Defining evidence requirements for a Development Framework for Pharmacists (DFP) in community pharmacy practice
DOI:
https://doi.org/10.46542/pe.2024.241.248261Keywords:
Community pharmacist, Community pharmacy, Development framework for pharmacists, Professional developmentAbstract
Background: The Development Framework for Pharmacists (DFP) was implemented in a pharmacy chain to guide pharmacist development. Both pharmacists and their supervisors faced challenges in defining evidence and performance levels for Domain 1 (Expert professional practice) standards. This study explored these challenges in a community pharmacy setting.
Methods: Three online focus group discussions (FGDs) involving a DFP workgroup member and representatives from community pharmacies and polyclinics were conducted. The FGDs were facilitated by guiding questions and evidences gathered from pharmacists who had attempted the DFP. The FGDs were recorded, transcribed, and coded thematically.
Results: Participants viewed the DFP as relevant to community practice but suggested aligning DFP evidence examples with community pharmacists’ responsibilities. Key themes from the FGDs included: (1) The need for clear definitions for descriptors, especially when identical evidence was used for different standards; (2) Professional education can be Domain 1 evidence when skills learned are demonstrated in the workplace; (3) Potential inclusion of education and training activities in Domain 1. (4) The need for a criteria model to assess pharmacists’ performance level in various roles and situations; (5) Clarification regarding the term "group of patients" (6) Considering back-end work as Domain 1 evidence.
Conclusion: Addressing the above themes could enhance DFP integration for community pharmacists.
References
Ali, A. S., Fejzic, J., Grant, G. D., & Nissen, L. M. (2016). Pharmacists’ self-perceptions in relation to the “Advanced Pharmacy Practice Framework”. Research in Social & Administrative Pharmacy: RSAP, 12(3), 496–508. https://doi.org/10.1016/j.sapharm.2015.08.007
Allemann, S. S., van Mil, J. W. F., Botermann, L., Berger, K., Griese, N., & Hersberger, K. E. (2014). Pharmaceutical care: The PCNE definition 2013. International Journal of Clinical Pharmacy, 36(3), 544–555. https://doi.org/10.1007/s11096-014-9933-x
Atkinson, J., Sánchez Pozo, A., Rekkas, D., Volmer, D., Hirvonen, J., Bozic, B., Skowron, A., Mircioiu, C., Sandulovici, R., Marcincal, A., Koster, A., Wilson, K. A., van Schravendijk, C., Frontini, R., Price, R., Bates, I., & De Paepe, K. (2016). Hospital and community pharmacists’ perceptions of which competences are important for their practice. Pharmacy (Basel, Switzerland), 4(2). https://doi.org/10.3390/pharmacy4020021
Camillia Deborah Dass. (2017, May 3). Watsons, NUS pharmacy dept help diabetes patients manage the chronic disease. https://www.straitstimes.com/singapore/diabetes-patients-get-help-with-managing-the-disease
Chapman, A. L., Hadfield, M., & Chapman, C. J. (2015). Qualitative research in healthcare: An introduction to grounded theory using thematic analysis. The Journal of the Royal College of Physicians of Edinburgh, 45(3), 201–205. https://doi.org/10.4997/JRCPE.2015.305
Chief Pharmacist’s Office. (2020). Development framework continuum of competency for pharmacists. https://www.moh.gov.sg/docs/librariesprovider4/default-document-library/(fa)development_framework_for_pharmacists_2020_v1-13e1a9c4bbed944fbb515cd8e5fc28820.pdf
Chief Pharmacist’s Office. (2021). Introduction to development framework for pharmacists. https://www.moh.gov.sg/docs/librariesprovider4/default-document-library/(for-info)-dfp_introduction_vjune2021.pdf
Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE.
Držaić, M., Kummer, I., Mucalo, I., Bruno, A., & Ortner Hadžiabdić, M. (2018). Identifying self-assessed competencies and areas for improvement within community pharmacist-preceptors support during pre-registration training. BMC Medical Education, 18(1), 303. https://doi.org/10.1186/s12909-018-1413-x
Farrugia, B. (2019). WASP (Write a scientific paper): Sampling in qualitative research. Early Human Development, 133, 69–71. https://doi.org/10.1016/j.earlhumdev.2019.03.016
Gan, S., Bhattamisra, S. K., Mohd Zulkefeli, & Ho, K. L. (2023). Pharmacy students’ and supervisors’ perceptions of the effectiveness of assessment rubrics for undergraduate research performance review. Pharmacy Education, 23(1), 193–204. https://doi.org/10.46542/pe.2023.231.193204
García-Ros, R., Ruescas-Nicolau, M.-A., Cezón-Serrano, N., Carrasco, J. J., Pérez-Alenda, S., Sastre-Arbona, C., San Martín-Valenzuela, C., Flor-Rufino, C., & Sánchez-Sánchez, M. L. (2021). Students’perceptions of instructional rubrics in neurological physical therapy and their effects on students’ engagement and course satisfaction. International Journal of Environmental Research and Public Health, 18(9), 4957. https://doi.org/10.3390/ijerph18094957
Goode, J.-V., Owen, J., Page, A., & Gatewood, S. (2019). Community-based pharmacy practice innovation and the role of the community-based pharmacist practitioner in the United States. Pharmacy (Basel, Switzerland), 7(3). https://doi.org/10.3390/pharmacy7030106
Healthub. (2019, January 31). Medication, dispensing and counseling (Pharmacy Services). https://www.healthhub.sg/a-z/medical-and-care-facilities/medication-dispensing-counselling
Heavner, M. S., Tichy, E. M., & Yazdi, M. (2016). Implementation of a pharmacist career ladder program. American Journal of Health-System Pharmacy, 73(19), 1524–1530. https://doi.org/10.2146/ajhp150615
Hennink, M., & Kaiser, B. N. (2022). Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Social Science & Medicine, 292, 114523. https://doi.org/10.1016/j.socscimed.2021.114523
International Pharmaceutical Federation (FIP). (2017). Transforming pharmacy and pharmaceutical sciences education in the context of workforce development. https://www.fip.org/file/1387
International Pharmaceutical Federation (FIP). (2020). FIP Global Advanced Development Framework: Supporting the advancement of the profession Version 1. International Pharmaceutical Federation (FIP). https://www.fip.org/file/4790
Jackson, S., Martin, G., Bergin, J., Clark, B., Stupans, I., Yeates, G., Nissen, L., Marty, S., Gysslink, P., Matthews, A., Kirsa, S., Deans, K., & Sorimachi, K. (2015). An advanced pharmacy practice framework for Australia. Pharmacy, 3(2), 13–26. https://doi.org/10.3390/pharmacy3020013
Lum, Z. K., Chang, K. L., Tsou, K. Y.-K., Tan, J. Y., Wong, C. S. M., Kok, Z. Y., Kwek, S. C., Gallagher, P. J., & Lee, J. Y.-C. (2022). Enhancing diabetes care with community pharmacist-involved collaborative care model: A multi-centre randomised controlled trial. Diabetes Research and Clinical Practice, 185, 109238. https://doi.org/10.1016/j.diabres.2022.109238
Ministry of Health. (2017). Competency standards for pharmacists in advanced practice. https://www.healthprofessionals.gov.sg/docs/librariesprovider3/forms-publications/competency-standards-for-pharmacists-in-advanced-practice-2017-(web-version).pdf
Ministry of Health. (2019, June 7). News highlights. https://www.moh.gov.sg/news-highlights/details/speech-by-mr-gan-kim-yong-minister-for-health-at-the-singapore-pharmacy-council-pharmacist-s-pledge-affirmation-ceremony-7-june-2019
Ministry of Health. (2022, March 9). Promoting overall healthier living while targeting specific sub-populations. https://www.moh.gov.sg/news-highlights/details/promoting-overall-healthier-living-while-targeting-specific-sub-populations
Neo, Z. Y., Low, Y. T., Ong, K. Y., Chong, J. B. K., Lim, K. W., Chan, M. W., Lim, A. Z. N., Mamun, K., & Chen, L. L. (2019). Project octo‐pills—Engaging community pharmacists in the care of patients from a tertiary hospital: A pilot study. The International Journal of Health Planning and Management, 34(1). e976-e986. https://doi.org/10.1002/hpm.2718
Panadero, E., & Jonsson, A. (2013). The use of scoring rubrics for formative assessment purposes revisited: A review. Educational Research Review, 9, 129–144. https://doi.org/10.1016/j.edurev.2013.01.002
Parinyarux, P., Dhippayom, T., Wongpoowarak, P., & Kitikannakorn, N. (2022). Development of community pharmacy competencies. The Journal of Pharmacy Technology: JPT: Official Publication of the Association of Pharmacy Technicians, 38(3), 183–190. https://doi.org/10.1177/87551225221081370
Poh, A., & Lin, W. (2021). Role of the pharmacist during the COVID-19 pandemic: A time to rethink strategies. Singapore Medical Journal, 62(6), 315–317. https://doi.org/10.11622/smedj.2020098
Sakr, F., Akel, M., Sacre, H., Haddad, C., Tawil, S., Safwan, J., Hajj, A., Zeenny, R. M., Iskandar, K., & Salameh, P. (2023). The specialized competency framework for community pharmacists (SCF-CP) in Lebanon: Validation and evaluation of the revised version. Journal of Pharmaceutical Policy and Practice, 16(1), 77. https://doi.org/10.1186/s40545-023-00585-6
Salma Khalik. (2015, May 6). Pharmacists to play bigger role in patient care: Health Minister Gan Kim Yong. The Straits Times. https://www.straitstimes.com/singapore/health/pharmacists-to-play-bigger-role-in-patient-care-health-minister-gan-kim-yong
Saseen, J. J., Ripley, T. L., Bondi, D., Burke, J. M., Cohen, L. J., McBane, S., McConnell, K. J., Sackey, B., Sanoski, C., Simonyan, A., Taylor, J., & Vande Griend, J. P. (2017). Clinical pharmacist competencies. Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy, 37(5), 630–636. https://doi.org/10.1002/phar.1923
Singapore Pharmacy Council. (2021, October 29). Community pharmacist. https://www.healthprofessionals.gov.sg/spc/about-pharmacists/community-pharmacist
The Royal Pharmaceutical Society. (2013). The RPS Advanced Pharmacy Framework (APF). Retrieved August 10, 2023, from https://www.rpharms.com/resources/frameworks/advanced-pharmacy-framework-apf
Udoh, A., Bruno-Tomé, A., Ernawati, D. K., Galbraith, K., & Bates, I. (2021). The effectiveness and impact on performance of pharmacy-related competency development frameworks: A systematic review and meta-analysis. Research in Social and Administrative Pharmacy, 17(10), 1685–1696. https://doi.org/10.1016/j.sapharm.2021.02.008
Yap, A. C. Y., Kang, K., & Chung, W. L. (2021). Role of community pharmacists in engaging digital technology and telehealth services in Singapore. International Journal of Digital Health, 1(1), 9. https://doi.org/10.29337/ijdh.33
Yap, J. S. Y., Tang, C. W. Q., Hor, H. M. L., Chong, J. B. K., & Yap, K. Z. (2019). Process evaluation of the Community Pharmacist-Led Allergic Rhinitis Management (C-PhARM) service in Singapore. Pharmacy, 7(2), 56. https://doi.org/10.3390/pharmacy7020056
