Getting Ready for the Real World: Evaluation of a Post-Rotational P4 Seminar July 6, 2015 Rolee Das, Pharm.D., BCPS, Clinical Associate Professor Lucio R. Volino, Pharm.D., Clinical Assistant Professor Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey

Ernest Mario School of Pharmacy Objectives  Describe the rationale behind development of the Post Rotational Evaluation and Preparation (PREP) seminar  Outline the basic components of PREP seminar  Identify program changes made over the years based on assessments performed  Discuss potential future programs and initiatives associated with PREP seminar 2

Ernest Mario School of Pharmacy Ernest Mario School of Pharmacy Rutgers, The State University of New Jersey Rutgers Biomedical and Health Sciences Established 1892 ACPE accredited Doctor of Pharmacy Degree –0-6 program –2 year pre-professional + 4 year professional program –~200 students per class year Graduate Programs –Health Outcomes, Policy, and Economics –Medicinal Chemistry –Pharmaceutics –Toxicology Dual Degree Programs Post-doctoral Programs –Clinical residency –Fellowship Continuing Education

Ernest Mario School of Pharmacy Post-Doctoral Degree Program Structure First (PP1) and Second Pre-Professional (PP2) Year Pre-Professional Program Requirements needed for entry to First Professional Year (P1) First-Third Professional Year (P1-P3) Introductory Pharmacy Practice Experiences (IPPE) –Summer between P1 and P2: Community IPPE –Summer between P2 and P3: Hospital IPPE Fourth Professional Year (P4) – Advanced Pharmacy Practice Experiences (APPE) –Total of 9 possible APPE rotation cycles –8 mandatory APPE rotations (1600 hours) –Prior to 2011, 7 mandatory (1400 hours)

Ernest Mario School of Pharmacy Course Development Accreditation Standards and Guidelines 2007 –Expected length of APPE not less than 1440 hours (36 weeks) 2008: Board Preparation Program –Result of a requirement to increase experiential hours 2009: Modification to include active learning/small groups 2010: Course designation 2012: Shortened to 3 days Annual changes –Guest speaker topics –2011, 2014: Inclusion of Inter-professional Education Accreditation Council for Pharmacy Education. Accreditation Standards and Guidelines for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree. Accessed: May 29,2014.

Ernest Mario School of Pharmacy Capstone Course Culminating experience including –Synthesis –Application –Critical evaluation Not intended as opportunity to learn new information or skills Formats vary –Research –Series of activities Course Paper/Poster/Seminar –Interdisciplinary course Wagenaar TC. The capstone course. Teaching Sociology 1993; 21(3): Wuller CA. A capstone advanced pharmacy practice experience in research. AJPE 2010; Article 180

Ernest Mario School of Pharmacy 2009 Schedule TimeMondayTuesdayWednesdayThursdayFriday 8:00-9:00amPulmonaryRenalPsychologyOncologyImmunizations 9:00-10:00amNeurologyToxicologyPediatricsOTCCounseling/Drug Information 10:00-10:30amBREAK 10:30am- 12:00pm Ethics, Etiquette, Professionalism Game (Jeopardy) Role Playing (Difficult Situations) Game (Family Feud) Skills Fair – Blood Pressure, Point of Care Testing, etc. 12:00-1:30pmBREAK 1:30-3:00pmEndocrineCardiologyIDCalculationsEarly Practitioner Pitfalls 3:00-4:30pmSmoking Cessation New Jersey Legislative Current Events Rutgers Federal Credit Union Alumni Graduation/ Licensure 1 Hour Topic Review SessionSmall Group Breakout Session1.5 Hours Topic Review SessionProfessional Topic Presentation

Ernest Mario School of Pharmacy Teaching and Guest Speaker Assessment Guest speaker evaluation with respect to helpfulness and relevance to practice (n=241; Class of 2009) Assessment of NAPLEX subject review teaching styles and components (n=241; Class of 2009)

Ernest Mario School of Pharmacy Program Satisfaction Small group environment encouraged student participation –79% agreed/strongly agreed Activities were educational and/or provided insight into professional issues –83% agreed/strongly agreed Activities were active and enjoyable –84% agreed/strongly agreed

Ernest Mario School of Pharmacy 2010 Schedule TimeMondayTuesdayWednesdayThursday Friday 8:00-9:30amPulmonaryPediatricsNephrologyPsychiatryDrug Information 9:30-11:00amOncologyOTC/Self CareToxicologyNeurologyVaccines 11:00- 11:30am BREAK 11:30am- 12:30pm Role Playing (Difficult Situations) Ethics DebatePatient Interview / Physical Assessment Skills Game (Family Feud) Game (Jeopardy) 12:30-2:00pmBREAK 2:00-3:30pmEndocrineCardiologyCalculationsID 3:30-5:00pmStudent Project Presentations Medication Therapy Management and Immunizations Licensure Updates / Issues for Practicing Pharmacists / Managed Care/ PDM / 3 rd Party Professional Organizations Panel Discussion Pathways to Success in Pharmacy 1.5 Hours Topic Review SessionSmall Group Breakout SessionProfessional Topic Presentation

Ernest Mario School of Pharmacy Guest Lecture/Topic Review Selection Evaluations of topic review benefit and relevance to students’ futures in pharmacy practice (n=192; Class of 2010)]

Ernest Mario School of Pharmacy Breakout Sessions: Interactive Games 1 hour activities Groups of ~35 students Moderated by 1 faculty + 1 resident/fellow Activities (role playing, debates, assessments, games) Pharmily FeudJeopardy

Ernest Mario School of Pharmacy Breakout Sessions Selection Activity Helpful & Relevant to Future in Pharmacy * Agree/ Strongly Agree Neutral Disagree/ Strongly Disagree Blank Interactive Games88%8%4%---- Patient Interviewing & Physical Assessment Skills 62%23%9%6% Difficult Situations62%22%15%1% Ethics Debate60%24%15%1% *(n=192; Class of 2010)

Ernest Mario School of Pharmacy 2014 Schedule TimeTuesday WednesdayThursday 8:00-9:30amCardiopulmonaryCalculationsOTC Review 9:30-11:00amNephrologyIDEndocrine 11:00-11:30am BREAK Game (Jeopardy) 11:00am-12:00pm BREAK 11:30am- 12:30pm Game (Family Feud)Physical Assessment Skills – Group 1: 11:30am-12:30pm BREAK 12:00-1:00pm 12:30-2:00pm BREAK Inter-professional Education Session (Medication Errors) 1:00-4:00pm Physical Assessment Skills – Group 2: 1:00-2:00pm 2:00-3:30pmNeuropsychiatryPediatrics 3:30-5:00pmLicensure/Update on LawPathways to Success in Pharmacy 1.5 Hours Topic Review SessionSmall Group Breakout SessionProfessional Topic Presentation

Ernest Mario School of Pharmacy Summary PREP seminar provides therapeutics, educational, professional and career related development via –Topic reviews with lectures, cases and practice questions –Interactive games and hands-on showcases –Guest lecturers –Panel discussions –Inter-professional activities Well received by students –Educational –Interactive –Enjoyable

Getting Ready for the Real World: Evaluation of a Post-Rotational P4 Seminar July 6, 2015 Rolee Das, Pharm.D., BCPS, Clinical Associate Professor Lucio R. Volino, Pharm.D., Clinical Assistant Professor Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey