Early Clinical Experiences for Second-Year Student Pharmacists at an Academic Medical Center

Objective. To examine student outcomes associated with the Student Medication and Reconciliation Team (SMART) program, which was designed to provide second-year student pharmacists at the University of North Carolina (UNC) Eshelman School of Pharmacy direct patient care experience at UNC Medical Center. Design. Twenty-two second-year student pharmacists were randomly selected from volunteers, given program training, and scheduled for three 5-hour evening shifts in 2013-2014. Pre/post surveys and reflection statements were collected from 19 students. Data were analyzed with a mixed methods approach. Assessment. Survey results revealed an increase in student self-efficacy (p<0.05) and positive perceptions of SMART. Qualitative findings suggest the program provided opportunities for students to develop strategies for practice, promoted an appreciation for the various roles pharmacists play in health care, and fostered an appreciation for the complexity of real-world practice. Conclusion. Early clinical experiences can enhance student learning and development while fostering an appreciation for pharmacy practice.

[1]  Mark L Yorra Self-Efficacy and Self-Esteem in Third-Year Pharmacy Students , 2014, American Journal of Pharmaceutical Education.

[2]  J. Kalus,et al.  Variations in pharmacy-based transition-of-care activities in the United States: a national survey. , 2014, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[3]  R. Weber,et al.  Issues Facing Pharmacy Leaders in 2014: Suggestions for Pharmacy Strategic Planning , 2014, Hospital pharmacy.

[4]  Jacqueline E. McLaughlin,et al.  A Renaissance in Pharmacy Education at the University of North Carolina at Chapel Hill , 2014, North Carolina Medical Journal.

[5]  Lucinda L. Maine,et al.  Cultivating ‘Habits of Mind’ in the Scholarly Pharmacy Clinician: Report of the 2011-12 Argus Commission , 2012, American Journal of Pharmaceutical Education.

[6]  John S. Clark,et al.  Improving student education and patient care through an innovative introductory pharmacy practice experience. , 2011, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[7]  J. Dienstag Evolution of the New Pathway Curriculum at Harvard Medical School: The New Integrated Curriculum , 2011, Perspectives in biology and medicine.

[8]  The consensus of the Pharmacy Practice Model Summit. , 2011, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[9]  N. Mason,et al.  An Advanced Pharmacy Practice Experience in Transitional Care , 2010, American Journal of Pharmaceutical Education.

[10]  J. Fincham,et al.  Financial Realities Affect Political Support for Health Care Reform , 2010, American Journal of Pharmaceutical Education.

[11]  David M. Irby,et al.  Calls for Reform of Medical Education by the Carnegie Foundation for the Advancement of Teaching: 1910 and 2010 , 2010, Academic medicine : journal of the Association of American Medical Colleges.

[12]  R. J. Bickel,et al.  Inpatient medication history verification by pharmacy students. , 2008, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[13]  Rosalyn S. Padiyara Student pharmacists and medication reconciliation upon hospital admission: proposing a way to meet ASHP 2015 objective 1.1. , 2008, Journal of the American Pharmacists Association : JAPhA.

[14]  L. Dyrbye,et al.  Early Clinical Experiences from Students' Perspectives: A Qualitative Study of Narratives , 2007, Academic medicine : journal of the Association of American Medical Colleges.

[15]  Frank M. Pajares,et al.  Self-efficacy beliefs of adolescents , 2006 .

[16]  Z. Austin,et al.  Pharmacy Schools as Expert Communities of Practice? A Proposal to Radically Restructure Pharmacy Education to Optimize Learning , 2005 .

[17]  D. Robinson,et al.  Accreditation Council for Pharmacy Education , 2004 .

[18]  M. Irwin,et al.  Early introduction of clinical skills teaching in a medical curriculum – factors affecting students' learning , 2002, Medical education.

[19]  R. Watson,et al.  A primary care preceptorship for first-year medical students coordinated by an Area Health Education Center program: a six-year review. , 2001, Academic medicine : journal of the Association of American Medical Colleges.

[20]  Kenneth W. Borland,et al.  Student Development in College: Theory, Research, and Practice (review) , 2000 .

[21]  D. Kolb Experiential Learning: Experience as the Source of Learning and Development , 1983 .

[22]  Burton A. Bargerstock,et al.  THE CARNEGIE FOUNDATION FOR THE ADVANCEMENT OF TEACHING. , 1910, Science.