RESEARCH ARTICLE: The relationship between pharmacy licensing policies on clinical training (CT) and success rates for international pharmacists (IPs) within Canada, United Kingdom, and the United States: A comparative policy analysis
DOI:
https://doi.org/10.46542/pe.2021.211.420431Keywords:
Comparative policy analysis, International pharmacist, Pharmacy educationAbstract
Introduction: In October 2018, the Pharmacy Examining Board of Canada released a report showing that only 41.1% of international pharmacists pass the Pharmacy Qualifying Examination, compared to 91% of Canadian graduates. When compared to the United Kingdom and United States, Canada has the lowest success rates for the integration of international pharmacists.
Aim: This study aims to address two questions: What are the professional pharmacy policies governing the clinical training resources for international pharmacists within their host country? What can Canada learn from other Western countries to facilitate the integration of international pharmacists?
Method: A comparative policy analysis was used to draw comparisons between Canada’s regulatory policies governing the pharmacy license to other similar models in the United Kingdom and United States.
Results: Upon examining current integration systems in these countries, differences in training period requirements and competencies became apparent. Therefore, the findings suggest that Canadian stakeholders can learn from other models’ legislation, structure, and clinical outcome prospects.
References
Accreditation Council for Pharmacy Education (ACPE). (2007). Standards 2007 Self-Study Guide. Available at: https://www.acpe-accredit.org/pdf/S2007Guidelines2.0_ChangesIdentifiedInRed.pdf
Accreditation Council for Pharmacy Education. (ACPE). (2006). Accreditation Standards and Guidelines for the Professional Programme in Pharmacy Leading to the Doctor of Pharmacy Degree. Available at: https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf
American Association of Colleges of Pharmacy (AACP). (2004). Educational Outcomes 2004. Available at: https://www.aacp.org/sites/default/files/2017-11/Combined-CAPE-2004-Supplemential-Educational-Outcomes.pdf
American Association of Colleges of Pharmacy (AACP). (2020). Who we are. Available at: https://www.aacp.org/article/who-we-are
American Association of Colleges of Pharmacy(AACP). (2010). Annual Report. American Journal of Pharmaceutical Education, Volume 74, Issue 10, Article S3 https://doi.org/10.5688/aj7410S3
Association of Faculties of Pharmacy of Canada (AFPC) and Association of Deans of Pharmacy of Canada (ADPC). (2010). Position Statement and Joint Resolution on the Doctor of Pharmacy (PharmD) for the First Professional Degree at Universities in Canada. Available at: https://www.afpc.info/sites/default/files/AFPC_ADPC_PharmD_Position_Statement_Resolution_Sept_2010.pdf
Association of Faculties of Pharmacy of Canada. (AFPC) (2010). Educational Outcomes for First Professional Degree Programmes in Pharmacy (Entry-to-Practice Pharmacy Programmes) in Canada. Available at: https://www.afpc.info/system/files/public/AFPCEducational%20Outcomes%202017_final%20Jun2017.pdf
Brackett, P.D., Byrd, D.C., Duke, L.J., Fetterman, J.W., Unterwagner, W.L., Staton, A.G., & Stevenson, T.L. (2009). Barriers to expanding advanced pharmacy practice experience site availability in an experiential education consortium. American journal of pharmaceutical education, 73(5), 82. https://doi.org/10.5688/aj730582
Burns, A. (2008). Medication therapy management in pharmacy practice: core elements of an MTM service model (version 2.0). Journal of the American Pharmacists Association, 48(3), 341-353. https://doi.org/10.1331/JAPhA.2008.08514
Canadian Institute for Health Information (CIHI). (2019). Table 2, Supply and workforce of health care providers, by type of provider and jurisdiction, for selected provinces/territories, 2008 to 2017. Available at: https://secure.cihi.ca/estore/productSeries.htm?pc=PCC56
Canadian Pharmacists Association (CPA). (2008). Task Force on a Blueprint for Pharmacy. Blueprint for Pharmacy: The Vision for Pharmacy. Ottawa (ON). Available at: https://www.pharmacists.ca/cpha-ca/assets/File/pharmacy-in-canada/blueprint/The%20Vision%20for%20%20Pharmacy_Apr%201%2009.pdf
Canadian Pharmacists Association (CPA). (2011). CPhA Position Statement on a Doctor of Pharmacy Degree as an Entry-Level to Practice. Available at: http://www.pharmacists.ca/cpha-ca/assets/File/cpha-on-the-issues/PPDoctorOfPharmacyEN.pdf
Canadian Pharmacists Association (CPA).(2008). Management Committee, Moving Forward: Pharmacy Human Resources for the Future. Final Report. Ottawa (ON). Available at: https://www.hhr-rhs.ca/en/?option=com_mtree&task=att_download&link_id=4506&cf_id=68
Canadian Pharmacists Association. (CPA). (2016). Research Report. Toward an optimal future: priorities for action, Intergage Consulting Group Inc. Available: https://www.pharmacists.ca/cpha-ca/assets/File/pharmacy-in-canada/Thought%20Leadership%20Summit%20Research%20Report_01.pdf
Choe, H.M., Farris, K.B., Stevenson, J.G., Townsend, K., Diez, H.L., Remington, T.L., & Standiford, C.J. (2012). Patient-centered medical home: developing, expanding, and sustaining a role for pharmacists. American Journal of Health-System Pharmacy, 69(12), 1063-1071. https://doi.org/10.2146/ajhp110470
Delgado, O., Kernan, W.P., & Knoer, S.J. (2014). Advancing the pharmacy practice model in a community teaching hospital by expanding student rotations. American Journal of Health-System Pharmacy, 71(21), 1871-1876. https://doi.org/10.2146/ajhp130624
Dennis, V.C., May, D.W., Kanmaz, T.J., Reidt, S.L., Serres, M. L., & Edwards, H.D. (2016). Pharmacy Student Learning During Advanced Pharmacy Practice Experiences in Relation to the CAPE 2013 Outcomes. American journal of pharmaceutical education, 80(7), 127. https://doi.org/10.5688/ajpe807127
Dugan B.D. (2006). Enhancing community pharmacy through advanced pharmacy practice experiences. American journal of pharmaceutical education, 70(1), 21. https://doi.org/10.5688/aj700121
Epstein, R.M., Fiscella, K., Lesser, C.S., & Stange, K.C. (2010). Why the nation needs a policy push on patient-centered health care. Health affairs, 29(8), 1489-1495. https://doi.org/10.1377/hlthaff.2009.0888
Frankel, G., Louizos, C., & Austin, Z. (2014). Canadian educational approaches for the advancement of pharmacy practice. American journal of pharmaceutical education, 78(7), 143. https://doi.org/10.5688/ajpe787143
General Pharmaceutical Council (GPC). (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 (GPhC). (2019a). Accredited OSPAP courses. Available at: https://www.pharmacyregulation.org/education/approved-providers-education-and-training/accredited-ospap-courses
General Pharmaceutical Council (GPhC). (2019b). Overseas (non-EEA) qualified pharmacists. Available at: https://www.pharmacyregulation.org/registration/registering-pharmacist/overseas-non-eea-qualified-pharmacists
General Pharmaceutical Council (GpHC). (2018). June 2017 Registration Assessment performance breakdown, 1st attempt by education route. Available at: https://www.pharmacyregulation.org/sites/default/files/2017-09-07_-_17.09.c.02a_june_2017_performance_breakdown_by_characteristic.pdf
Hall, K., Musing, E., Miller, D.A., & Tisdale, J.E. (2012). Experiential training for pharmacy students: time for a new approach. The Canadian journal of hospital pharmacy, 65(4), 285–293. https://doi.org/10.4212/cjhp.v65i4.1159
Immigration, Refugees and Citizenship Canada (2019). Departmental Plan 2018–2019. Available at: https://www.canada.ca/en/immigration-refugees-citizenship/corporate/publications-manuals/departmental-plan-2018-2019/departmental-plan.html
Immigration, Refugees and Citizenship Canada. (2018). Annual Report to Parliament on Immigration. Available at: https://www.canada.ca/content/dam/ircc/migration/ircc/english/pdf/pub/annual-report-2018.pdf
Jacob, S.A., & Boyter, A.C. (2019). Nationwide survey of experiential learning in MPharm programmes in UK Universities. International Journal of Pharmacy Practice. https://doi.org/10.1111/ijpp.12521
Kehrer, J.P., Schindel, T.J., & Mann, H.J. (2010). Cooperation in pharmacy education in Canada and the United States. American journal of pharmaceutical education, 74(8), 142. https://doi.org/10.5688/aj7408142
Knoer, S.J., Eck, A.R., & Lucas, A.J. (2016). A review of American pharmacy: education, training, technology, and practice. Journal of pharmaceutical health care and sciences, 2, 32. https://doi.org/10.1186/s40780-016-0066-3
Merriam, S.B. (1998). Qualitative research and case study applications in education. San Francisco, CA: Jossey-Bass.
National Association of Boards of Pharmacy (NABP). (2018). North American Pharmacist Licensure Examination Passing Rates for 2015-2017 Graduates Per Pharmacy School. Available at: https://nabp.pharmacy/wp-content/uploads/2018/02/NAPLEX-Pass-Rates-2017.pdf
National Association of Boards of Pharmacy (NABP). (2019). The FPGEC Certification Programme. Available at: https://nabp.pharmacy/wp-content/uploads/2019/02/FPGEC-Application-Bulletin-February-2019.pdf
National Association of Pharmacy Regulatory Authorities (NAPRA). (2007). Professional Competencies for Canadian Pharmacists at Entry to Practice. Available at: https://napra.ca/sites/default/files/2017-09/Entry_to_Practice_Competencies_March2007_final_new_layout_2009.pdf
National Association of Boards of Pharmacy. (2007) newsletter Number 10. Available at: https://nabp.pharmacy/wp-content/uploads/2016/07/NovDec07NABP.pdf
National Association of Pharmacy Regulatory Authorities (NAPRA). (2019). Pharmacists' Gateway Canada for International Pharmacists. Available at: http://www.pharmacistsgatewaycanada.ca/
National Association of Pharmacy Regulatory Authorities (NAPRA). (2014). Professional competencies for Canadian pharmacists at entry to practice. Ottawa (ON). Retrieved from Available at : https://napra.ca/sites/default/files/2017-08/Comp_for_Cdn_PHARMACISTS_at_EntrytoPractice_March2014_b.pdf
Newton, D.W., Boyle, M., & Catizone, C.A. (2008). The NAPLEX: evolution, purpose, scope, and educational implications. American journal of pharmaceutical education, 72(2), 33. https://doi.org/10.5688/aj720233
Office for National Statistics (ONS). (2018). International migration statistics for the UK for the year ending June 2018. Available at: https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/internationalmigration/bulletins/migrationstatisticsquarterlyreport/november2018
Ontario College of Pharmacists, (2018). Practice Assessment of Competence at Entry (PACE). Available at: http://www.ocpinfo.com/registration/registration-requirements/pace-2/
Owen, G. T. (2014). Qualitative Methods in Higher Education Policy Analysis: Using Interviews and Document Analysis. The Qualitative Report, 19(26), 1-19. https://doi.org/10.46743/2160-3715/2014.1211
Peter H. Vlasses, Jeffrey W. Wadelin, and Dimitra V. Travlos (2007). Annual Report of the Accreditation Council for Pharmacy Education. American Journal of Pharmaceutical Education, 71, (2), 37 https://doi.org/10.5688/aj710237
Pharmacy Examining Board of Canada (PEBC). (2018). Performance of domestic and IP on the Pharmacist Qualifying Examination 2016-2018. Available at: https://www.pebc.ca/index.php/ci_id/3114/la_id/1.htm
Pharmacy Examining Board of Canada (PEBC). (2019). Document Evaluation - General Information. Available at: https://www.pebc.ca/index.php/ci_id/3114/la_id/1.htm
Pharmacy Examining Board of Canada (PEBC). (2019). Pharmacist Evaluating Examination, Pharmacist Evaluating Examination Syllabus. Available at: https://www.pebc.ca/index.php/ci_id/3122/la_id/1.htm
Pharmacy Examining Board of Canada (PEBC).(2018). Home, news. Available at: https://www.pebc.ca/index.php/ci_id/3374/la_id/1.htm
Phillips, B., Fleming, G. & Playdon, Z. (2009) A strategy for a pre-registration quality management training programmeme. Pharmaceutical Journal, 283, 307 – 309
Pope, C., Ziebland, S., & Mays, N. (2000). Analysing qualitative data. Bmj, 320(7227), 114-116 https://doi.org/10.1136/bmj.320.7227.114
Scheckelhoff, D.J., Bush, C.G., Flynn, A.A., Myers, C.E., Kahaleh, A.A., Knapp, K.K., & Thompson, B.J. (2008). Capacity of hospitals to partner with academia to meet experiential education requirements for pharmacy students. American journal of health-system pharmacy, 65(21), e53-71. https://doi.org/10.2146/ajhp080150e
Sie, D., Bates, I., Aggarwal, R., & Borja-Lopetegi, A. (2003). An analysis of the new UK Master of Pharmacy degree programmeme: Rhetoric and reality. Pharmacy Education, 3(3). https://doi.org/10.1080/1560221031000147557
Shaw, K. M. (2004). Using feminist critical policy analysis in the realm of higher education: The case of welfare reform as gendered educational policy. The Journal of Higher Education, 75(1), 56-79. https://doi.org/10.1080/00221546.2004.11778896
Schafheutle, E.I., & Hassell, K. (2009). Internationally trained pharmacists in Great Britain: what do registration data tell us about their recruitment?. Human resources for health, 7, 51. https://doi.org/10.1186/1478-4491-7-51
The Canadian Council for Accreditation of Pharmacy Programmes (CCAPP). (2014). Accreditation Standards for The First Professional Degree In Pharmacy Programmes. Available at: https://ccapp.ca/wp-content/uploads/2020/10/2013-2014-CCAPP-Annual-Report.pdf
The International English Language Testing System (IELTS). (2019). Test taker performance 2017. Available at: https://www.ielts.org/for-researchers/test-statistics/test-taker-performance
Travel.State.Gov. (2019). Classes of Immigrants Issued Visas at Foreign Service Posts. Available at: https://travel.state.gov/content/dam/visas/Statistics/AnnualReports/FY2018AnnualReport/FY18AnnualReport%20-%20TableII.pdf
United Nations, Department of Economic and Social Affairs, Population Division. (2017). International Migration Report 2017: Highlights (ST/ESA/SER. A/404). Available at: https://www.un.org/en/development/desa/population/migration/publications/migrationreport/docs/MigrationReport2017_Highlights.pdf
Vincent, W.R., Steinke, D.T., & Fink, J.L. (2010). State boards of pharmacy regulation of the supervision of pharmacist interns. American journal of pharmaceutical education, 74(1), 3. https://doi.org/10.5688/aj740103
Wilson, K., Langley, C., Jesson, J., & Hatfield, K. (2006). Mapping teaching, learning and assessment in the MPharm in UK schools of pharmacy. Pharmaceutical Journal, 277(7419), 369–372
