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University of Minnesota College of Pharmacy, Duluth and Smart Health for Rural Communities Debbie Sisson, R.Ph. M.S. Associate Director Experiential Education.

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Presentation on theme: "University of Minnesota College of Pharmacy, Duluth and Smart Health for Rural Communities Debbie Sisson, R.Ph. M.S. Associate Director Experiential Education."— Presentation transcript:

1 University of Minnesota College of Pharmacy, Duluth and Smart Health for Rural Communities Debbie Sisson, R.Ph. M.S. Associate Director Experiential Education

2 Experiential Educators The mediocre teacher tells. The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates. The great teacher inspires. ~William Arthur Ward ~William Arthur Ward

3 Was there a shortage identified? A few years ago, COP and DOH surveyed rural practitioners and Twin City hospital directorsA few years ago, COP and DOH surveyed rural practitioners and Twin City hospital directors Appeared to be 200 to 400 openings at that timeAppeared to be 200 to 400 openings at that time Caused by increase in number of prescriptions, aging population, pharmacist retirement, new roles, and too few graduates from COPsCaused by increase in number of prescriptions, aging population, pharmacist retirement, new roles, and too few graduates from COPs New technology does not alone relieve needNew technology does not alone relieve need

4 What is the impact of the shortage? Overworked pharmacistsOverworked pharmacists Increases in pharmacist salariesIncreases in pharmacist salaries –Accompanying mobility Limited expansion of services into direct patient careLimited expansion of services into direct patient care –Even if resources available Reduced medication managementReduced medication management –Resultant health effects and costs Closure of rural pharmaciesClosure of rural pharmacies Loss of access to health care in rural communitiesLoss of access to health care in rural communities Increased difficulty in finding educational sitesIncreased difficulty in finding educational sites Some improvement in professional environment as pharmacies need to attract pharmacistsSome improvement in professional environment as pharmacies need to attract pharmacists

5 Will the shortage last long enough for the college to have an impact by graduating more students ? Yes, prescription numbers will continue to riseYes, prescription numbers will continue to rise Capitation bolus - graduates of large classes in 1970s will retire in years – So, we have not seen the worst of the shortage yetCapitation bolus - graduates of large classes in 1970s will retire in years – So, we have not seen the worst of the shortage yet Aging Counties- Aging PharmacistsAging Counties- Aging Pharmacists Surrounding states’ COP cannot alone produce moreSurrounding states’ COP cannot alone produce more Technology is not the sole answerTechnology is not the sole answer We were not at the national average for graduates (2/100,000 vs 3.1/100,000 average)We were not at the national average for graduates (2/100,000 vs 3.1/100,000 average)

6 How Can We Bridge This Gap? College of Pharmacy, Duluth

7 What changed? We had classes of 105We had classes of 105 We were at the limit of our resourcesWe were at the limit of our resources We requested funds for expansion from the 2001 legislature as part of the university’s requestWe requested funds for expansion from the 2001 legislature as part of the university’s request We requested funds for a branch at UM,Duluth for 3 years of education of 50 studentsWe requested funds for a branch at UM,Duluth for 3 years of education of 50 students Regional Hubs for experiential sites in Brainerd, Bemidji, Fergus Falls, Mankato, Duluth, St. Cloud and Rochester and Twin CitiesRegional Hubs for experiential sites in Brainerd, Bemidji, Fergus Falls, Mankato, Duluth, St. Cloud and Rochester and Twin Cities

8 What changed? First class Fall 2003, Class of 2007First class Fall 2003, Class of 2007 Second class started Fall 2004, Class of 2008Second class started Fall 2004, Class of 2008 Third class admitted will start this fall, Class of 2009Third class admitted will start this fall, Class of 2009

9 Principles One accreditation; same basic curriculumOne accreditation; same basic curriculum –One Program, Two Campuses Distance education with 17 faculty at Duluth; Associate Dean, student services; new educational coordinators at practice sites.Distance education with 17 faculty at Duluth; Associate Dean, student services; new educational coordinators at practice sites. Same faculty/student ratioSame faculty/student ratio Interprofessional EducationInterprofessional Education Medical School in Duluth, basic science facultyMedical School in Duluth, basic science faculty Rural emphasis, aligned with Medical SchoolRural emphasis, aligned with Medical School All 150 students could do rotations based for 45 weeks in any of 8 regional hubsAll 150 students could do rotations based for 45 weeks in any of 8 regional hubs

10 Why Duluth? Shortage is most acute in Greater MNShortage is most acute in Greater MN UMD has rural emphasis and COP worked with UMD Med School in the Rural Health SchoolUMD has rural emphasis and COP worked with UMD Med School in the Rural Health School Iron Range legislative support; enthusiasm of the practice (M.D., R. Ph.) communityIron Range legislative support; enthusiasm of the practice (M.D., R. Ph.) community No space on the Twin Cities campusNo space on the Twin Cities campus New pool of potential students—see slides to followNew pool of potential students—see slides to follow

11

12 Northwest Minnesota

13 St. Cloud - Moorhead

14 Willmar - Montevideo

15 Southwest Minnesota

16 South Metro

17 Southeast Minnesota

18 Arrowhead

19 North Metro/Hinckley

20 Hennepin County

21 Ramsey County

22 Changes? Potential for 50% increase in number of pharmacy graduatesPotential for 50% increase in number of pharmacy graduates Increasing the number of students from Greater MNIncreasing the number of students from Greater MN Encouraging students to do experiential education in Greater MN (home towns, etc)Encouraging students to do experiential education in Greater MN (home towns, etc) We cannot do this alone…….We cannot do this alone……. Need to partner with Rural CommunitiesNeed to partner with Rural Communities

23 Opportunities for Greater MN Pharmacy Mentor Program/Early Pharmacy Practice ExperienceMentor Program/Early Pharmacy Practice Experience InternshipsInternships APPE’s Advanced Pharmacy Practice ExperiencesAPPE’s Advanced Pharmacy Practice Experiences –Community –Ambulatory Care –Management –Geriatrics

24 What are all of these terms????? Let’s go over each in detail…..Let’s go over each in detail…..

25 Early Pharmacy Practice Experience Mentor ProgramMentor Program Part of Phar 7001 and 7002Part of Phar 7001 and hours each semester (Fall and/or Spring)10 hours each semester (Fall and/or Spring) First Year of Pharmacy SchoolFirst Year of Pharmacy School

26 Mentor Program Goals Introduce first-year pharmacy students to professional career opportunities under the mentorship of pharmacists working in a variety of practice and business settingsIntroduce first-year pharmacy students to professional career opportunities under the mentorship of pharmacists working in a variety of practice and business settings Observation opportunity for students and allow pharmacists an opportunity to meet students and contribute to the profession through mentoringObservation opportunity for students and allow pharmacists an opportunity to meet students and contribute to the profession through mentoring Opportunity to develop 1 on 1 relationships with practicing pharmacy professionalsOpportunity to develop 1 on 1 relationships with practicing pharmacy professionals

27 Internships After completion of 1 st yearAfter completion of 1 st year Employees in Greater MinnesotaEmployees in Greater Minnesota PaidPaid Technician versus InternTechnician versus Intern

28 Internships StudentsStudents Pharmacist PreceptorsPharmacist Preceptors ApplyApply Renew/CERenew/CE Internship Frequently Asked QuestionsInternship Frequently Asked Questions

29 APPE’s Advanced Pharmacy Practice ExperiencesAdvanced Pharmacy Practice Experiences –Community, Ambulatory Care –Acute Care, Institutional, Patient Care –Electives: Management, Geriatrics, Peds, etc. SiteSite PreceptorsPreceptors

30 Preceptor Requirements To become/continue being a preceptorTo become/continue being a preceptor –Apply on line/forms Board of Pharmacy –Contact College of Pharmacy Experiential Staff –Renew License every 2 years College of Pharmacy, is a CE provider for preceptor license renewal and preceptor developmentCollege of Pharmacy, is a CE provider for preceptor license renewal and preceptor development Willing!!!!!Willing!!!!! We have resources to support youWe have resources to support you

31 Preceptor Development Continuing Education in Greater MNContinuing Education in Greater MN Continuing Education that would include:Continuing Education that would include: –Update from the College of Pharmacy –Teaching Pearls –Clinical Topic

32 College Updates may include: Regional Hub UpdatesRegional Hub Updates Changes in CurriculumChanges in Curriculum Student profiles/Student interestsStudent profiles/Student interests Resources available/Preceptor BenefitsResources available/Preceptor Benefits Sexual Harassment Policy and HIPPA/FERPASexual Harassment Policy and HIPPA/FERPA Legislative IssuesLegislative Issues Board of Pharmacy UpdatesBoard of Pharmacy Updates Biomed Library AccessBiomed Library Access Others?????Others?????

33 Teaching Pearls may include: Outcomes—in detailOutcomes—in detail Assessment/EvaluationsAssessment/Evaluations MillenialsMillenials Conflict ResolutionConflict Resolution Adult LearningAdult Learning Experiential EducationExperiential Education Highlights from Preceptors in RegionHighlights from Preceptors in Region Interprofessional ActivitiesInterprofessional Activities Others????Others????

34 Clinical Topics may include: BCPS review topicsBCPS review topics –ACCP Review schedule? –Literature review/biostatistics –Cardiology, etc New Guidelines (JNCVII, ATPIII, CHEST guidelines, etc..)New Guidelines (JNCVII, ATPIII, CHEST guidelines, etc..) Others????Others????

35 Experiential Education Hubs 8Hubs 8 45 weeks45 weeks Plan for 3 x 5 weeks in communityPlan for 3 x 5 weeks in community Interprofessional OpportunitiesInterprofessional Opportunities Welcome in communityWelcome in community Working with AHECWorking with AHEC

36 Experiential Learning “Education that occurs as a direct participation in the events of life”“Education that occurs as a direct participation in the events of life” Houle 1980

37 Preceptors Instructors/FacultyInstructors/Faculty TeamTeam –Trainer, Coach, Cheerleader “Teaching by example is a two-way path” Kattie Hamann, The Australian“Teaching by example is a two-way path” Kattie Hamann, The Australian

38 Unique Opportunities for Experiential Education from Duluth? Pharmacist Shortage is most acute in rural areasPharmacist Shortage is most acute in rural areas UMD has rural emphasisUMD has rural emphasis Rural Health SchoolRural Health School Duluth Health Care SystemsDuluth Health Care Systems Area Health Education Center, HibbingArea Health Education Center, Hibbing Iron Range legislative support; enthusiasm of the practice communityIron Range legislative support; enthusiasm of the practice community StudentsStudents

39 Experiential Education (Student and Pharmacist) The meeting of two personalities is like the contact of two chemical substances: if there is any reaction, both are transformed.The meeting of two personalities is like the contact of two chemical substances: if there is any reaction, both are transformed. Carl Jung ( )Carl Jung ( )Carl JungCarl Jung UMD

40 Thank You!!!!!!!!!!! Questions?


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