1. WELCOME EXPERIENCE PHARMACY AT KING’S

2. Timetable 12:00Introduction 12:15Mini-lectures: Medicines Optimisation |The Science Perspective |The Clinical Perspective 13:00Lunch 13:20Practical work: Medicines quality, consultation skills 14:30St Thomas’ Hospital: Clinical orientation 15:45Unanswered questions

3. THE MPHARM PROGRAMME AT KING’S COLLEGE LONDON PROFESSOR GRAHAM DAVIES Programme Director

4. You will join a culture and tradition where… Integrated teaching and learning is the norm Research informed teaching is the norm Excellent access to clinical environment and high quality clinical teaching Challenge our students to be the best they can be High expectations of our students –International projects –“Ask Your Pharmacist” week –80% graduate with 2:1 or above

5. Course philosophy “Science Transforming Healthcare” To produce graduates who can apply the principles of science to ensure the optimal use of medicines by the patient, the public, healthcare professionals and society.

6. A programme producing graduates who: 1.Make appropriate clinical judgements when faced with complex, uncertain and ambiguous situations. 2.Possess a depth of pharmaceutical knowledge to resolve medicines related problems. 3.Use their research skills to underpin their practice 4.Adapt their learning to respond to work independently or as part of a multi-professional team. 5.Adopt and develop patient facing values 6.Show empathy to patients, carers and colleagues and accommodate difference

7. COURSE STRUCTURE

8. Overview of MPharm Integration Chemistry of Drugs Chemistry of Drugs Nervous System Respiratory & Musculoskeletal Respiratory & Musculoskeletal Clinical Decision Making Gastrointestinal & Skin Cardiovascular & Renal Physical Pharmaceutics Physical Pharmaceutics Principles of Clinical Care Principles of Clinical Care Biochemical Basis of Therapeutics Infection & Pharmaceutical Microbiology Infection & Pharmaceutical Microbiology Endocrine & Cancer Formulation & Analysis Drugs Emerging Therapies & Modern Medicines Medicines Discovery & Development Research Project Vertical Integration: Applying knowledge and skills to optimise medicines use. Become a competent clinician.

9. Cardiovascular & Renal System Module – Year 2 Communicate effectively with the patient Understand the normal functions of the kidney Understand the disease processes behind renal disease and assessment of renal function Understand drug design from discovery to formulation Therapeutic Options to treat renal disease Be able to describe the pharmacology of each of the drugs Work effectively with other healthcare professionals in the management of this patient Evaluate the patients treatment and be able to identify problems and solutions Understand the side effects, dosing profile and monitoring aspects

10. Teaching Methods 1.Traditional lectures, practical classes, tutorials and symposia 2.Inter-professional learning 3.Simulation exercises Forum theatre with patients Reviewing prescribed therapy Patient safety 4.Extensive placements experience 5.Student-led sessions Clinical reasoning tutorials Ethical debate – complex care decisions

11. Assessment 1.Variety of approaches 2.Extensive use of clinical examinations 3.Integrated examination papers 4.Focus preparing students for pre-registration experience 5.Range of innovative approaches

12. Clinical Reasoning Tutorials - Years 2-4 Interpretation of clinical information –Biochemistry –Signs & symptoms –Cardiac tests Use of evidence based guidance(NICE) Application of a clinical problem solving framework Taught by clinical academic staff –Guy’s & St Thomas, –King’s College Hospital –Maudsley Hospital

13. Emerging Therapeutics & Modern Medicines – Year 4 – The Debate Research scientific and ethical evidence to support both the pro and contra positions for their allocated clinical reasoning scenario; present written report and a group defence of either the pro- or contra-stance in the Pharmacy Debate Example scenarios: You are a consultant pharmacist working on a neurology ward and have a recently admitted patient suffering Lambert Eaton Myasthenic Syndrome. One of the attending medical team has suggested treatment with the licensed product, Firdapse, while another has suggested use of unlicensed tablets of amifampridine base. Pro: Your team argue that the patient should be treated with Firdapse. Contra: Your team argue that the patient should be treated with amifampridine base tablets.

14. LEARNING ENVIROMENTS

15. Clinical Placements Overview First Year: Integrated Principles of Clinical Care Module Placement (12h) Aim: Professional Orientation Sessions: 2 days, one sessions per semester (community and hospital) Second Year: Cardiovascular & Renal Module Placement (30h) Aim: Safe dispensing; maintaining error logs; CPD entries Sessions: 4 whole days. (community and hospital) Third Year: Gastrointestinal & Skin Module Placement (24h) Aim: Consult to undertake Meds Reconciliation, MUR, NMS, Responding to symptoms Sessions: Continuous block in GSS module. (community & hospital) Shadowing Product quality & basic advice Patient interaction & problem solving Moving from patients with uni-system to multi-system disease Transition point: Pharmacy student to student pharmacist

16. Clinical Placements Overview Third Year: Endocrine Systems and Cancer Placements (48h) Aim: Medicines optimisation for long term conditions – care planning, prioritisation and evidence base medicine Sessions: Sessional (4 hr) experiences to represent a minimum of 12 sessions in hospital sectors. Fourth Year: Science, Practice & Complex Decision Making Placements (40h) Aim: Medicines optimisation in complex patients Sessions: Integrated working alongside senior pharmacist for 40 h period (spread over 2 weeks) in complex patients/diseases in community (anticoagulation, diabetes, hypertension etc) or hospital (mental health, oncology, renal, HIV). Problem Solving – care planning Supervised care delivery Moving from patients with multi-system disease to more specialised therapies – treating outside guidelines

17. Research Programme - Final Year Programme

18. THE MPHARM PROGRAMME AT KING’S COLLEGE LONDON QUESTIONS? Professor Graham Davies Programme Director