RESEARCH ARTICLE: Pharmacy students’ experience of a novel government-funded experiential learning initiative: A mixed-method study (ACTp Study)
DOI:
https://doi.org/10.46542/pe.2021.211.466476Keywords:
Experiential learning, MPharm, Out-of-hours, Pharmacy education, Primary care, Remote and ruralAbstract
Background: In 2018, the Scottish Government made the Pharmacy Additional Cost of Teaching (ACTp) funding available to support the development of Experiential Learning (EL) in undergraduate pharmacy education. To inform the further expansion of EL in the pharmacy degree evaluation of new EL sites was required.
Aim and method: A mixed-methods study was undertaken to determine students’ perceptions of four new areas included in an EL pilot: primary care, out-of-hours, specialist sites, and remote and rural.
Results: There were 43 survey respondents (response rate 72%). Majority agreed the pilot had developed their clinical (n=28, 74%) and communication skills (n=31, 82%), and prepared them for future practice (n=30, 79%). One third felt the EL did not permit them to interact with patients. Focus group and interview participants were positive about their experience and the opportunity to experience new pharmacy roles in non-traditional settings. Many highlighted the lack of hands-on experience and facilitator feedback. Facilitator training and quality assurance of sites are warranted.
Conclusions: Future work should focus on assessment of and feedback for students, and interprofessional opportunities within EL.
References
Abdu-Aguye, S. N., Yusuf, H., Agbale, E. O., Auwal, F. I., & Ma'aji, H. U. (2019). Connections between classroom theory & real world practice: Exploring the perspectives of undergraduate students at a Nigerian faculty of pharmacy. Pharmacy Education, 19(1), 185-189
Assemi, M., Corelli, R. L., & Ambrose, P. J. (2011). Development Needs of Volunteer Pharmacy Practice Preceptors. American Journal of Pharmaceutical Education, 75(1), Article 10. https://doi.org/10.5688/ajpe75110
Assemi, M., DiVall, M. V., Lee, K., Sy, E., & O’Sullivan, T. (2017). Quality Assurance and Improvement Practices of Experiential Education Programs in Schools of Pharmacy. American Journal of Pharmaceutical Education, 83(3), Article 6582. https://doi.org/10.5688/ajpe6582
Burgess, L. (2019). Primary Care in Scotland. Retrieved from https://digitalpublications.parliament.scot/ResearchBriefings/Report/2019/5/29/Primary-Care-in-Scotland
Clark, P. G. (2006). What would a theory of interprofessional education look like? Some suggestions for developing a theoretical framework for teamwork training. Journal of Interprofessional Care, 20(6), 577-589. https://doi.org/10.1080/13561820600916717
Eberlein, T., Kampmeier, J., Minderhout, V., Moog, R. S., Platt, T., Varma-Nelson, P., & White, H. B. (2008). Pedagogies of engagement in science: A comparison of PBL, POGIL, and PLTL*. Biochemistry and Molecular Biology Education, 36(4), 262-273. https://doi.org/10.1002/bmb.20204
Egan, T., & Jaye, C. (2009). Communities of clinical practice: the social organization of clinical learning. Health, 13(1), 107-125. https://doi.org/10.1177/1363459308097363
Elliott, A. M., McAteer, A., Heaney, D., Ritchie, L. D., & Hannaford, P. C. (2015). Examining the role of Scotland's telephone advice service (NHS 24) for managing health in the community: analysis of routinely collected NHS 24 data. BMJ Open, 5(8), e007293. https://doi.org/10.1136/bmjopen-2014-007293
Fejzic, J., Henderson, A., Smith, N. A., & Mey, A. (2013). Community pharmacy experiential placement: Comparison of preceptor and student perspectives in an Australian postgraduate pharmacy programme. Pharmacy Education, 13(1), 15-21
General Pharmaceutical Council. (2011). Future pharmacists: Standards for the initial education and training of pharmacists. Available at: https://www.pharmacyregulation.org/sites/default/files/document/gphc_future_pharmacists_may_2011.pdf
General Pharmaceutical Council. (2015). Tomorrow’s pharmacy team: Future standards for the initial education and training of pharmacists, pharmacy technicians and pharmacy support staff. Available at: https://www.pharmacyregulation.org/sites/default/files/tomorrows_pharmacy_team_june_2015.pdf
Hammer, D. (2006). Improving Student Professionalism During Experiential Learning. American Journal of Pharmaceutical Education, 70(3), 59. https://doi.org/10.5688/aj700359
Jacob, S. A., & Boyter, A. (2020a). “It has very good intentions but it’s not quite there yet”: Graduates’ feedback of experiential learning in an MPharm programme Part 2 (TELL Project). Studies in Educational Evaluation, 66, 100889. https://doi.org/10.1016/j.stueduc.2020.100889
Jacob, S. A., & Boyter, A. (2020b). Nationwide survey of experiential learning in MPharm programmes in UK Universities. International Journal of Pharmacy Practice, 28(2), 121-129. https://doi.org/10.1111/ijpp.12521
Jacob, S. A., & Boyter, A. (2020c). Survey of undergraduates’ perceptions of experiential learning in the MPharm programme: The TELL Project. Pharmacy Practice, 18(2). https://doi.org/10.18549/PharmPract.2020.2.1856
Kolb, A. Y., & Kolb, D. A. (2005). Learning Styles and Learning Spaces: Enhancing Experiential Learning in Higher Education. Academy of Management Learning & Education, 4(2), 193-212. https://doi.org/10.5465/amle.2005.17268566
Kritikos, V. S., Woulfe, J., Sukkar, M. B., & Saini, B. (2011). Intergroup peer assessment in problem-based learning tutorials for undergraduate pharmacy students. American Journal of Pharmaceutical Education, 75(4), 73-73.https://doi.org/10.5688/ajpe75473
Malson, G. (2016). Placements for pharmacy students and trainees in GP practices and primary care. The Pharmaceutical Journal, August. https://doi.org/10.1211/PJ.2016.20201630
McCartney, J., & Boschmans, S.-A. (2018). South African pharmacy student perspectives of a hospital-based experiential learning programme. Pharmacy Education, 18(1), 29-40
Mohamed Ibrahim, M. I. (2018). Chapter 3 - Philosophy, Theories, Models, and Strategies in Pharmacy Education: An Overview. In A. I. Fathelrahman, M. I. Mohamed Ibrahim, A. A. Alrasheedy, & A. I. Wertheimer (Eds.), Pharmacy Education in the Twenty First Century and Beyond (pp. 21-39). London, United Kingdom: Academic Press. https://doi.org/10.1016/B978-0-12-811909-9.00003-4
Mohaupt, J., van Soeren, M., Andrusyszyn, M.-A., MacMillan, K., Devlin-Cop, S., & Reeves, S. (2012). Understanding interprofessional relationships by the use of contact theory. Journal of Interprofessional Care, 26(5), 370-375. https://doi.org/10.3109/13561820.2012.673512
NHS24. (2018). Delivering a Healthier Scotland Together: Annual Report 2017/2018. Available at: https://www.nhs24.scot/data/uploads/pdf/reports/annual-review/ph8177-annual-report-01_02_19.pdf
NHS for Education Scotland. (2019). Preparation for Facilitating Experiential Learning Training (PFEL). Available at: https://www.nes.scot.nhs.uk/education-and-training/by-discipline/pharmacy/experiential-learning-for-student-pharmacists-in-scotland/preparation-for-facilitating-experiential-learning-training-(pfel).aspx
NHS Highland. (2015). Pharmacy teams focus on innovation in remote and rural areas. Available at: https://www.nhshighland.scot.nhs.uk/News/Pages/Pharmacyteamsfocusoninnnovationinremoteandruralareas.aspx
Orchard, C. A. (2010). Persistent isolationist or collaborator? The nurse’s role in interprofessional collaborative practice. Journal of Nursing Management, 18(3), 248-257. https://doi.org/10.1111/j.1365-2834.2010.01072.x
Quinton, S., & Smallbone, T. (2010). Feeding forward: using feedback to promote student reflection and learning – a teaching model. Innovations in Education and Teaching International, 47(1), 125-135. https://doi.org/10.1080/14703290903525911
Reime, M. H., Johnsgaard, T., Kvam, F. I., Aarflot, M., Engeberg, J. M., Breivik, M., & Brattebø, G. (2017). Learning by viewing versus learning by doing: A comparative study of observer and participant experiences during an interprofessional simulation training. Journal of Interprofessional Care, 31(1), 51-58. https://doi.org/10.1080/13561820.2016.1233390
Remote and Rural Steering Group. (2007). Delivering for Remote and Rural Healthcare: the Final Report of the Remote and Rural Workstream. Available at: https://www.ficm.ac.uk/sites/default/files/scotland_remote_and_rural.pdf
Robertson, R., Wenzel, L., Thompson, J., & Charles, A. (2017). Understanding NHS financial pressures: How are they affecting patient care? Available at: https://www.kingsfund.org.uk/sites/default/files/field/field_publication_file/Understanding%20NHS%20financial%20pressures%20-%20full%20report.pdf
Rushworth, G. F., Cunningham, S., Pfleger, S., Hall, J., & Stewart, D. (2018). A cross-sectional survey of the access of older people in the Scottish Highlands to general medical practices, community pharmacies and prescription medicines. Research in Social and Administrative Pharmacy, 14(1), 76-85. https://doi.org/10.1016/j.sapharm.2017.01.002
Rushworth, G. F., Diack, L., MacRobbie, A., Munoz, S., Pfleger, S., & Stewart, D. (2015). Access to medicines in remote and rural areas: a survey of residents in the Scottish Highlands & Western Isles. Public Health, 129(3), 244-251. https://doi.org/10.1016/j.puhe.2015.01.005
Scottish Government. (2010). Demographic Change in Scotland. Available at: https://www.gov.scot/binaries/content/documents/govscot/publications/research-and-analysis/2010/11/demographic-change-scotland/documents/0108163-pdf/0108163-pdf/govscot%3Adocument/0108163.pdf
Scottish Government. (2015). Pulling together: transforming urgent care for the people of Scotland. The Report of the Independent Review of Primary Care Out of Hours Services: Main Report. Available at: https://www.gov.scot/binaries/content/documents/govscot/publications/progress-report/2015/11/main-report-national-review-primary-care-out-hours-services/documents/00489938-pdf/00489938-pdf/govscot%3Adocument/00489938.pdf
Scottish Government. (2016). Scottish Government Urban Rural Classification 2016. Available at: https://www.gov.scot/publications/scottish-government-urban-rural-classification-2016/pages/2/
Scottish Government. (2017). Achieving Excellence in Pharmaceutical Care - A Strategy for Scotland. Available at: https://www.gov.scot/publications/achieving-excellence-pharmaceutical-care-strategy-scotland/. Accessed 3/6/2020
Scottish Government. (2018). Rural Scotland Key Facts 2018. Available at: https://www.gov.scot/binaries/content/documents/govscot/publications/statistics/2018/10/rural-scotland-key-facts-2018/documents/rural-scotland-key-facts-2018-pdf/rural-scotland-key-facts-2018-pdf/govscot%3Adocument/00541327.pdf
Stewart, D., Anthony, B., Morrison, C., MacRae, Y., Dixon, L., Friel, E., . . . MacLure, K. (2017). Evaluating pharmacist input into the pharmaceutical care of patients in dispensing medical practices in remote and rural areas of Scotland. Family Practice, 34(4), 491-499. https://doi.org/10.1093/fampra/cmx014
Tajfel, H., & Turner, J. (Eds.). (1986). The social identity theory of intergroup behaviour Chicago, IL: Nelson-Hall
Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357. https://doi.org/10.1093/intqhc/mzm042
Williams, B., & Webb, V. (2015). A national study of paramedic and nursing students' readiness for interprofessional learning (IPL): Results from nine universities. Nurse Education Today, 35(9), e31-e37. https://doi.org/10.1016/j.nedt.2015.05.007
Wright, S. (2019). Scottish government invests £2.85m to expand experiential learning of student pharmacists to new settings. The Pharmaceutical Journal, March. https://doi.org/10.1211/PJ.2019.20206248