Assessment of professionalism among pharmacy students: A pilot study exploring professionalism tenets and associated factors
DOI:
https://doi.org/10.46542/pe.2023.231.283295Keywords:
Pharmacy, Pharmacy education, Pharmacy professionalism instrument, Pharmacy student, Professionalism, Professionalism tenetAbstract
Background: Enhancing student pharmacist professionalism has gained much attention in pharmacy education. This study aimed to assess the professionalism of professional year students in a private pharmacy school in Lebanon and identify significant factors.
Methods: This descriptive cross-sectional study was conducted using the validated pharmacy professionalism instrument (PPI) applied to students of the three professional years of pharmacy study. A stratification by professional year was performed to compare groups and subgroups and identify significant associations.
Results: The students reported a high overall professionalism score (78.65±10.36) and good scores for the six tenets of professionalism, including excellence (21.79±3.18), respect (17.47±2.66), altruism (12.74±2.00), duty (9.32±1.38), accountability (8.62±1.55), and integrity (8.89±1.51). There was no significant improvement in overall professionalism and tenets scores across the professional years, nor was there a significant change in demographics. However, working on a part-time basis was significantly associated with lower overall professionalism (beta=-2.674), respect (beta=-0.553), altruism (beta=0.523), duty (beta=-0.295), and accountability scores (beta=-0.316).
Conclusion: The study revealed high overall baseline professionalism and tenets scores among all students with no significant improvements from one year to the other. Further studies that follow cohorts of students up across the curriculum are necessary for individual comparisons.
References
ACPE. (2016). Accreditation Council for Pharmacy Education. Accreditation Standards and Key Elements for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree (“Standards 2016”). Accreditation Council for Pharmacy Education. https://www.acpe-accredit.org/pharmd-program-accreditation/
Akel, M. E., Rahal, M., Dabbous, M., Mourad, N., Dimassi, A., & Sakr, F. (2020). Experiential Education in Pharmacy Curriculum: The Lebanese International University Model. Pharmacy (Basel, Switzerland), 9(1), 5. https://doi.org/10.3390/pharmacy9010005
Alameddine, M., Bou-Karroum, K., & Hijazi, M. A. (2022). A national study on the resilience of community pharmacists in Lebanon: A cross-sectional survey. Journal of pharmaceutical policy and practice, 15(1), 8. https://doi.org/10.1186/s40545-022-00406-2
Ayele, A. A., Mekuria, A. B., Tegegn, H. G., Gebresillassie, B. M., Mekonnen, A. B., & Erku, D. A. (2018). Management of minor ailments in a community pharmacy setting: Findings from simulated visits and qualitative study in Gondar town, Ethiopia. PLoS one, 13(1), e0190583. https://doi.org/10.1371/journal.pone.0190583
Chadha, A., Charrois, T. L., & Hall, J. (2022). Moving beyond professionalism: Pharmacy students understanding of professionalism and professional identity. Currents in pharmacy teaching and learning, 14(8), 972–981. https://doi.org/10.1016/j.cptl.2022.07.010
Chisholm, M. A., Cobb, H., Duke, L., McDuffie, C., & Kennedy, W. K. (2006). Development of an instrument to measure professionalism. American journal of pharmaceutical education, 70(4), 85. https://doi.org/10.5688/aj700485
Dahiru, T. (2008). P - value, a true test of statistical significance? A cautionary note. Annals of Ibadan postgraduate medicine, 6(1), 21–26. https://doi.org/10.4314/aipm.v6i1.64038
Eukel, H., Frenzel, J., Skoy, E., & Faure, M. (2018). Longitudinal evaluation of student professionalism throughout the professional didactic curriculum of a pharmacy program. Currents in pharmacy teaching and learning, 10(3), 325–332. https://doi.org/10.1016/j.cptl.2017.11.011
FIP (International Pharmaceutical Federation). (2014). Quality Assurance of Pharmacy Education: The FIP Global Framework (2nd edition). https://www.fip.org/files/fip/PharmacyEducation/Quality_Assurance/QA_Framework_2nd_Edition_online_version.pdf
Fusco, N. M., Prescott, G. M., & Prescott, W. A. (2015). Motivations for pharmacy students to join professional organizations. Currents in pharmacy teaching and learning, 7(1), 117–120. https://doi.org/10.1016/j.cptl.2014.09.006
Halat, D. H., Safwan, J., Akel, M., & Rahal, M. (2022). PROGRAMME DESCRIPTION: Pharmacy education shift during times of pandemic and collapse: A perspective from a school of pharmacy in Lebanon. Pharmacy Education, 22(1), 33–40. https://doi.org/10.46542/pe.2022.221.3340
Hallit, S., Sacre, H., Hajj, A., Sili, G., Zeenny, R. M., & Salameh, P. (2019). Projecting the future size of the Lebanese pharmacy workforce: Forecasts until the year 2050. International journal of pharmacy practice, 27(6), 582–588. https://doi.org/10.1111/ijpp.12564
Hammer, D. (2006). Improving Student Professionalism During Experiential Learning. American Journal of Pharmaceutical Education, 70(3), 59.
Hammer, D., Berger, B., Beardsley, R., & Easton, M. (2003). Student Professionalism. American Journal of Pharmaceutical Education, 67(3), Article 96. https://www.researchgate.net/publication/265534621_Student_Professionalism
Hammer, D., Mason, H., Chalmers, R., Popovich, N., & Rupp, M. (2000). Development and Testing of an Instrument to Assess Behavioral Professionalism of Pharmacy Students1. American journal of pharmaceutical education, 64, 141-151. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=ec0cd42bd396e5d676b014d43c62245da8f8d1ec
Hanna, L.-A., Gillen, J., & Hall, M. (2017). An investigation of final year pharmacy students’ moral reasoning ability, and their views on professionalism and fitness to practice panel determinations: A questionnaire study. Currents in pharmacy teaching & learning, 9(4), 652–659. https://doi.org/10.1016/j.cptl.2017.03.016
Hill, W. T. (2000). White Paper on Pharmacy Student Professionalism: What we as pharmacists believe our profession to be determines what it is. Journal of the American Pharmaceutical Association, 40(1), 96–102. https://doi.org/10.1016/S1086-5802(16)31043-9
Holt, S. L., Lau, M. S., Wong, F. L., Attridge, R. T., Ho, M., Morris, J. L., Rutledge, E. D., Sapko, M. M., Tu, X., & Vlasimsky, T. B. (2009). Tenets of professionalism for pharmacy students. Pharmacotherapy, 29(6), 757–759. https://doi.org/10.1592/phco.29.6.757
Huang, Y.-M., Chan, H.-Y., Lee, P.-I., Tang, Y.-W., Chiou, T.-W., Liu, K. C. S. C., & Ho, Y.-F. (2022). Exploration of changes in pharmacy students’ perceptions of and attitudes towards professionalism: Outcome of a community pharmacy experiential learning programme in Taiwan. BMC Medical Education, 22(1), 195. https://doi.org/10.1186/s12909-022-03261-6
Janzen, D., Fitzpatrick, K., Jensen, K., & Suveges, L. (2013). Women in pharmacy: A preliminary study of the attitudes and beliefs of pharmacy students. Canadian pharmacists journal: CPJ, 146, 109–116. https://doi.org/10.1177/1715163513481323
Jungnickel, P. W., Kelley, K. W., Hammer, D. P., Haines, S. T., & Marlowe, K. F. (2009). Addressing Competencies for the Future in the Professional Curriculum. American journal of pharmaceutical education, 73(8), 156. https://doi.org/10.5688/aj7308156
Kelley, K. A., Stanke, L. D., Rabi, S. M., Kuba, S. E., & Janke, K. K. (2011). Cross-Validation of an Instrument for Measuring Professionalism Behaviors. American journal of pharmaceutical education, 75(9), 179. https://doi.org/10.5688/ajpe759179
Lerkiatbundit, S. (2011). Factor Structure and Cross-Validation of a Professionalism Scale in Pharmacy Students. Journal of pharmacy teaching, 12(2), 25–49. https://doi.org/10.1300/J060v12n02_03
Mossialos, E., Courtin, E., Naci, H., Benrimoj, S., Bouvy, M., Farris, K., Noyce, P., & Sketris, I. (2015). From “retailers” to health care providers: Transforming the role of community pharmacists in chronic disease management. Health Policy (Amsterdam, Netherlands), 119(5), 628–639. https://doi.org/10.1016/j.healthpol.2015.02.007
Okoro, R. (2019). Investigation of final‐year pharmacy students’ views on professionalism and ethics in pharmacy practice: An interventional study. International journal of pharmacy practice, 28(2), 130–133. https://doi.org/10.1111/ijpp.12542
O’Sullivan, T. A., & Sy, E. (2017). A Qualitative Study Designed to Build an Experiential Education Curriculum for Practice-Ready Community Pharmacy-Bound Students. American journal of pharmaceutical education, 81(10), 6055. https://doi.org/10.5688/ajpe6055
Poirier, T. I., & Gupchup, G. V. (2010). Assessment of Pharmacy Student Professionalism Across a Curriculum. American journal of pharmaceutical education, 74(4):62. https://doi.org/10.5688/aj740462
Safwan, J., Cherfan, M., Dabbous, M., Hammoudi, D., Akiki, Z., Saade, F., Akel, M., Younes, S., Rahal, M., Bouraad, E., & Sakr, F. (2022). Faculty perceptions on online education in a school of pharmacy during the COVID-19 pandemic. Pharmacy Education, 22(1), 450–457. https://doi.org/10.46542/pe.2022.221.450457
Sakr, F., Fahs, I., Dimassi, A., Younes, S., Mourad, N., Safwan, J., Akel, M., Rahal, M., & Dabbous, M. (2022). Experiential pharmacy education in trying times: Lessons learned from the COVID-19 pandemic. Pharmacy Education, 22(1), 823–834. https://doi.org/10.46542/pe.2022.221.823834
Schafheutle, E. I., Hassell, K., Ashcroft, D. M., Hall, J., & Harrison, S. (2012). How do pharmacy students learn professionalism? The international journal of pharmacy practice, 20(2), 118–128. https://doi.org/10.1111/j.2042-7174.2011.00166.x
Schafheutle, E. I., Hassell, K., Ashcroft, D. M., & Harrison, S. (2013). Organizational Philosophy as a New Perspective on Understanding the Learning of Professionalism. American journal of pharmaceutical education, 77(10), 214. https://doi.org/10.5688/ajpe7710214
Stergachis, A. (2006). Promoting the Pharmacist’s Role in Public Health. Journal of the American Pharmacists Association, 46(3), 311–319. https://doi.org/10.1331/154434506777069444
Sutton, B., Bearman, M., Jolly, B., Nestel, D., Brookes, P., Flanagan, B., Watson, M., & Mcmenamin, C. (2010). Simulated Learning Environments Medical Curriculum Report. Health Workforce Australia.
Torrance, J. (2014). What is holding pharmacists back? Canadian Pharmacists Journal : CPJ, 147(5), 278–280. https://doi.org/10.1177/1715163514544632
Wilson, S., Tordoff, A., & Beckett, G. (2010). Pharmacy professionalism: A systematic analysis of contemporary literature (1998-2009). Pharmacy Education, 10, 27–31. https://pharmacyeducation.fip.org/pharmacyeducation/article/view/333
Younes, S., Hammoudi Halat, D., Rahal, M., Hendaus, M., & Mourad, N. (2022). Motivation, satisfaction, and future career intentions of pharmacy students: A cross-sectional preliminary analysis. Currents in pharmacy teaching & learning, 14(11), 1365–1372. https://doi.org/10.1016/j.cptl.2022.09.026