Students’ experience and perception of a virtual surgical advanced pharmacy practice elective

Authors

DOI:

https://doi.org/10.46542/pe.2022.221.706714

Keywords:

Advanced pharmacy practice experience, COVID-19, Pharmacy education, Surgery APPE, Virtual APPE

Abstract

Background: This article describes a virtual surgery advanced pharmacy practice experience (APPE) designed during the COVID-19 outbreak for undergraduate students. Additionally, the article evaluates the implementation process of the APPE and students’ perceived effectiveness of the virtual experience on their learning.   

Methods: A virtual four-week APPE course was designed involving 12 interns using Microsoft Teams. All pre-scheduled activities and meetings with students were performed remotely. The virtual APPE was assessed through an overall outcome survey and a weekly quality survey.    

Results: The implementation of the APPE was successful with students agreeing that they effectively managed to meet the objectives of the rotation. Students believed that APPE enhanced their knowledge and skills in surgical pharmacy practice. Their interest in working in a Perioperative clinical pharmacist position increased after the rotation from 50% to 70%.   

Conclusion: A virtual surgical APPE that is positively perceived by students can be implemented. Further research is needed to assess the impact of a virtual rotation on clinical skills.

Author Biographies

Sumaiah J. Alarfaj, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia & Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Department of Pharmacy Practice, College of Pharmacy & Department of Pharmacy

Ghadah Abozaid, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Department of Pharmacy Practice, College of Pharmacy

Amany Alboghdadly, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Department of Pharmacy Practice, College of Pharmacy

Sumaya Elgadi, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Department of Pharmacy Practice, College of Pharmacy

Alnada Ibrahim, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Department of Pharmacy Practice, College of Pharmacy

Najla A. Altwaijry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia

Department of Pharmaceutical Science, College of Pharmacy

References

Accreditation Council for Pharmacy Education. (2016). Accreditation Standards and Key Elements for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree. ACPE, 39. Retrieved from https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

American Society of Health-System Pharmacists. (2014). ASHP Sample Surgery/Operating Room APPE Student Rotation. Section of Inpatient Care Practitioners USA. Retrieved from https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/preceptor-toolkit/sicp-surgery-or-appe-student-rotation-updated.pdf

Aruru, M., Truong, H., & Clark, S. (2021). Pharmacy Emergency Preparedness and Response (PEPR): a proposed framework for expanding pharmacy professionals’ roles and contributions to emergency preparedness and response during the COVID-19 pandemic and beyond. Research in Social and Administrative Pharmacy, 17(1), 2018–2022. https://doi.org/10.1016/j.sapharm.2020.04.002.

Badreldin, H. A., Alshaya, O., Saleh, K. Bin, Alshaya, A. I., & Alaqeel, Y. (2020). Restructuring the inpatient advanced pharmacy practice experience to reduce the risk of contracting coronavirus disease 2019: Lessons from Saudi Arabia. Journal of the American College of Clinical Pharmacy, 3(4). https://doi.org/10.1002/jac5.1237.

Bansal, N., & Morris, J. (2019). Pharmacist involvement to improve patient outcomes in lower gastrointestinal surgery: a prospective before and after study. International Journal of Clinical Pharmacy, 41(5), 1220–1226. https://doi.org/10.1007/s11096-019-00888-2

Baumgartner, L., Ip, E. J., Sasaki-Hill, D., Wong, T., Israel, H., & Barnett, M. J. (2019). Implementation of mock acute care advance pharmacy practice experience simulations and an assessment rubric. American Journal of Pharmaceutical Education, 83(9), 1851–1856. https://doi.org/10.5688/ajpe7331

Bond, C. A. (CAB), & Raehl, C. L. (2007). Clinical and economic outcomes of pharmacist-managed antimicrobial prophylaxis in surgical patients. American Journal of Health-System Pharmacy, 64(18), 1935–1942. https://doi.org/10.2146/ajhp060631

Castleberry, A., & Nolen, A. (2018). Thematic analysis of qualitative research data: Is it as easy as it sounds? Currents in Pharmacy Teaching and Learning, 10(6), 807–815. Elsevier. https://doi.org/10.1016/j.cptl.2018.03.019

Charipiat B, Goutelle S, Schoeffler, M, Aubrun,F., Viale, J.P., Ducerf, C., etal. (2012). Prescriptions analysis by clinical pharmacists in the postoperative period: a 4-year prospective study. Acta Anaesthesiologica Scandinavica, 56(8), 1047–1051. https://doi.org/10.1177/08971900211004830

De Ponti, R., Marazzato, J., Maresca, A. M., Rovera, F., Carcano, G., & Ferrario, M. M. (2020). Pre-graduation medical training including virtual reality during COVID-19 pandemic: A report on students’ perception. BMC Medical Education, 20(1), 1–7. BMC Medical Education. https://doi.org/10.1186/s12909-020-02245-8

Gaba, D. M. (2004). The future vision of simulation in health care. Quality and Safety in Health Care, 13(SUPPL. 1), 2–10. https://doi.org/10.1136/qshc.2004.009878

Hawkins, B., Bickham, P., Golembiewski, J., Meyer, T., Murray, C. G., & Wagner, D. (2019). ASHP guidelines on perioperative pharmacy services. American Journal of Health-System Pharmacy, 76(12), 903–920. Oxford University Press. https://doi.org/10.1093/ajhp/zxz073

Hick, H. L., Deady, P. E., Wright, D. J., & Silcock, J. (2001). The impact of the pharmacist on an elective general surgery pre‐admission clinic. Pharmacy World and Science, 23(2), 65–69. https://doi.org/10.1023/A:1011231622947

Kaye, D. R., Luckenbaugh, A. N., Oerline, M., Hollenbeck, B. K., Herrel, L. A., Dimick, J. B., & Hollingsworth, J. M. (2020). Understanding the costs associated with surgical care delivery in the medicare population. Annals of Surgery, 271(1), 23–28. https://doi.org/10.1097/SLA.0000000000003165

Kiles, T. M., Hagemann, T., Felts, B., & Crill, C. (2021). Development of a Remote Public Health Advanced Pharmacy Practice Experience in Response to COVID-19. Journal of Pharmacy Practice. https://doi.org/10.1177/08971900211004830

Le, T., Toscani, M., & Colaizzi, J. (2020, April 1). Telepharmacy: A new paradigm for our profession. Journal of Pharmacy Practice. https://doi.org/10.1177/0897190018791060

Louiselle, K., Elson, E. C., Oschman, A., & Duehlmeyer, S. (2020). Impact of COVID-19 pandemic on pharmacy learners and preceptors. American Journal of Health-System Pharmacy, 77(14), 1097–1099. https://doi.org/10.1093/ajhp/zxaa127

Lucca, J. M., Alsugeir, D. M., Al Shehail, B. M., Chandralla, V., Alshayban, D. M., & Bukhamseen, H. (2020). Redesigning the advanced pharmacy practice experiential education from hospital to home: A covid-19 scenario. Pharmacy Education, 20(2), 212–220. https://doi.org/10.46542/pe.2020.202.212220

Mahmoudi, L., Ghouchani, M., Mahi-Birjand, M., Bananzadeh, A., & Akbari, A. (2019). Optimizing compliance with surgical antimicrobial prophylaxis guidelines in patients undergoing gastrointestinal surgery at a referral teaching hospital in southern iran: Clinical and economic impact. Infection and Drug Resistance, 12, 2437–2444. https://doi.org/10.2147/IDR.S212728

Mohamed Ibrahim, O., Ibrahim, R. M., Abdel-Qader, D. H., Al Meslamani, A. Z., & Al Mazrouei, N. (2021). Evaluation of Telepharmacy Services in Light of COVID-19. Telemedicine and e-Health, 27(6), 649–656. https://doi.org/10.1089/tmj.2020.0283

Neville, H. L., Chevalier, B., Daley, C., Nodwell, L., Harding, C., Hiltz, A., MacDonald, T., et al. (2014). Clinical benefits and economic impact of post-surgical care provided by pharmacists in a Canadian hospital. International Journal of Pharmacy Practice, 22(3), 216–222. https://doi.org/10.1111/ijpp.12058

Nguyen, A. D., Lam, A., Banakh, I., Lam, S., & Crofts, T. (2020). Improved medication management with introduction of a perioperative and prescribing pharmacist service. Journal of Pharmacy Practice, 33(3). https://doi.org/10.1177/0897190018804961

Patel, G. P., Hyland, S. J., Birrer, K. L., Wolfe, R. C., Lovely, J. K., Smith, A. N., Dixon, R. L., et al. (2020). Perioperative clinical pharmacy practice: responsibilities and scope within the surgical care continuum. Journal of the American College of Clinical Pharmacy, 3(2), 501–519. https://doi.org/10.1002/jac5.1185

Wang, R., Dong, X., Zhang, X., Gan, S., Kong, L., Lu, X., & Rao, Y. (2020). Pharmacist‐driven multidisciplinary initiative continuously improves postoperative nausea and vomiting in female patients undergoing abdominal surgery. Journal of Clinical Pharmacy and Therapeutics, 45(5). https://doi.org/10.1111/jcpt.13110

Weiser, T. G., Haynes, A. B., Molina, G., Lipsitz, S. R., Esquivel, M. M., Uribe-Leitz, T., Fu, R., et al. (2016). Size and distribution of the global volume of surgery in 2012. Bulletin of the World Health Organization, 94(3), 201-209F. https://doi.org/10.2471/BLT.15.159293

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Published

2022-07-22

How to Cite

Alarfaj, S. J., Abozaid, G., Alboghdadly, A., Elgadi, S., Ibrahim, A., & Altwaijry, N. A. (2022). Students’ experience and perception of a virtual surgical advanced pharmacy practice elective. Pharmacy Education, 22(1), p. 706–714. https://doi.org/10.46542/pe.2022.221.706714

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Section

Research Article