Practice evaluation and identification of learning and development needs using the General Level Framework – are we meeting pharmacists needs?
Keywords:Competency, Continuing Professional Development (CPD), Development, Evaluation, Pharmacist, Training
Background: The General Level Framework (GLF) is a competency based performance evaluation and development tool used to identify gaps in knowledge, skills and attitudes, provide feedback and assist with the formulation of a Continuing Professional Development (CPD) plan. Medication Services Queensland provided up-skilling workshops for hospital pharmacists employed by Queensland Health, the objectives of which were derived from training needs identified during GLF evaluations and feedback.
Aim: This study aims to compare learning and development needs of pharmacists identified through GLF evaluation in the previous 14 months, with the learning objectives of the existing up-skilling workshop and to review the CPD recommendations made during the GLF process.
Method: Two hundred and twenty GLF evaluations, completed over 14 months were retrospectively reviewed. Recommendations were entered into Microsoft ExcelTM and themed according to (a) those related to general CPD and (b) those related to specific GLF competencies.
Results: The five most frequent training and learning needs were centred around two competency clusters: pharmacological knowledge and CPD. The next most common grouping of recommendations correlated with the learning objectives of the up- skilling workshop and included documentation of clinical pharmacy review activities, exploring patient’s understanding, prioritisation, use of decision support and patient background and reconciliation.
Conclusion: The GLF is a valuable tool to assist pharmacists with identifying their individual training and learning needs, and correlate with the learning objectives of the up-skilling workshop.
Antonious, S., Webb, D.G., McRobbie, D., Davies, J.G., Wright, J., Quinn, J. & Bates, I. (2005) A controlled study of the general level framework: Results of the South of England competency study. Pharmacy Education, 5, 201-207.
Audit Commission (2001) A spoonful of sugar: Medicines management in NHS hospitals, Wetherby: Audit Commission Publications (online). Available at: http://www.audit- commission.gov.uk/SiteCollection Documents/AuditCommissionReports/NationalStudies/nrspoonfulsugar.pdf. Accessed 16th April, 2010.
Austin, Z., Marini, A. & Desroches, B. (2005) Use of a learning portfolio for continuous professional development: A study of pharmacists in Ontario (Canada). Pharmacy Education, 5, 175-181.
Austin, Z., Marini, A., MacLeod Glover, N. & Croteau, D. (2005a) Continuous professional development: a qualitative study of pharmacists' attitudes, behaviours, and preferences in Ontario, Canada. American Journal of Pharmaceutical Education, 69, 25-33.
Australia Dept. Of Health and Aged Care (1999) National Medicines Policy 2000, Canberra, Dept. of Health and Aged Care.
Borja-Lopetegi, A., Webb, D.G., Bates, I. & Sharott, P. (2008) Association between clinical medicines management services, pharmacy workforce and patient outcomes (Oral Communication 5). Pharmacy World and Science, 30, 411- 450.
Bruno, A., Bates, I., Brock, T. & Anderson, C. (2010) Viewpoints: Towards a global competency framework. American Journal of Pharmaceutical Education, 74, Article 56.
Coombes, I., Avent, M., Whitfield, K., Coombes, J., Cardiff, L., Bettenay, K., Stokes, J., Bates, I. & Davies, G. (2010) The use of the General Level Framework in Queensland: a competency based pharmacist performance assessment and feedback tool. Journal of Pharmacy Practice and Research, 40, 111-118.
Department Of Health (2001) The Report of the Public Inquiry into children's heart surgery at the Bristol Royal Infirmary 1984-1995, Learning from Bristol. London: Department of Health Publications.
Dooley, M.J., Allen, K.M., Doecke, C.J., Galbraith, K.J., Taylor, G.R., Bright, J. & Carey, D.L. (2004) A prospective multicentre study of pharmacist initiated changes to drug therapy and patient management in acute care government funded hospitals. British Journal of Clinical Pharmacology, 57, 513-21.
Dyke, J.E., Gidman, W.K., Wilson, S.E. & Becket, G. (2009) Personal development planning: first-year Master of Pharmacy students' engagement with, and attitudes towards, reflective self-assessment. International Journal of Pharmacy Practice, 17, 61-66.
FIP Council (2002) FIP Statement of Professional Standards: Continuing Professional Development (on-line). Available at: http://www.fip.org/www/uploads/ database_file.php? id=221&table_id=. Accessed 17th February, 2013.
Goodwin, S.D., Kane-Gill, S.L., Ng, T.M., Melroy, J.T., Hess, M.M., Tallian, K., Trujillo, T.C. & Vermeulen, L.C. (2010) Rewards and advancements for clinical pharmacists. Pharmacotherapy, 30, 114.
Kaboli, P.J., Hoth, A.B., McClimon, B.J. & Schnipper, J.L. (2006) Clinical pharmacists and inpatient medical care: a systematic review. Archives of Internal Medicine, 166, 955- 64.
Medication Services Queensland (2011) Queensland Health General Level Framework (GLF). In Pharmacy Practice and Development Unit (ed.) 4.3 ed. Brisbane: Queensland Health.
Melnick, D.E. (2004) Physician performance and assessment and their effect on Continuing Medical Education and Continuing Professional Development. The Journal of Continuing Education in Health Profession, 24, S38-S49.
Mills, E., Farmer, D., Bates, I., Davies, G. & Webb, D.G. (2008). The General Level Framework: Use in primary care and community pharmacy to support professional development. International Journal of Pharmacy Practice, 16, 325-331.
Pharmaceutical Society Of Australia (2003) Competency Standards for Pharmacists in Australia (on-line). Available at: http://www.psa.org.au/site.php?id=1123. Accessed 16th April, 2010.
Pharmaceutical Society Of Australia (2010) Professional Practice Standards Version 4 (on-line). Available at: http:// www.psa.org.au/site.php?id=6040. Accessed 16th April, 2010.
Pharmacy Board Of Australia (2010) Continuing professional development registration standard. Australian Health Practitioner Registration Agency.
Power, A., Grammatiki, A., Bates, I., McKeller, S., Johnson, J., Diack, L., Stewart, D. & Hudson, S. (2011) Factors affecting the views and attitudes of Scottish pharmacists to continuing professional development. International Journal of Pharmacy Practice, 19, 424-430.
Rouse, M. (2004) Continuing Professional Development in pharmacy. Journal of the American Pharmaceutical Association, 44, 517-520.
SHPA Committee Of Specialty Practice In Clinical Pharmacy (2005) SHPA Standards of Practice for Clinical Pharmacy. Journal of Pharmacy Practice and Research, 35, 122-46.