Performance in clinical therapeutics training of community pharmacists
Keywords:
Community pharmacy, medication reviews, performance in training, perceptions of trainingAbstract
Primary Care Trusts responsible for commissioning healthcare services in the UK are required to ensure that community pharmacists providing clinical medication reviews, an enhanced service, are appropriately trained before becoming accredited service providers. This training has not been defined. The aims of this study were to measure community pharmacists’ performance in training for medication reviews, to explore factors influencing their performance, and to explore the pharmacists’ perceptions of this training. Overall, 37 of the recruited 43 pharmacists completed the training at postgraduate certificate level in 2002. Pharmacists performing well in one module were likely to do so in others, indicating intrinsic competence. These pharmacists provided medication reviews in 2003 and 2004; 33 were interviewed in 2004. The interviewees perceived that whilst the training had been arduous, it had been beneficial for providing medication reviews and everyday practice. Further work is required to develop competencies and training for clinical medication reviews in community pharmacy.References
Anonymous (2006). Commissioner’s corner: Medication review in Stockport—the DMART team. Pharmacy Management, 22, 10–15.
Antoniou, S., Webb, D. G., McRobbie, D., Davies, J. G., Wright, J., Quinn, J. & Bates, I.P. (2005). A controlled study of the general level framework: Results of the South of England competency study. Pharmacy Education, 5, 201–207.
Benrimoj, S. I., Langford, J. H., Berry, G., Collins, D., Lauchlan, R., Stewart, K. & Ward, P.R. (2003a). Clinical intervention rates in community pharmacy: A randomised trial of the effect of education and a professional allowance. International Journal of Pharmacy Practice, 11, 71–80.
Benrimoj, S. I., Langford, J. H., Berry, G., Collins, D., Lauchlan, R., Stewart, K. & Ward, P.R. (2003b). Clinical significance of clinical interventions in community pharmacy: A randomised trial of the effect of education and a professional allowance. International Journal of Pharmacy Practice, 11, 81–87.
Benrimoj, S. I., Peacocke, G., Whitehead, P., Kopecny, E., Ward, P. R., & Emerson, L. (2003c). Cognitive pharmaceutical services in emerging health care systems—new patient medi- cation management and concordance services in community
pharmacy. Journal of Social and Administrative Pharmacy, 20,
–11.
Burris, R. W. (1976). Human learning. In M. D. Dunnette (Ed.), Handbook of industrial and organizational psychology (pp. 131–146). Chicago: Rand McNally College Publishing Company.
Department of Health. (2000). Pharmacy in the future—implementing the NHS plan. A programme for pharmacy in the national health service. London: HMSO.
Department of Health. (2001a). National service framework for older people—executive summary. London: Department of Health Publications.
Department of Health. (2001b). Clinical governance in community pharmacy. Guidelines on good practice for the NHS. London: Department of Health Publications.
Department of Health. (2002). Pharmacy workforce in the new NHS, making the best use of staff to deliver the NHS pharmacy programme. London: Department of Health Publications.
Department of Health. (2003). A vision for pharmacy in the new NHS. London: Department of Health Publications. Department of Health. (2004). The new contractual framework for community pharmacy. London: HMSO.
Department of Health. (2005). Implementing the new community pharmacy contractual framework. Information for primary care trusts. London:
Department of Health Publications. Department of Health. (2006). Implementing care closer to home— providing convenient quality care for patients: A national framework for pharmacists with special interests. London: Department of
Health Publications.
Department of Health, Pharmaceutical Services Negotiating Committee, & NHS Confederation. (2005). NHS community pharmacy contractual framework. Enhanced service–medication review (full clinical review). Pharmaceutical Services Negoatiat- ing Committee [On-line http://www.psnc.org.uk/uploaded_txt/EN7%20%20Medication%20Review.pdf, accessed 22.11.2006]
Field, A. (2000). Discovering statistics using SPSS for windows. Trowbridge: Sage Publications.
Grana ̊s, A. G., & Bates, I. (1999). The effect of pharmaceutical review of repeat prescriptions in general practice. International Journal of Pharmacy Practice, 7, 264–275.
Grassi, M., Rezzani, C., Biino, G., & Marinoni, A. (2003). Asthma- like symptoms assessment through ECRHS screening questionnaire scoring. Journal of Clinical Epidemiology, 56, 238 – 247.
Hanning, L., Price, G., Scanlan, J., Silverthorne, J., Cantrill, J., Hey, R., Freeborn, S. & Cooke, J. (2002). A new approach to clinical pharmacy practice teaching in the four-year degree course. Pharmaceutical Journal, 269, 163–165.
Hansford, D., Krska, J., & Gill, D. (2005). Supported training for community pharmacists in medication review: What does it achieve? International Journal of Pharmacy Practice, 13, R44.
Holland, R., Lenaghan, E., Harvey, I., Smith, R., Shepstone, L., Lipp, A., Christou, M., Evans, D. & Hand, C. (2005). Does home based medication review keep older people out of hospital? The HOMER randomised controlled trial. British Medical Journal, 330, 293–295.
Krass, I., & Smith, C. (2000). Impact of medication regimen reviews performed by community pharmacists for ambulatory patients through liaison with general practitioners. International Journal of Pharmacy Practice, 8, 111–120.
Larsson, J., Holmstro ̈m, I., Lindberg, E., & Rosenqvist, U. (2004). Trainee anaesthetists understand their work in different ways: Implications for specialist education. British Journal of Anaes- thesia, 92, 381–387.
MacLaren, A. G., Mackie, C. A., Lowrie, R., & Tennant, S. (2003). Medication review: Recruitment and accreditation of a cohort of community pharmacists. International Journal of Pharmacy Practice, 11, R7.
Mackie, C. A., Lawson, D. H., Campbell, A., Maclaren, A. G., & Waigh, R. (1999). A randomised controlled trial of medication review in patients receiving polypharmacy in general practice. Pharmaceutical Journal, 263, R7.
Mackie, C. A., Mohammed, A., Corlett, S., Laaksonen, R., Bates, I., Duggan, C., Morrow, S., Patel, H. & Krishek, B. (2005). A randomised controlled trial of medication review by accredited community pharmacists. International Journal of Pharmacy Practice, 13, R17.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook, 2nd ed. Thousand Oaks: Sage Publications.
Mills, E., Laaksonen, R., Bates, I., Davies, G., & Duggan, C. (2005). Self-assessment of competence in a community pharmacy setting. Pharmacy Education, 3–4, 189–199.
National Institute for Health and Clinical Excellence. (2005). Research to explore training programmes in smoking cessation for pharmacists and pharmacy assistants. London: NICE.
National Prescribing Centre. (2000). Competencies for pharmacists
working in primary care. London: Department of Health.
Royal Pharmaceutical Society of Great Britain. (2006). Achieving excellence in pharmacy through clinical governance, Royal Pharmaceutical Society of Great Britain’s policy on clinical governance. Royal Pharmaceutical Society of Great Britain [On-line, www.rpsgb.org.uk/pdfs/achieve.pdf, accessed 22.11.2006] Smith, F. (2002). Research methods in pharmacy practice. Padstow: Pharmaceutical Press.
Zanting, A., Verloop, N., & Vermunt, J. D. (2001). Student teachers’ beliefs about mentoring and learning to teach during teaching practice. British Journal of Educational Psychology, 71, 57–80.
Zermansky, A. G., Petty, D. R., Raynor, D. K., Freemantle, N., Vail, A., & Lowe, C. J. (2001). Randomised controlled trial of clinical medication review by a pharmacist of elderly patients receiving repeat prescriptions in general practice. British Medical Journal, 323, 1–5.
