1. Maximizing Experiential Rotations Managing Multiple PharmD Candidates Kimberly Schnacky, PharmD, BCPS Director of Clinical Pharmacy Services Orlando VA Medical Center

3. OVAMC Rotations offered: Rotations offered: –Drug Information –Administration –Ambulatory Care –Advanced Am Care –Infectious Disease –Geriatrics

4. Today’s Generation of Candidates They are: Opportunistic, enthusiastic, respectful of authority, focused on the value of education, close to their parents, used to pressure, very adult supervised, “team players”, community active. Over parented? Non-creative, Non-risk taking? Overstressed? Lack of “play time” The Millennials: Born 1982 – Present Age up to 26 Formative Years 1980-2010

5. Using their Generational Values to Your Advantage At Work: At Work: –They love “group projects” –They want to have someone else proofing their work –They love feedback –They have great morale –They absolutely need clear goals and structure

6. How to use this? Multiple students on rotation will provide the attention and teamwork they need to be efficient and productive Multiple students on rotation will provide the attention and teamwork they need to be efficient and productive They get an abundance of feedback from multiple sources: Preceptors, other students, medical staff They get an abundance of feedback from multiple sources: Preceptors, other students, medical staff This integrates their work and home life This integrates their work and home life

7. At Work continued… They are: technologically savvy, hard working, want work life integration They are: technologically savvy, hard working, want work life integration Now, Now, Now Now, Now, Now –Relevant work –Sense of Entitlement –Unrealistic expectations –Need variety –Want you to take interest in their lives –Fast immersion into flow of work

8. The Real World Experience In the workplace, the professional interacts with colleagues from a wide array of educational backgrounds. In the workplace, the professional interacts with colleagues from a wide array of educational backgrounds. Concurrent rotations with students from several universities hones the cultural competency of the pharmacy students. Concurrent rotations with students from several universities hones the cultural competency of the pharmacy students. Preconceived ideas about the students from other Colleges of Pharmacy can be eliminated. Preconceived ideas about the students from other Colleges of Pharmacy can be eliminated. Residency programs often do not select multiple candidates from the same University. Residency programs often do not select multiple candidates from the same University.

9. “Team Work” On the appropriate rotation: On the appropriate rotation: –Collaborative skills can be developed Written projects Written projects Oral presentations Oral presentations Verbal Defense Skills Verbal Defense Skills Improved Brainstorming sessions Improved Brainstorming sessions

10. Other Advantages Networking opportunities for students before graduation Networking opportunities for students before graduation Exposure to different resources available to the professional Exposure to different resources available to the professional Preparation to work as a Resident Preparation to work as a Resident

11. Specifics Different start and stop dates of students can allow student-train-student opportunities. Different start and stop dates of students can allow student-train-student opportunities. Resources from several Universities can be pooled together Resources from several Universities can be pooled together Culture of comfortability with change in workflow Culture of comfortability with change in workflow Feedback from other students at: Feedback from other students at: –Journal club, Final presentation Co-presentation skills developed Co-presentation skills developed

12. Examples “RX Profile” Online “RX Profile” Online Variety of Library and Electronic Resources Variety of Library and Electronic Resources Overview of what other Universities require relating to record keeping and reporting for the students Overview of what other Universities require relating to record keeping and reporting for the students

13. Specifics Team projects are augmented with individual work assignments Team projects are augmented with individual work assignments Students are allowed to “divvy” up the workload based on strengths Students are allowed to “divvy” up the workload based on strengths Interpersonal skills are perfected Interpersonal skills are perfected Provides this “generation” the attention it requires Provides this “generation” the attention it requires

14. Record Keeping Rotation expectations and requirements are sometimes variable Rotation expectations and requirements are sometimes variable Use the differing evaluation forms to fine tune your rotations and the students experience. Use the differing evaluation forms to fine tune your rotations and the students experience.

15. Their Comments… It is interesting to see what the other person brings to the group. It is interesting to see what the other person brings to the group. I was able to see how students from different schools are taught to approach the same problem differently. I was able to see how students from different schools are taught to approach the same problem differently. I enjoyed being trained by the other student at the beginning of rotation. I enjoyed being trained by the other student at the beginning of rotation.

16. Their Comments… Patient case presentations allowed us to learn from each other and share ideas. Patient case presentations allowed us to learn from each other and share ideas. Working on group projects allowed us to identify and utilize the strengths of our team members like a real world experience. Working on group projects allowed us to identify and utilize the strengths of our team members like a real world experience.

17. Want to Make Their Rotation Great? Ask them how! They are full of ideas. Ask them how! They are full of ideas. –Debate style journal clubs –Round table discussions Most recently: Most recently: –Panel Discussion –Lecture on “Maximizing Career Path”

19. References Maryann Z. Skrabal, PharmD, et al. Preceptors' Perspectives on Benefits of Precepting Student Pharmacists to Students, Preceptors, and the Profession. Journal of the American Pharmacists Association Maryann Z. Skrabal, PharmD, et al. Preceptors' Perspectives on Benefits of Precepting Student Pharmacists to Students, Preceptors, and the Profession. Journal of the American Pharmacists Association Journal of the American Pharmacists Association Journal of the American Pharmacists Association The Generational Imperative: VA Recruiters Conference, Orlando, FL July 2008 The Generational Imperative: VA Recruiters Conference, Orlando, FL July 2008 Ende, Jack MD. Feedback in Clinical Medical Education, JAMA, Aug 12, 1983 Vol 250, No. 6 Ende, Jack MD. Feedback in Clinical Medical Education, JAMA, Aug 12, 1983 Vol 250, No. 6 ASHP Statement on Professionalism, AJHP, Vol 65, Jan 15, 2008 ASHP Statement on Professionalism, AJHP, Vol 65, Jan 15, 2008