of Pharmacy

Preceptor Newsletter Spotlight on VCU Health System Pharmacy Services

The Medical College of Virginia (MCV) campus of Virginia Commonwealth University (VCU) has the health-related disciplines of pharmacy, medicine, nursing, dentistry, and allied health, all of which are further enabled by the ad-jacent resources of the VCU Health System (VCUHS).

Including a 865-bed hospital and other Richmond-area ambulatory and clinical services locations, VCUHS is an urban, comprehensive academic medical center in central Virginia established to preserve and restore health for all people, to seek the cause and cure of diseases through innovative research, and to educate those who serve humanity. In addition to 615,000 ambulatory clinic visits in FY2014, this Level 1 trauma center provided 21,385 surgeries and 84,000 emergency department visits. The breadth of services provided by VCUHS’s Department of Pharmacy Services in FY2014 was enabled by 119 pharmacists, 94 technicians, and 20 support staff -- who distributed ap-proximately 6.6 million doses equaling a drug spend of $102 million.

Rodney Stiltner, PharmD, Director of Pharmacy Services since 2005, describes the pharmacy enterprise to be “an inte-grated system of pharmacy business units organized with ac-countability for the medication use process across the contin-uum of care to meet the needs of patients as they transition from different levels of the health care delivery system; and organized to innovate to meet the needs of the health care delivery system and patients to assure continuity of care, as-sure medication adherence, favorable medication use out-comes, and generate new revenue streams.”

Focused initiatives include: 1. Patient/Medication Safety – a “daily check-in for safety” at 7:45 AM to

assess safety events or near misses in the last 24 hours and deter-mine any threats to the safety of the current day by a roll call among the 35 departments/divisions; and conducts a daily inpatient pharmacy safety huddle

2. Automation/Technology – Pyxis devices at approximately 200 stations, barcode medication administration at bedside, computerized physician order entry, IV robot

3. Transitions in care – among VCUHS’s top 10 priorities, 5 multidiscipli-nary teams, with pharmacy focused on medication histories, delivery of discharge medications to the patient, patient counseling, and follow-up phone calls

4. Regulatory compliance – Medicaid audits, 340B regulations, DEA, Board of Pharmacy, and Joint Commission

5. Specialty pharmacy – high cost medications, particularly for HIV, on-cology, and transplant; limited distribution channels, additional phar-macists needed

Volume 11 Issue 1

Winter/Spring 2015

Inside this issue:

Spotlight on VCUHS

Pharmacy Services 1-2

VCU SOP Reaccredited

for 8-Year Term 2

The Importance of

Evaluation 3

What’s Going on in the World of Pharmacy 4

Students Provide Business

Plan Writing Assistance 4

In Search of Student

Projects or Tasks? 5

Check out the Document

Library of RXpreceptor 6

Why Are You a Preceptor? 6

Library Privileges: Online

Access 7

Upcoming Preceptor

Workshop 8

Contact Information 8

continued on page 2

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Spotlight on VCU Health System Pharmacy Services continued from page 1

6. Practice model – ongoing reassessment of staffing (pharmacists, technicians), technology, and stu-dents, with a focus on ASHP’s ambulatory care pharmacy summit recommendations

7. Joint Commission 2015 – future operational challenges, covering 8 domains: fiscal issues, health care analytics, quality of care, pharmacy practice model, ambulatory care, pharmaceutical marketplace, pharmacy department operations, and leadership

VCUHS is the flagship site for providing student rotations for VCU School of Pharmacy (VCU SOP). Their pharmacists offer 144 rotations per year, enabling vast opportunities in the profession.

VCUHS has been involved with residency training for over 30 years. Residency programs include:

PGY-1 Pharmacy Practice (6 positions)

PGY-2 Ambulatory Pharmacy Practice (1 position)

PGY-2 Critical Care Pharmacy (2 positions)

PGY-1/2 Hospital Pharmacy Administration (1 + 1 positions)

VCUHS Preceptors

May Aziz

Brian Baird

Shaina Bernard

Billy Cahoon

Chenault

Laurie Cooksey

Kris Cox

Ericka Crouse

Kerry Francis

Patricia Fulco

Mandy Gatesman

Travis Gatesman

Kelly Hawks

Lindsay Hoffman

Craig Kirkwood

Lisa Kurczewski

Kim Lee

Ron Lefever

Denise Lowe

Adraine Lyles

Kelly Martin

Sarah Morrison

Sandy Mullen

Katie Muzevich

Tammy Nguyen

Tracy Parker

Sheila Pedigo

Cady Ploessl

Terry Potter

Rutherfoord Rose

Kenneth Snider

Rebecca St. Clair

Rodney Stiltner

Perry Taylor

Brad Wagner

VCU SOP Preceptors

offering rotations at VCUHS

Gretchen Brophy

Rachel Flurie

Leigh Anne Gravatt

Cindy Kirkwood

Jennifer Neal

Jeremy Stultz

Nancy Yunker

VCUHS Residencies

Introductory Community Practice

Introductory Hospital Practice

Acute Care I and II

Advanced Community Practice

Advanced Hospital Practice

Ambulatory Care

Clinical Administration

Clinical Toxicology

Critical Care: Cardiovascular, Medical/Surgical/

Neurologic &/or Trauma, Pediatric &/or Neonatal

Drug Information

Emergency Medicine

General Medicine

Hospital Pharmacy Administration

Infectious Disease

Neurology

Oncology: Hematology, Oncology, Bone Marrow

Transplant

Pediatrics: General, Neonatal, Oncology, Psychiatry

Pharmacy Informatics

Research

Rotations Offered at VCUHS

VCU SOP Reaccredited for Full 8-Year Term

The Accreditation Council for Pharmacy Education (ACPE) board met in January and

approved reaccreditation for the VCU SOP for a full eight-year term through June 2023!

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The Importance of Evaluation

“Many preceptors find evaluation an unpleasant component of their community-

based teaching. Evaluation is, however, a critical function of teaching. Evaluation

helps assure that future clinicians possess appropriate knowledge, attitudes, and

skills. Effective evaluation also helps a learner assess his or her strengths and

weaknesses, identify strategies for improvement, and continue professional

growth and development.”*

G - Get Ready

• Review course expectations and the evaluation form

• Consider unique opportunities and chal-

lenges of your site

• What are your expectations for the learner?

R - Review expectations with learner

• Meet early in the experience • Determine learner’s knowledge and skill level

• Review program goals, your goals, and learner’s goals • Describe the evaluation process

A - Assess

• Observe • Record • Provide feedback regularly • Have learner self-assess

D - Discuss assessment at midpoint

• Formal meeting • Learner and evaluator fill out form in advance

• Compare evaluations together

• Discuss differences and whether ex-

pectations are being met

• Plan for the rest of the rotation

E - End with a grade

• Schedule sufficient time • Complete evaluation in advance • Support your evaluation with examples • Highlight items that can be worked on in the future

The GRADE Strategy for

Evaluation

The halo effect

When certain characteristics, either positive or negative, cause precep-

tors to overlook other important aspects of learner performance, eg, an

enthusiastic, caring learner with mediocre skills receiving high marks

while a shy student with superior knowledge receives a lower grade.

“Oops:” insufficient evidence

Describing a student’s shortcomings without providing specific incidents and ways in which the student could have done better. At the end of the

rotation it can be hard to remember the details of such incidents without

a system for recording observations.

“But you never TOLD me that!”

Stating at the end of the rotation that the learner has fallen short of ex-

pectations when those expectations were not clearly stated during the

rotation.

“But I NEED honors!”

Finding out on the final day of the rotation about the student’s expecta-

tions and perceived needs for a particular grade or evaluation on the

rotation.

“Uh-oh — should they pass?”

Realizing at the final evaluation that, despite significant efforts on the

preceptor’s part, the learner’s performance has remained substandard throughout the rotation and that he or she should not pass. It is crucial to

contact the school early in the rotation to get help.

The Lake Wobegon effect

Rating all students “above average,” which does not help the school or the student accurately assess the student’s strengths and weaknesses. The learner, future patients, and the profession may suffer.

Potential Evaluation Pitfalls

Acknowledgment: The content of the article is based on materials developed as a part of the Preceptor Development

Program, a comprehensive program of preceptor development materials supported by HRSA grant #1D15PE50119-

01. Detailed information on this project can be obtained from www.mtn.ncahec.org/pdp.

* From “Evaluation Using the GRADE Strategy” by John P. Langllis, MD; Sarah Thach, MPH (Fam Med

2001;33(3):158-60.)

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Check your spam filter for this email address:

RXpreceptor - Virginia Commonwealth University

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ll1i¥hin!§;0=iii Free Medicine for Virginia's Uninsured

What’s Going on in the World of Pharmacy? Jennifer George Shannon, a 2009 graduate of the VCU SOP, is the

proud owner of Lily’s Pharmacy in Johns Creek, Georgia, and pro-

vides Advanced Community APPE rotations for her alma mater. The

pharmacy opened in 2013, and Sharon Lee (Class of 2015) was the

first VCU SOP student to have a rotation at the site, in September

2014. Jennifer was so pleased with Sharon’s performance that she contacted the school to say “She did such a wonderful job and it was

nice to have a VCU-trained student with me in the state filled with

UGA pharmacists!”

RxPartnership Celebrates 10th Anniversary

Preceptor Jennifer George Shannon (right) with

Sharon Lee, Class of 2015, at Lily’s Pharmacy

RxPartnership is a public/private partnership which works with pharmaceutical companies

to provide free medications for the uninsured to free clinics and community health centers

with licensed pharmacies throughout Virginia. Executive Director Amy Yarcich (pictured at

left) has been with the organization since 2007, and began providing Medication Access

APPE Elective rotations for fourth-year students of the VCU School of Pharmacy in 2009.

RxPartnership celebrated its 10th anniversary on October 8, 2014. Congratulations on a

successful decade of stellar service and great achievements!

Students Provide Business Plan Writing Assistance to Preceptors

Last August OEE emailed preceptors of community and ambulatory care rotations to offer student assistance with writing a business plan. Third-year students in PHAR-660 Practice Management I are required to write a business plan for a new clinical service that can be provided in a community/outpatient/ambulatory care set-ting. To keep the assignment relevant, the SOP reached out to affiliate faculty/preceptors who might be con-sidering implementing new services, and who might like help from a group of students in writing a plan for these services. The thinking was that students would get more out of a project that deals with real-world prob-lems and that preceptors could get some help that would be useful.

Interested preceptors were asked to email OEE a phrase describing the project – e.g. “implement a diabetes counseling service” or “start an HIV specialty pharmacy in a community pharmacy,” and the emails were then forwarded to our pharmacoeconomics faculty to share with students. Eleven preceptors submitted 14 ideas.

The students selected these services for their assignments:

Community compounding services Medication therapy management interviews COPD/asthma monitoring and adherence program Pharmacy in a free clinic Diabetes support group Services in an assisted living facility HIV screenings in a community pharmacy Smoking cessation services Implementing a community pharmacy residency Veterinary compounding services

program Weight management in diabetic patients

Course coordinators Drs. Norman Carroll and David Hold-ford were pleased with the response from preceptors, and plan to offer this opportunity again next fall.

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In Search of Student Projects or Tasks?

Preceptors and students alike want to be involved with endeavors that have purpose where they can do meaningful work that makes a difference. Here’s a menu of real pro-jects and tasks preceptors have used with students for active learning experiences that fulfill those criteria. This list lives as a Word document in RXpreceptor’s Document Library > Folder of Forms, Tools, and Resources. You can save the Word document to your computer and tweak it to work for you and your students.

Adherence assessments

American Pharmacists Month-October

Antibiotic stewardship

Audits

Back-ordered drugs

Beers criteria

Clinical practice guidelines and goals

Common calculations for patients served

Common disease states of patients served

Common lab values of patients served

Common medical terminology at practice setting

Controlled substances management and

record keeping

Crash carts

DI literature searches

Discharge counseling

Drug regiment reviews

FAQs of common patient questions

Field trips

Fluids/electrolytes review

Formulary management

Free clinic/Senior center volunteer

Health Awareness Month

Health fair volunteer

Healthy People 2020

Herbals review

Immunizations chart/clinic

In-service education

Institute for Safe Medication Practices

IV to PO conversions

Joint Commission work

Journal reviews/club

Law review

Look alike/sound alike meds

Med pass observation

Medication history

Medication reconciliation (med rec vs med wreck)

Medication safety

Medication therapy management consults

Medication Use Evaluations

Mock Board of Pharmacy inspection

Monographs of new medication

NAPLEX review

National Patient Safety Standards

Newsletter for site or patients

Nonprescription formulary

OTCs review

Patient care transitions

Patient case presentations

Patient counseling at discharge

Patients at high risk for ADRs

Poly-pharmacy

Presentations

Prevention of medication errors

PubMed searches

Quality indicators/measures

Recurring readmissions

Rotation manual

Top 200 drugs review

Unique medication-related needs of pediatric

and senior patients

Wellness program

Wound care

Would you like to be featured in an upcoming issue of

the Preceptor’s Newsletter?

We welcome your suggestions for preceptors and sites to be featured in upcoming issues of the newslet-

ter. Please send your suggestions to us at OEE@vcu.edu. We look forward to hearing from you!

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To Be a More Efficient and Effective Preceptor,

Check out the Document Library of RXpreceptor

For syllabi, evaluations, forms, tools, and references, check out the rich treasure chest of materials avail-able to you in RXpreceptor’s Document Library. Precepting is all about expectations, communications, and accountability. Invest some time to find resources in the Document Library that will help make your rotations more efficient and effective for both you and your student. The majority of items are available in Word format so you can edit them to suit your preferences. Here’s a sampling of what you’ll find in the Document Library:

Folder: IPPEs - Introductory Pharmacy Practice Experiences for P1s, P2s, and P3s IPPE Community and Hospital Syllabi, Guides, and Evaluations “Making Feedback Helpful”

Folder: APPEs - Advanced Pharmacy Practice Experiences for P4s APPE syllabi for Acute Care I and II, Advanced Community, Advanced Hospital, Ambulatory Care, Geriatrics, and Elective rotations APPE evaluation form “Making Feedback Helpful”

Folder: Forms, Tools, and References Active Learning Techniques Activity Examples Calendar Templates, APPE and IPPEs Code of Ethics for Pharmacists DRP Intervention Documentation Effective Teaching Strategies for Millennials Journal Club Presentation Guidelines and Evaluation Form Medication Review Documentation Oath of a Pharmacist/Oath of a Student Pharmacist Orientation Checklist Patient Counseling Situations Patient OTC Counseling Documentation Patient Profile-History Patient Tracking Forms Pharmacist’s Letter’s Preceptor Training Info and Access Planning Rotation Activities Preceptor Workshop Slides Preceptor’s Initial Contact with Student – Template Preceptor-Student Rotation Agreement –Templates Preceptors’ Feedback & Evaluation Comments re: Student Performance Questions Set for Students Rotation Absence & Make-Up Time Form Rotation Dates Rotation Information Form SOAP Notes Student Rotations Contract with VCU SOP Tips for Preceptor, Resident, and Student Dynamics Topics List for Student Learning Experiences

Why Are You a Preceptor?

“Precepting is very rewarding. I am very appreciative of what I learned on rotations, and my goal is to leave a

foundation of knowledge with the students, even if it is one thing, that they can build on for a lifetime. As a

gatekeeper, my obligation is to share the passion of my profession and hope they will feel the same way.” -June Javier, Clinical Pharmacist, Riverside Hampton Roads Specialty Hospital, Newport News VA

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Library Privileges: Online Access

Privileges to use VCU Libraries and VCU School of Pharmacy (SOP) resources are granted to officially

appointed affiliate faculty preceptors who continue to be available to precept VCUSOP students and

who obtain a V# (Banner ID), VCU eID, and password. After obtaining your unique V#, your VCU eID

and password authenticates your access to and use of these resources.

Step 1: Obtain a V# (Banner ID) by completing the Personal Data Form (link) and returning it to

OEE@vcu.edu

Step 2: Request your VCU eID (http://www.ts.vcu.edu/askit/email/eid/eid-finder/) and establish your

password by following the steps provided.

eID Password Information:

Requirements – Click http://www.ts.vcu.edu/askit/email/eid/eid-password-rules/ for a list of require-

ments for creating your eID password.

Expiration – VCU eID passwords must be changed periodically. The initial password expires after a

minimum of 90 days. After resetting your password following the initial setup, your password will

expire every 365 days thereafter. Additional information about password expiration may be found

at http://www.ts.vcu.edu/askit/email/eid/eid-password-expirations/

When you access a resource below, you will be prompted to provide your VCU eID and password at the

Central Authentication Service (CAS) screen.

VCU Libraries Resources

Preceptors with a VCU eID and password have access for academic purposes to resources provided by

VCU Libraries, including the Tompkins-McCaw Library for the Health Sciences, such as:

Databases

Journals

Medline/PubMed

Go to: www.library.vcu.edu > Research

In addition, special pharmacy-focused Research Guides are available, such as:

Community-Based Participatory Research

Drug Information Resources

Patient Safety

Pharmacy & Pharmacotherapy

Go to: www.library.vcu.edu > Research > Research Guides > Pharmacy

Other library resources:

Interlibrary Loan & Document Delivery Services (ILLiad) - to request books, articles, etc. remotely

Media Presentation Materials: TML Multimedia Collaboration Room

VCU School of Pharmacy Resources

Preceptors with a VCU eID and password also have access for academic purposes to resources pro-

vided by VCUSOP, including:

Facts & Comparisons eAnswers

Lexicomp On-line

Go to: www.pharmacy.vcu.edu > Resources > Faculty, Preceptors, & Staff

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Office of Experiential Education

Phylliss M. Moret, RPh

Assistant Dean, Experiential Education

pmmoret@vcu.edu 804-828-3059

Wanda L. Coffey

Director, Introductory Pharmacy Practice Experiences (IPPE)

wcoffey2@vcu.edu 804-628-8268

Denise L. Emminger

Director, Advanced Pharmacy Practice Experiences (APPE)

dlemming@vcu.edu 804-628-8267

Betty B. Dobbie

Experiential Learning Specialist/Preceptor Liaison

bbdobbie@vcu.edu 804-628-7546

Y. Michele Johnson

Administrative Assistant

ymjohnson@vcu.edu 804-828-3005

Toll Free Number: 800-330-0519

Fax: 804-828-7436

E-mail: OEE@vcu.edu

www.pharmacy.vcu.edu > Programs > Pharm.D. >

Office of Experiential Education > Preceptors

Upcoming Preceptors Workshop

The free 4-hour C.E. preceptor workshop “Engaging and Supervising Students: A Workshop for Precep-

tors in 2013-2015” will be presented at:

Inova Fairfax Hospital

3300 Gallows Road Falls Church VA 22042

Friday, March 13, 2015 12 Noon - 4 PM

Wondering if this workshop is right for you?

Are you looking for activities and projects to incorporate into your rotation?

Have you had a student on rotation who was not motivated?

Have you had a student who was unprofessional?

Come to this workshop to get answers to these questions and interact with fellow preceptors!

Registration fee: No charge. Registrations are accepted on site and online at www.virginiapharmacists.org

> VPhA Calendar.

NOTE: All handouts from past and current preceptor workshops are accessible on the public pages of VPhA's web

site at www.virginiapharmacists.org > Education > Preceptor Workshop & Resources. This workshop was pre-

sented Jul 27, 2013, in Virginia Beach in conjunction with the VPhA Convention; Nov 2, 2013, in Richmond; Mar 8,

2014 in Ashburn, Oct 23, 2014, in Virginia Beach in conjunction with the VSHP Fall Seminar; Feb 20, 2015, in Roa-

noke in conjunction with the VPhA Midyear Conference, and next on March 13, 2015 in Falls Church.