Implementation of an electronic medical record simulation activity aligned with the Pharmacist Patient Care Process in an ambulatory care elective course
Keywords:
Ambulatory Care, Elective, Electronic Medical Record, Pharmacists’ Patient Care Process, SimulationAbstract
This manuscript evaluates the introduction of an electronic medical record (EMR) simulation activity aligned with the steps of the Pharmacist Patient Care Process (PPCP) in an ambulatory care elective course. The exercise spanned multiple days and provided students with both formative and summative feedback using a rubric. A survey consisting of 16 items focused on attitudes towards and confidence in using EMR’s and the PPCP was administered prior to and following completion of the activity.
Prior to the activity, 61% of participating students had never used an EMR. Survey responses demonstrated statistically significant changes on three of the questions that dealt with pharmacist skills and knowledge, benefits of an EMR in didactic coursework, and confidence in documenting clinical activities. Feedback on the activity was highly positive, with students expressing appreciation for the opportunity to develop both competence and confidence in using an EMR and the application of the PPCP.
References
ACPE [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”). (online). Available at: https://www.acpe-accredit.org/pdf/ Standards 2016FINAL.pdf. Accessed 11th July, 2017.
Anderson, L.W., Krathwohl, C.R., Airasian, P.W. & Cruikshank, K.A. (2001). A Taxonomy for Learning, Teaching, and Assessing - A Revision of Bloom’s Taxonomy of Educational Objectives. New York, NY, Addison Wesley Longman.
Bradley, P. (2006). The history of simulation in medical education and possible future directions. Medical Education, 40(3):254-62.
Bray, B.S., Schwartz, C.R., Odegard, P.S., Hammer, D.P. & Seybert, A.L. (2011). Assessment of human patient simulation-based learning. American Journal of Pharmaceutical Education, 75(10), 208.
Cravens, M.G., Benner, K., Beall, J., Worthington, M., Denson, B., Youngblood, A.Q. & Tofil, N.M. (2016). Knowledge Gain of Pharmacy Students and Pharmacists Comparing Simulation Versus Traditional Learning Methodology. The Journal of Pediatric Pharmacology and Therapeutics, 21(6), 476-485.
Frenzel, J.E. (2010). Using Electronic Medical Records to Teach Patient-Centered Care. American Journal of Pharmaceutical Education, 74(4), 71.
Gleason, B.L., Peeters, M.J., Resman-Targoff, B.H., Karr, S., McBane, S., Kelley, K., Thomas, T. & Denetclaw, T.H. (2011). An Active-Learning Strategies Primer for Achieving Ability-Based Educational Outcomes. American Journal of Pharmaceutical Education, 75(9), 186.
JCCP [Joint Commission of Pharmacy Practitioners], (2014). Pharmacists’ Patient Care Process (online). Available at: https://www.pharmacist.com/ sites/default/files/files/PatientCareProcess.pdf. Accessed 15th June, 2017.
Kane-Gill, S.L. & Smithburger, P.L. (2011). Transitioning knowledge gained from simulation to pharmacy practice. American Journal of Pharmaceutical Education, 75(10), 210.
Kirwin, J., DiVall, M., Guerra, C. & Brown, T. (2013). A simulated hospital pharmacy module using an electronic medical record in a pharmaceutical care skills laboratory course. American Journal of Pharmaceutical Education, 77(3).
March, C.A., Scholl, G., Dversdal, R.K., Richards, M., Wilson, L.M., Mohan, V. & Gold, J.A. (2016). Use of Electronic Health Record Simulation to Understand the Accuracy of Intern Progress Notes. Journal of Graduate Medical Education, 8(2), 237-240.
March, C.A., Steiger, D., Scholl, G., Mohan, V., Hersh, W.R. & Gold, J.A. (2013). Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open, 3(4).
Medina, M.S., Plaza, C.M., Stowe, C.D., Robinson, E.T., DeLander, G., Beck, D.E., Melchert, R.B., Supernaw, R.B., Roche, V.F., Gleason, B. L., Strong, M.N., Bain, A., Meyer, G.E., Dong, B.J., Rochon, J. & Johnston, P. (2013). Center for the advancement of pharmacy education 2013 educational outcomes. American Journal of Pharmaceutical Education, 77(8).
Metzger, N., Chesson, M. & Momary, K. (2015). Simulated order verification and medication reconciliation during an introductory pharmacy practice experience. American Journal of Pharmaceutical Education, 79(7).
Milano, C.E., Hardman, J.A., Plesiu, A., Rdesinski, R.E. & Biagioli, F.E. (2014). Simulated Electronic Health Record (Sim-EHR) Curriculum: Teaching EHR Skills and Use of the EHR for Disease Management and Prevention. Academic Medicine: Journal of the Association of American Medical Colleges, 89(3), 399– 403.
Mountain, C., Redd, R., O’Leary-Kelly, C. & Giles, K. (2015). Electronic Medical Record in the Simulation Hospital. CIN: Computers, Informatics, Nursing, 33(4), 166-171.
Norose, T. (2013). Development of Integrated Clinical Abilities by Simulated Patient Assisted Problem-based Learning Tutolial. Yakugaku Zasshi, 133(2), 223-230.
Oderda, G.M., Zavod, R.M., Carter, J.T., Early, J.L., Joyner, P.U., Kirschenbaum, H. & Plaza, C.M. (2010). An Environmental Scan on the Status of Critical Thinking and Problem Solving Skills in Colleges/ Schools of Pharmacy: Report of the 2009–2010 Academic Affairs Standing Committee. American Journal of Pharmaceutical Education, 74(10).
Passiment, M., Sacks, H. & Huang, G. (2011). Medical simulation in medical education: Results of an AAMC Survey (pp. 1–48). Washington, DC: Association of American Medical Colleges.
Practice Fusion. (2017). About the Largest Cloud-based EHR (online). Available at: http://www.practicefusion. com/about/. Accessed 23rd June, 2017.
Rothholz, M. (2014). JCPP Approves Pharmacists’ Patient Care Process (online). Available at: https:// www.pharmacist.com/jcpp-approves-pharmacists-patient -care-process. Accessed 11th July, 2017.
Stewart, D.W., Brown, S.D., Clavier, C.W. & Wyatt, J. (2011) Active-Learning Processes Used in US Pharmacy Education. American Journal of Pharmaceutical Education, 75(4).
Taylor, C.T., Adams, A.J., Albert, E.L., Cardello, E.A., Clifford, K., Currie, J.D. & Bradley-Baker, L.R. (2015). Report of the 2014-2015 Professional Affairs Standing Committee: producing practice-ready pharmacy graduates in an era of value-based health care. American Journal of Pharmaceutical Education, 79(8), S12.
Vyas, D., Bray, B.S. & Wilson, M.N. (2013). Use of simulation-based teaching methodologies in US colleges and schools of pharmacy. American Journal of Pharmaceutical Education, 77(3).
Vyas, D., Bhutada, N.S. & Feng, X. (2012). Patient simulation to demonstrate students’ competency in core domain abilities prior to beginning advanced pharmacy practice experiences. American Journal of Pharmaceutical Education, 76(9), 176.
