcomes: Discuss the modified systemic approach to providing answers to questions Determination of the most important
More informationNIH Ruth L. Kirschstein National Research Service Awards for Individual Predoctoral Fellows (Parent F31)
General Information: NIH Ruth L. Kirschstein National Research Service Awards for Individual Predoctoral Fellows (Parent F31) Link to Parent F32 Funding Opportunity Announcement (FOA): http://grants1.nih.gov/grants/guide/pa-files/pa-11-113.html
More informationRunning head: DEVELOPING MULTIPLICATION AUTOMATICTY 1. Examining the Impact of Frustration Levels on Multiplication Automaticity.
Running head: DEVELOPING MULTIPLICATION AUTOMATICTY 1 Examining the Impact of Frustration Levels on Multiplication Automaticity Jessica Hanna Eastern Illinois University DEVELOPING MULTIPLICATION AUTOMATICITY
More informationUniversity of Missouri - Kansas City. Combined Baccalaureate/M.D. Six Year Medical School August May 1986
CURRICULUM VITAE Work address: St. Louis, MO 63130 (314) 577-8764 email: pratherc@slu.edu Education B.A. Biology M.D. University of Missouri - Kansas City August 1980 - May 1986 University of Missouri
More informationUVM Rural Health Longitudinal Integrated Curriculum Hudson Headwaters Health Network, Queensbury, New York
UVM Rural Health Longitudinal Integrated Curriculum Hudson Headwaters Health Network, Queensbury, New York APPLICATION for AY 2018-2019 Application Deadline: September 8, 2017 Name: Email: Date: Phone:
More informationImproving recruitment, hiring, and retention practices for VA psychologists: An analysis of the benefits of Title 38
Improving recruitment, hiring, and retention practices for VA psychologists: An analysis of the benefits of Title 38 Introduction / Summary Recent attention to Veterans mental health services has again
More informationCLINICAL EDUCATION EXPERIENCE MODEL; CLINICAL EDUCATION TRAVEL POLICY
CLINICAL EDUCATION EXPERIENCE MODEL; CLINICAL EDUCATION TRAVEL POLICY Clinical Education Assignments: Clinical Education Experience Model Prior to officially being admitted into the athletic ATHTR major,
More informationSimulation in Radiology Education
Simulation in Radiology Education Ellen C. Benya, MD Department of Medical Imaging, Ann & Robert H. Lurie Children s Hospital of Chicago Department of Radiology, Northwestern University Feinberg School
More informationRC-FM Staff. Objectives 4/22/2013. Geriatric Medicine: Update from the RC-FM. Eileen Anthony, Executive Director; ;
Geriatric Medicine: Update from the RC-FM American Geriatric Society 2013 Annual Meeting Grapevine, TX Peter J. Carek, MD, MS - Chair, RC - FM Eileen Anthony - Executive Director RC-FM Staff Eileen Anthony,
More informationDetails of educational qualifications
Name of the Teacher: Name of the Department: Current post held: Associate Professor Date on which this format was filled (dd/mm/yyyy): 15/03/2017 Details of educational qualifications Qualification College
More informationGlobal Health Kitwe, Zambia Elective Curriculum
Global Health Kitwe, Zambia Elective Curriculum Title of Clerkship: Global Health Zambia Elective Clerkship Elective Type: Department(s): Clerkship Site: Course Number: Fourth-Year Elective Clerkship Psychiatry,
More informationINTERNAL MEDICINE IN-TRAINING EXAMINATION (IM-ITE SM )
INTERNAL MEDICINE IN-TRAINING EXAMINATION (IM-ITE SM ) GENERAL INFORMATION The Internal Medicine In-Training Examination, produced by the American College of Physicians and co-sponsored by the Alliance
More informationERNEST MARIO SCHOOL OF PHARMACY
ERNEST MARIO SCHOOL OF PHARMACY Information on the following subjects may be found in the General Information section at the back of this catalog: Student Life and Services, Admission, Tuition and Fees,
More informationFREQUENTLY ASKED QUESTIONS
School of Physical Therapy Clinical Education FREQUENTLY ASKED QUESTIONS When do I begin the selection process for each clinical internship? The process begins at different times for each internship. In
More informationExecutive Guide to Simulation for Health
Executive Guide to Simulation for Health Simulation is used by Healthcare and Human Service organizations across the World to improve their systems of care and reduce costs. Simulation offers evidence
More informationMedical student research at Texas Tech University Health Sciences Center: Increasing research participation with a summer research program
Medical education Medical student research at Texas Tech University Health Sciences Center: Increasing research participation with a summer research program Jannette M. Dufour PhD, Ernestine Gregorcyk,
More informationRESEARCH ARTICLES Objective Structured Clinical Examinations in Doctor of Pharmacy Programs in the United States
RESEARCH ARTICLES Objective Structured Clinical Examinations in Doctor of Pharmacy Programs in the United States Deborah A. Sturpe, PharmD American Journal of Pharmaceutical Education 2010; 74 (8) Article
More informationSELF-STUDY QUESTIONNAIRE FOR REVIEW of the COMPUTER SCIENCE PROGRAM and the INFORMATION SYSTEMS PROGRAM
Disclaimer: This Self Study was developed to meet the goals of the CAC Session at the 2006 Summit. It should not be considered as a model or a template. ABET SELF-STUDY QUESTIONNAIRE FOR REVIEW of the
More informationCommunication Disorders Program. Strategic Plan January 2012 December 2016
Communication Disorders Program Strategic Plan January 2012 December 2016 Preamble The Communication Disorders Program (CD) at Georgia State University began with only one faculty member in 1974. The Program
More informationApplication Guidelines for Interventional Radiology Review Committee for Radiology
Application Guidelines for Interventional Radiology Review Committee for Radiology The new interventional radiology residency will replace the current one-year vascular and interventional radiology (VIR)
More informationAnMed Health Family Medicine Residency Program Curriculum and Benefits
AnMed Health Family Medicine Residency Program Curriculum and Benefits Residents receive medical, dental and life insurance benefits. Resident salaries range from $55,500 to $58,000, depending on the year
More informationTHE UNIVERSITY OF THE WEST INDIES Faculty of Medical Sciences, Mona. Regulations
THE UNIVERSITY OF THE WEST INDIES Faculty of Medical Sciences, Mona Regulations MB BS Medical Undergraduate Programme (including the degree of B Med Sci) 1. Entry Requirements...5 2. Qualifications for
More informationUniversity of Cincinnati College of Medicine. DECISION ANALYSIS AND COST-EFFECTIVENESS BE-7068C: Spring 2016
1 DECISION ANALYSIS AND COST-EFFECTIVENESS BE-7068C: Spring 2016 Instructor Name: Mark H. Eckman, MD, MS Office:, Division of General Internal Medicine (MSB 7564) (ML#0535) Cincinnati, Ohio 45267-0535
More informationRESIDENCY IN EQUINE SURGERY
RESIDENCY IN EQUINE SURGERY Louisiana State University School of Veterinary Medicine Department of Veterinary Clinical Sciences Veterinary Teaching Hospital Revised September 2016 TABLE OF CONTENTS 1.0
More informationINNOVATIONS IN TEACHING Using Interactive Digital Images of Products to Teach Pharmaceutics
INNOVATIONS IN TEACHING Using Interactive Digital Images of Products to Teach Pharmaceutics Laura Moore Fox, PhD, Khang H. Pham, PharmD,* and Michael Dollar, BS y South Carolina College of Pharmacy Objective.
More informationEmory PA Board Review Speaker Information 2016
Emory PA Board Review Speaker Information 2016 Albert Anderson, MD University of California at Berkeley B.A. in History with completion of pre-medical curriculum, Cum Laude, 1993 University of North Carolina
More informationService-Learning Projects in a Public Health in Pharmacy Course 1
Service-Learning Projects in a Public Health in Pharmacy Course 1 Jean T. Carter and Gayle A. Cochran School of Pharmacy and Allied Health Sciences, The University of Montana, Skaggs Building, Missoula
More informationREPORT OF THE PROVOST S REVIEW PANEL. Clinical Practices and Research in the Department of Neurological Surgery June 27, 2013
REPORT OF THE PROVOST S REVIEW PANEL Clinical Practices and Research in the Department of Neurological Surgery June 27, 2013 Executive Summary In August 2012 the Provost and Executive Vice Chancellor convened
More informationTun your everyday simulation activity into research
Tun your everyday simulation activity into research Chaoyan Dong, PhD, Sengkang Health, SingHealth Md Khairulamin Sungkai, UBD Pre-conference workshop presented at the inaugual conference Pan Asia Simulation
More informationMEDICAL COLLEGE OF WISCONSIN (MCW) WHO WE ARE AND OUR UNIQUE VALUE
MEDICAL COLLEGE OF WISCONSIN (MCW) WHO WE ARE AND OUR UNIQUE VALUE TO THE COMMUNITY Presented by John R. Raymond, Sr., MD President and CEO, MCW June 5, 2017 Agenda 1. Who We Are 2. MCW Financial Model
More informationSchool of Basic Biomedical Sciences College of Medicine. M.D./Ph.D PROGRAM ACADEMIC POLICIES AND PROCEDURES
School of Basic Biomedical Sciences College of Medicine M.D./Ph.D PROGRAM ACADEMIC POLICIES AND PROCEDURES Objective: The combined M.D./Ph.D. program within the College of Medicine at the University of
More informationDOI: / ORIGINAL ARTICLE. Analysis of theoretical knowledge and the practice of science among brazilian otorhinolaryngologists
Braz J Otorhinolaryngol. 2013;79(4):487-93. DOI: 10.5935/1808-8694.20130087 ORIGINAL ARTICLE.org BJORL Analysis of theoretical knowledge and the practice of science among brazilian otorhinolaryngologists
More informationHere with us. INTERNAL MEDICINE RESIDENCY PROGRAM
Here with us. INTERNAL MEDICINE RESIDENCY PROGRAM PATIENTS PEOPLE PLACE Join a group of educators and peers who will challenge and inspire you At Washington University School of Medicine in St. Louis,
More informationBrian Isetts University of Minnesota - Twin Cities, Anthony W. Olson PharmD University of Minnesota, Twin Cities,
Volume 8 Number 1 Article 24 3-16-2017 An Evaluation of the Distribution, Scope, and Impact of Community Pharmacy Foundation Grants Completed by Academic Principal Investigators between 2002 and 2014 Brian
More informationTHE USE OF TINTED LENSES AND COLORED OVERLAYS FOR THE TREATMENT OF DYSLEXIA AND OTHER RELATED READING AND LEARNING DISORDERS
FC-B204-040 THE USE OF TINTED LENSES AND COLORED OVERLAYS FOR THE TREATMENT OF DYSLEXIA AND OTHER RELATED READING AND LEARNING DISORDERS Over the past two decades the use of tinted lenses and colored overlays
More informationMYCIN. The MYCIN Task
MYCIN Developed at Stanford University in 1972 Regarded as the first true expert system Assists physicians in the treatment of blood infections Many revisions and extensions over the years The MYCIN Task
More informationAlyson D. Stover, MOT, JD, OTR/L, BCP
Alyson D. Stover, MOT, JD, OTR/L, BCP Curriculum Vitae BIOGRAPHICAL INFORMATION Business Address: Department of Occupational Therapy School of Health & Rehabilitation Sciences University of Pittsburgh
More informationTHE UNIVERSITY OF THE WEST INDIES
THE UNIVERSITY OF THE WEST INDIES CAVE HILL CAMPUS THE FACULTY OF MEDICAL SCIENCES GRADUATE PROGRAMME REGULATIONS AND SYLLABUSES 2014-2015 WWW.CAVEHILL.UWI.EDU/GRADSTUDIES Every attempt has been made to
More informationMeet the Experts Fall Freebie November 5, 2015
Meet the Experts Fall Freebie November 5, 2015 Presented by: PARTNERS IN MEDICAL EDUCATION, INC. Today s Experts: Christine Redovan, MBA Heather Peters, M.Ed, Ph.D Candace DeMaris, MAIS Lauren McGuire,
More informationClass Subject. Phone Number
Clinical Pharmaceutics and Pharmacokinetics I Lecture and Projects 2 credits Class 1 Spring and Fall semesters Timetable Friday 17:15-20:15 412 Seminar room, Main Building, Faculty Pharm. Sci., Tsushima
More informationTrauma Informed Child-Parent Psychotherapy (TI-CPP) Application Guidance for
Trauma Informed Child-Parent Psychotherapy (TI-CPP) for Infant and Early Childhood Mental Health Professionals Wisconsin Learning Community Application Guidance for 2016-2018 Thank you for your interest
More informationKey words: cardiac auscultation; medical education; pulmonary auscultation; residency training
The Teaching of Chest Auscultation During Primary Care Training* Has Anything Changed in the 1990s? Salvatore Mangione, MD, FCCP; and F. Daniel Duffy, MD Objective: To survey the teaching time and importance
More informationClinical Quality in EMS. Noah J. Reiter, MPA, EMT-P EMS Director Lenox Hill Hospital (Rice University 00)
Clinical Quality in EMS Noah J. Reiter, MPA, EMT-P EMS Director Lenox Hill Hospital (Rice University 00) Presentation Overview Rationale Definitions Philosophy Prerequisites for a Successful Program The
More informationACADEMIC AFFAIRS GUIDELINES
ACADEMIC AFFAIRS GUIDELINES Section 5: Course Instruction and Delivery Title: Instructional Methods: Schematic and Definitions Number (Current Format) Number (Prior Format) Date Last Revised 5.4 VI 08/2017
More informationLoyola University Chicago ~ Archives and Special Collections
Accession No.: UA1981.65, 1981.74 STRITCH SCHOOL OF MEDICINE OFFICE OF THE DEAN LOUIS DAVID MOORHEAD, M.D., RECORDS Dates: 1931-1940 Creator: Moorhead, Louis David (1892-1951) Extent: 2.5 linear feet Level
More informationPathways to Health Professions of the Future
Pathways to Health Professions of the Future Stephen C. Shannon, DO, MPH American Association of Colleges of Osteopathic Medicine Copyright 2014 AACOM, all rights reserved. Photo courtesy of LECOM The
More informationHSC/SOM GOAL 1: IMPROVE HEALTH AND HEALTHCARE IN THE POPULATIONS WE SERVE.
SOM STRATEGIC PLAN 2017-2020 (with metrics/action plan for 2018) revised 8/30/17 HSC/SOM GOAL 1: IMPROVE HEALTH AND HEALTHCARE IN THE POPULATIONS WE SERVE. Measure of success: Improvement in state ranking
More informationClinical Review Criteria Related to Speech Therapy 1
Clinical Review Criteria Related to Speech Therapy 1 I. Definition Speech therapy is covered for restoration or improved speech in members who have a speechlanguage disorder as a result of a non-chronic
More informationMany health care advocates have
Institutional Issues Use for IPEC 2012 Institute with permission from the AAMC Changing the Future of Health Professions: Embedding Interprofessional Education Within an Academic Health Center Amy V. Blue,
More informationRunning head: METACOGNITIVE STRATEGIES FOR ACADEMIC LISTENING 1. The Relationship between Metacognitive Strategies Awareness
Running head: METACOGNITIVE STRATEGIES FOR ACADEMIC LISTENING 1 The Relationship between Metacognitive Strategies Awareness and Listening Comprehension Performance Valeriia Bogorevich Northern Arizona
More informationPULMONARY AND CRITICAL CARE TRAINING PROGRAMS
PULMONARY AND CRITICAL CARE TRAINING PROGRAMS DIVISION OF PULMONARY, CRITICAL CARE & SLEEP MEDICINE Harper University Hospital 3990 JOHN R Detroit, MI 48201 James A. Rowley, M.D. Program Director, Pulmonary/Critical
More informationAD (Leave blank) PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland
AD (Leave blank) Award Number: W81XWH-09-1-0282 TITLE: Georgetown University and Hampton University Prostate Cancer Undergraduate Fellowship Program PRINCIPAL INVESTIGATOR: Anna Riegel, PhD CONTRACTING
More information