1. ACPE Standards 2016 and the Revised PharmD Curriculum: An Update
Donald A. Godwin, PhD
Executive Associate Dean for Education

2. Objectives
At the completion of this activity, the participant will be able to:
Describe the major changes to the accreditation standards for pharmacist education
Explain the major differences between current and revised PharmD curriculums
Evaluate how these curricular changes will better prepare students for clinical rotations and practice as pharmacists

3. ACPE Standards 2016 What’s different?
Philosophy and Emphasis
Standards have been refined to ensure that graduating students are “practice-ready” and “team-ready”
What does this mean to you?
UNM is striving for graduates who are beyond practice-ready in general settings via curricular revision including more practice experience during first three years of program.
Importance of assessment
Feedback should be provided to students throughout the curriculum (didactic and experiential)

4. ACPE Standards 2016 What’s different?
Philosophy and Emphasis
Greater emphasis on critical educational outcomes identified by Center for the Advancement of Pharmacy Education (CAPE) and the assessment of the level of student achievement of these outcomes
Foundational Knowledge
Essentials for Practice and Patient-Centered Care
Approach to Practice and Care
Personal and Professional Development
CAPE 2013

5. ACPE Standards 2016 What’s different?
Focus
Development of students’ professional knowledge, skills, abilities, behaviors, and attitudes
Manner in which programs assess students’ acquisition of knowledge and application of knowledge to practice
Mastery of skills and achievement of competencies
Importance of both curricular and co-curricular experiences in advancing the professional development of students
Developing interprofessional skills (teamwork)

6. ACPE Standards 2016 What’s different?
Organization
Education Outcomes
CAPE 2013
Structure and Process to Promote Achievement of Education Outcomes
Planning and Organization
Educational Program for the PharmD Degree
Students
Resources
Assessment
Educational Outcomes
Structure and Process

7. Curricular Revision Process
Driving factors
ACPE self-study, ACPE Standards 2016, CAPE 2013
Input sought
Best practices from other curriculum around the country – peer schools, aspirational schools
Extensive literature review
Focus groups
Preceptors, employers, recent alumni, P4 students
Faculty retreats
Keynote speakers

8. Curricular Revision Process
Faculty work groups/task forces
Integrated Pharmacotherapy (disease state based)
Patho/P’col/Med Chem/Therapeutics
Pharmaceutics
Dosage forms and PK
Aspects of Patient Care
Social/Behavioral/Administrative Sciences
Law/Management/Econ/Epi/Ethics/Public Health
Communications/Professional Development

9. Revised PharmD Curriculum
P1 year
July
Aug
Sept
Oct
Nov
Dec
Winter Break
Jan
Feb
Mar
Apr
May
Remediation & Summer Break 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
801 Applied Biochemistry 3 credits Clinical applications of basic biochemical processes at the molecular, cellular and organismal level
Fall Break & Remediation
805 Pathophysiology & Immunology credits Foundations of pathophysiology and immunology
811 Intro to Pharmacology & Med Chem 4 credits Fundamentals of pharmacology and medicinal chemistry
Spring Break & Remediation
815 Intro to Integrated Pharmacotherapeutics/Self-care 4 credits Concepts of IP, self care topics, CAM, drug information
802 Physical Pharmacy and Biopharmaceutics 3 credits Principles impacting drug development and the performance of pharmaceutical dosage forms.
809 Pharmacy & Health Care Delivery 2 credits Introduction to the US health care delivery systems and role of pharmacy/pharmacists
810 Fundamentals of Pharmacokinetics/Parenteral Dosage Forms 3 credits Influence of ADME on the time course of drug levels in body as well as fundamental principles of parenteral dosage forms
817 Intro to Law, Ethics & Social Issues 2 credits Legal, ethical and social issues that will impact patients and health care
804 Public Health 2 credits Concepts of public & population health
803 Aspects of Patient Care I 3 credits Top 200, dispensing skills/function, drug information, calculations, medical terminology, professional communication, IPPE
813 Aspects of Patient Care II 2 credits Top 200, non-sterile compounding, professional communication, integration with self care, drug information, IPPE
807 Introduction to Pharmacy Practice and Communication 2 credits Instruction and activities by reinforcing key communications skills, including cultural influences, patient interviewing and counseling.
819 Professional Development I 1 cr :Fnd of self-discovery; Prof'l & Identity formation; leadership; career development & pathways; Contemporary issues in pharmacy practice; IPE

10. Revised PharmD Curriculum
P2 year
June/July
Aug
Sept
Oct
Nov
Dec
Winter Break
Jan
Feb
Mar
Apr
May 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Community IPPE 4 credits
820 Integrated Pharmacotherapy I 3 credits General Ambulatory Care: Cardiology; Pulmonary
Fall Break & Remediation
825 Integrated Pharmacotherapy II 2 credits General Ambulatory Care: Endocrinology; Musculoskeletal/Pain; Psychiatry
830 Integrated Pharmacotherapy III 3 credits General Ambulatory Care: Infectious Diseases
Spring Break & Remediation
835 Integrated Pharmacotherapy IV 3 credits Complex Ambulatory Care: Renal; Endocrinology; Pulmonary; Cardiology; GI
Remediation & Summer Break
836 Pharmacoeconomics 2 credits Role of economics in health care: Formularies, cost containment, cost effectiveness
824 Non-Parenteral Dosage Forms 3 credits Fundamental principles of non-parenteral dosage forms, their design and the processes used in manufacturing and compounding
828 Pharmacoepidemiology & Research Design 2 credits Basics of pharmacoepidemiology, biostatistics, evaluation of research design
832 Evidenced Based Clinical Decision Making credits Use of primary literature, its evaluation and use of clinical guidelines
837 Pharmacy Management and Operations 3 credits Management & operation of pharmacies
823 Aspects of Patient Care III 2 credits Drug information, professional communication, PPCP, integration with IP 1 & 2, IPPE
833 Aspects of Patient Care IV 2 credits Sterile preparations, physical assessment, drug information, PPCP, integration with IP 3 & 4, and IPPE
829 Professional Development II 1 cr :Fnd of self-discovery; Prof'l & Identity formation; leadership; career development & pathways; Contemporary issues in pharmacy practice; IPE
839 Professional Development III 1 cr :Fnd of self-discovery; Prof'l & Identity formation; leadership; career development & pathways; Contemporary issues in pharmacy practice; IPE

11. Revised PharmD Curriculum
P3 year
June/July
Aug
Sept
Oct
Nov
Dec
Winter Break
Jan
Feb
Mar
Apr
May 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Remediation & APPE
Institutional IPPE credits
840 Integrated Pharmacotherapy V 2 credits Complex Ambulatory Care: Infectious Disease
Fall Break & Remediation
845 Integrated Pharmacotherapy VI credits Complex Ambulatory Care: Neurology; Psychiatry
850 Integrated Pharmacotherapy VIII 3 credits Complex Hospital Care: Renal, Critical care, Clinical Toxicology & Emergency Preparedness; Cardiology; Pulmonary; Coagulation; GI
Spring Break & Remediation
855 Clinical Capstone 5 credits Integrating essential core pharmacy practice topics. The philosophy of this course is to facilitate student learning and hold students accountable for prior learning in an integrated manner using complex patient scenarios.
851 Emerging Trends in Pharmacy 1 credit Topics of changes in pharmacy research and practice
842 Safe Meds & Informatics 3 credits Concepts/risk management for medication safety. Pharmacy informatics.
847 Integrated Pharmacotherapy VII credits Complex Hospital Care: Oncology
854 Advanced Law and Ethics 2 credits Preparation for MJPE; Ethical decision making
843 Aspects of Patient Care V 2 credits Physical assessment, drug information, journal clubs, DUR, MTM, PPCP, integration with IP 5-7, and IPPE
853 Aspects of Pt Care VI 2 credits IPPE, integration with IP 8
849 Professional Development IV 1 cr :Fnd of self-discovery; Prof'l & Identity formation; leadership; career development & pathways; Contemporary issues in pharmacy practice; IPE
859 Professional Development V 1 cr :Fnd of self-discovery; Prof'l & Identity formation; leadership; career development & pathways; Contemporary issues in pharmacy practice; IPE

12. Revised PharmD Curriculum
P4 year
Remaining with nine 4-weeks APPE
Advanced Community – 1
Advanced Hospital -1
Ambulatory Care - 1
General Medicine Inpatient - 1
Specialty Patient Care - 2
Non-patient focused - 1 (max of 2)
Electives (any of the above) - 2

13. Integrated Pharmacotherapy (IP)
Advanced Pharmacy
Practice Experiences
Clinical Capstone Couse
Complex Hospital Care
Complex Ambulatory Care
General Ambulatory Care
Introduction to IP/Self-Care
- Applied Biochemistry
- Pathophysiology & Immunology
- Intro to Pharmacology & Med Chem

14. IP Example Cardiology Gen Amb Care Complex Amb Care Complex Hospital
Hypertension
Dyslipidemia
Complex Amb Care
Ischemic Heart Disease
Arrhythmias
Complex Hospital
Acute Stroke
Acute Heart Failure
VTE and anticoagulation

15. How does revised curriculum address new requirements?

16. Foundational Knowledge Essentials for Practice and Care
CAPE 2013 Outcomes
Foundational Knowledge
Essentials for Practice and Care
Integrated throughout curriculum
UNM’s Approach:
Integrated Pharmacotherapy Course series
Spiral nature of integration, which aims to introduce, reinforce and build in complexity
Domains
Patient-centered care
Medication use systems management
Health and wellness
Population-based care
UNM Approach:
Public health refocus (P1 and extended across curriculum)
Aspects of patient care
Integrated IPPE throughout P1-P3 years

17. Approach to Practice and Care Personal and Professional Development
CAPE 2013 Outcomes
Approach to Practice and Care
Personal and Professional Development
Domains
Problem solving
Education
Patient Advocacy
Interprofessional collaboration
Cultural sensitivity
Communication
UNM Approach:
Aspects of patient care
Integrated IPPE throughout P1-P3 years
Greater emphasis and assessment of co-curriculum
Domains
Self-awareness
Leadership
Innovation and entrepreneurship
Professionalism
UNM Approach
5 course professional development series
Work with Innovate ABQ
Co-curriculum

18. Standards 2016 Readiness Survey
The ACPE Board expected each college to be in compliance by July 1, 2016
To assist ACPE in monitoring compliance, each college had to respond to a brief survey regarding its plans for compliance with important aspects of Standards 2016 by April 1, 2016
Pharmacist Patient Care Process
Interprofessional Education
Co-curricular activities
Preceptor Training and Development

19. Standard 10: Curriculum Design, Delivery and Oversight
10.8. Pharmacists’ Patient Care Process (PPCP)
The curriculum prepares students to provide patient-centered collaborative care as described in the Pharmacists’ Patient Care Process model endorsed by the JCPP.
UNM Approach
PPCP process will be more fully integrated into our new curriculum
Building in complexity in a stepwise approach across our six Aspects of Patient Care courses, reinforced in our integrated pharmacotherapy series as well as capstone course and applied longitudinally in IPPEs and APPEs

20. Pharmacists Patient Care Process
How to Implement the Pharmacists’ Patient Care Process, Marialice Bennet and Mary Ann Kliethermes editors, American Pharmacists Association

21. Discussion
How can you, as pharmacists (preceptors), incorporate student pharmacists into patient care services using the PPCP?

22. Standard 11: Interprofessional Education

23. Interprofessional Collaborative Practice
4 IPE Core Competencies
39 individual IPE sub-competencies

24. Discussion
How can you, as pharmacists (preceptors), cultivate interprofessional opportunities or activities into your site for student pharmacists?

25. Assessment of Co-Curricular Activities
Co-Curriculum
Student involvement in experiences that complement, augment, and/or advance what is learned in the formal curriculum
Student portfolios help in documenting student progressive achievement of the competencies.
Include student self-assessment, as well as faculty and preceptor assessments
UNM Approach:
Students excel in co-curricular activities including community outreach, service to professional organizations and advocacy
Plan to enhance portfolio system to better capture student activities
This portfolio will be regularly assessed in a standardized manner in the Professional Development courses by faculty, preceptors, and/or alumni

26. Discussion
How can you, as pharmacists (preceptors), become involved in the co-curricular activities of the College through participation and/or assessment?

27. Current situation Curriculum has been fully approved by the University
College has decided to implement new curriculum for both P1 and P2 cohorts of students
College working on implementation plan
Day to day schedule, classrooms, etc.
Launch date – August 7, 2017

28. Questions