California pharmacy student perceptions of confidence and curricular education to provide direct pharmacy access to hormonal contraception
Keywords:Hormonal Contraception, Pharmacy Access, Pharmacy Curriculum, Pharmacy Students
Background: Pharmacist provision of reproductive health services has grown drastically and is being expanded to include direct pharmacy access to hormonal contraception (HC).
Aims: Assess pharmacy students’ perceptions of confidence and curricular education to provide pharmacy access to HC in their near future practices.
Method: An anonymous self-administered questionnaire was administered to California pharmacy students who had completed their therapeutics curriculum but had not begun advanced pharmacy practice experiences.
Results: Over 65% of pharmacy students felt they have been adequately educated by their curricula to prescribe HC. Almost all reported they would like more education on appropriate product selection and switching between products. Students had the least confidence in safely prescribing HC for minors.
Conclusions: This study demonstrates pharmacy students’ educational needs relating to the future provision of HC services. Schools should evaluate curricula and possibly expand training in family planning due the growing interest and need in providing these services.
Corelli, R.L., Kroon, L.A., Chung, E.P., Sakamoto, L.M., Gundersen, B., Fenlon, C.M. & Hudmon, K.S. (2005) Statewide evaluation of a tobacco cessation curriculum for pharmacy students. Preventative Medicine, 40, 888-95.
El-Ibiary, S.Y., Raine, T., McIntosh, J., Darney, P.D. & Harper, C.C. (2007) Pharmacy access to emergency contraception: perspectives of pharmacists at a chain pharmacy in San Francisco. Journal of American Pharmacists Association, 47, 702-10.
Finer, L.B. & Zolna, M.R. (2011) Unintended pregnancy in the United States: incidence and disparities, 2006. Contraception, 84, 478-85.
Frost, J.J. & Darroch, J.E. (2008) Factors associated with contraceptive choice and inconsistent method use, United States, 2004. Perspectives on Sexual & Reproductive Health, 40, 94-104.
Gardner, J.S., Miller, L., Downing, D.F., Le, S., Blough, D. & Shotorbani, S. (2008) Pharmacist prescribing of hormonal contraceptives: results of the Direct Access study. Journal of American Pharmacists Association, 48, 212-21.
Landau, S., Besinque, K., Chung, F., Dries-Daffner, I. Maderas, N.M., McGhee, B.T. & Foster, D.G. (2009) Pharmacist interest in and attitudes toward direct pharmacy access to hormonal contraception in the United Journal of American Pharmacists Association, 49, 43-50.
Landry, D.J., Wei, J. & Frost, J.J. (2008) Public and private providers’ involvement in improving their patients’ contraceptive use. Contraception, 78, 42-51.
Maderas, N.J.M. & Landau, S.C. (2007) Pharmacy and clinic partnerships to expand access to injectable contraception. Journal of American Pharmacists Association, 47, 527-31.
Pharmacy Practice, SB 493, California (2013) Available at: http://leginfo.legislature.ca.gov/ faces/ billTextClient.xhtml bill_id=2013201 40SB493. Accessed 16th November, 2013.
Rafie, S. & El-Ibiary, S.Y. (2011) Student pharmacist perspectives on providing pharmacy-access hormonal contraception services. Journal of American Pharmacists Association, 51, 762-5.
Stewart, F.H., Harper, C.C., Ellertson, C.E., Grimes, D.A., Sawaya, G.F. & Trussell, J. (2001) Clinical breast and pelvic examination requirements for hormonal contraception. Journal of the American Medical Association, 285, 2232-9.
Wells, E.S., Hutchings, J., Gardner, J.S., Winkler, J.L., Fuller, T.S., Downing, D. & Shafer, R. (1998) Using pharmacies in Washington State to expand access to emergency contraception. Family Planning Perspectives, 30, 288-90.