Comprehensive disease state reviews: A guide to live and virtual implementation in a therapeutics course

Authors

  • Caitlin Gibson Department of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University School of Pharmacy, Richmond, Virginia, United States & Department of Pharmacotherapy, University of North Texas Health Science Center College of Pharmacy, Fort Worth, Texas, United States (at the time of research)
  • Meredith L. Howard Amgen, Inc., Thousand Oaks, California, United States & Department of Pharmacotherapy, University of North Texas Health Science Center College of Pharmacy, Fort Worth, Texas, United States (at the time of research)

DOI:

https://doi.org/10.46542/pe.2024.241.332339

Keywords:

Cardiology, Education, Pharmacotherapy, Pharmacy education

Abstract

Background: Pharmacy curricula often teach disease states in silos, covering one disease at a time. This approach may inadequately prepare students for caring for patients with multiple coinciding disease states. The purpose of this “how-to” guide is to detail an approach to implementing a comprehensive, capstone-style disease state review into pharmacy therapeutics courses.

Methods: This manuscript describes the use of a drug-class review, individual disease-state patient cases, and then layered, multi-disease-state cases that build upon individual cases in an integrated cardiovascular pharmacotherapy course. It also describes pre- and post-test assessments to supplement learning outcomes.

Results: The educational activity significantly improved student performance between the pre- and post-tests. Informal feedback indicated appreciation for the real-world applicability of the activity.

Conclusion: While cardiovascular examples are provided, this approach could be integrated into any therapeutics-type course. Benefits for students include providing a space to explore therapeutic decision-making for patients with multiple common, overlapping disease states. Faculty also benefit from this design, as once created, it is a robust and comprehensive review that can be used year after year regardless of changes in guidelines.

References

Accreditation Council for Pharmacy Education. (2015). Accreditation standards and key elements for the professional program in pharmacy leading to the Doctor of Pharmacy degree ("Standards 2016"). https://www.acpe-accredit.org/pdf/Standards2016FINAL.pdf

Dolmans, D., Michaelsen, L., van Merriënboer, J., & van der Vleuten, C. (2014). Should we choose between problem-based learning and team-based learning? No, combine the best of both worlds! Medical Teacher, 37(4), 354‒359. https://doi.org/10.3109/0142159X.2014.948828

Flannery, A. H., Soric, M. M., Benavides, S., Bobbitt, L. J., Chan, A., Crannage, A. J., Flores, E. K., Gibson, C. M., Gurgle, H. E., Kolanczyk, D. M., Merlo, J. R., & Schwinghammer, T. L. (2019). 2019 Update to the American college of clinical pharmacy pharmacotherapy didactic curriculum toolkit. Journal of the American College of Clinical Pharmacy, 3(2), 455‒464. https://doi.org/10.1002/jac5.1178

Haines, S. T., Pittenger, A. L., Stolte, S. K., Plaza, C. M., Gleason, B. L., Kantorovich, A., McCollum, M., Trujillo, J. M., Copeland, D. A., Lacroix, M. M., Masuda, Q. N., Mbi, P., Medina, M. S., & Miller, S. M. (2017). Core entrustable professional activities for new pharmacy graduates. American Journal of Pharmaceutical Education, 81(1), S2. https://doi.org/10.5688/ajpe811S2

Howard, M. L., & Gaviola, M. L. (2018). Progressive disclosure cases: The design and evaluation of use in multiple therapeutics courses. Currents in Pharmacy Teaching and Learning, 10(6), 723‒729. https://doi.org/10.1016/j.cptl.2018.03.001

Islam, M. A., Talukder, R. M., Taheri, R., & Blanchard, N. (2016). Integration of basic and clinical science courses in US PharmD programs. American Journal of Pharmaceutical Education, 80(10),166. https://doi.org/10.5688/ajpe8010166

Joint Commission of Pharmacy Practitioners. (2014). Pharmacists’ patient care process. https://jcpp.net/patient-care-process/

Parmelee, D. X., & Michaelson, L. K. (2010). Twelve tips for doing effective Team-Based Learning (TBL). Medical Teacher, 32(2), 118‒122. https://doi.org/10.3109/01421590903548562

Persky, A. M., Medina, M. S., & Castleberry, A. N. (2019). Developing critical thinking skills in pharmacy students. American Journal of Pharmaceutical Education, 83(2), Article 7033. https://doi.org/10.5688/ajpe7033

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Published

31-05-2024

How to Cite

Gibson, C., & Howard, M. (2024). Comprehensive disease state reviews: A guide to live and virtual implementation in a therapeutics course. Pharmacy Education, 24(1), p. 332–339. https://doi.org/10.46542/pe.2024.241.332339

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Programme Description