Introducing PSTC: Design, Conduct, and Evaluation process of a Pharmaceutical Strategy Training Course

Document Type : Original Article

Authors

1 Pharmaceutical Strategic Studies Center (PSSC), Shiraz University of Medical Sciences, Shiraz, Iran.

2 Department of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

3 Department of Pharmacognosy, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran

4 Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

5 Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

6 Department of Phytopharmaceuticals, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran.

10.30476/tips.2022.95671.1151

Abstract

Pharmacy students as future leaders of the pharmaceutical system must acquire different necessary skills through an interdisciplinary approach and pre-exposure to real challenges. To empower pharmacy students, a three-phase short-term elective course has been designed, conducted, and evaluated. The primary objectives of the course were outlined by needs assessment.  The course was designed based on Harden’s 10-steps course planning. The content of the curriculum and educational strategies were determined through nominal group technique. The Delphi method has been used to decide on the methods of delivering the content in the course. The education process was problem-based and based on active learning. In addition, working in small groups and role-play were also used. Finally, the efficacy of the course was quantitatively and qualitatively evaluated by the Kirkpatrick model and semi-structured interviews. Based on Kirkpatrick’s assessment criteria participants’ performance was statistically significant (p<0.001) compared to the control group. The qualitative evaluation also showed results in line with course objectives. Various courses with content similar to some degree to this course are held in different places. However, a small number of reports exist about their design, conduction, and evaluation process. Therefore, we tried to scientifically evaluate our course. Our study suggests that courses with interdisciplinary and leadership approach using active learning methods can be enjoyable for learners, in addition to qualifying participants for various pharmaceutical job opportunities such as non-clinical, academic, and governmental positions, accompanied by improvements in their level of judgment and performance. 
Keywords: pharmacy education; leadership; Interdisciplinary Placement; systems thinking.
Please cite this article as: Reyhaneh Chini, Navid Ravan, Amir Hossein Jajarmizadeh, Sadra Nadimi Parashkouhi, Sara Bagheri, Kowsar Danesh, Seyed Mehrdad Mostafavipour, Mohammad Hadi Sajedi, Ali Pourebtehaj, Alireza Barzegar, Mitra Amini, Sajad Delavari, Abdolali Mohagheghzadeh. Introducing PSTC: Design, Conduct, and Evaluation process of  a Pharmaceutical Strategy Training Course. Trends in Pharmaceutical Sciences. 2022;8(3):183-194. doi: 10.30476/TIPS.2022.95671.1151

Keywords


1.    Hean S, Craddock D, Hammick M, Hammick M. Theoretical insights into interprofessional education: AMEE Guide No. 62. Med Teach. 2012;34(2):e78-101. doi: 10.3109/0142159X.2012.650740. PMID: 22289015.
2.    World Health Organization. Framework for action on interprofessional education and collaborative practice.2010. Available from: http://apps.who.int/iris/bitstream/handle/10665/70185/WHO_HRH_HPN_10.3_eng.pdf;jsessionid=3B3C226F1EE27BAC7E5479BE847B9333.
3.    Buring SM, Bhushan A, Broeseker A, Conway S, Duncan-Hewitt W, Hansen L, Westberg S. Interprofessional education: definitions, student competencies, and guidelines for implementation. Am J Pharm Educ. 2009 Jul 10;73(4):59. doi: 10.5688/aj730459. PMID: 19657492; PMCID: PMC2720355.
4.    Hammick M, Olckers L, Campion-Smith C. Learning in interprofessional teams: AMEE Guide no 38. Med Teach. 2009 Jan;31(1):1-12. doi: 10.1080/01421590802585561. PMID: 19253148.
5.    Kroboth P, Crismon L, Daniels C, et al. Getting to Solutions in Interprofessional Education: Report of the 2006-2007 Professional Affairs Committee. Am J Pharm Educ. 2007 Sep;71(Suppl). PMCID: PMC2690950. 
6.    Janke KK, Traynor AP, Boyle CJ. Competencies for student leadership development in doctor of pharmacy curricula to assist curriculum committees and leadership instructors. Am J Pharm Educ. 2013 Dec 16;77(10):222. doi: 10.5688/ajpe7710222. PMID: 24371346; PMCID: PMC3872941.
7.    Tucci M, Tong K, Chia K, DiVall M. Curricular and Co-curricular Coverage of Leadership Competencies and the Influence of Extracurricular Engagement on Leadership Development. Am J Pharm Educ. 2019 Mar;83(2):6535. doi: 10.5688/ajpe6535. PMID: 30962641; PMCID: PMC6448516.
8.    Friestrom ED, Hager DR, Rough S. Integrating health-system pharmacy leadership into the school of pharmacy curriculum: A professional imperative. Am J Health Syst Pharm. 2021 Mar 18;78(7):633-635. doi: 10.1093/ajhp/zxab002. PMID: 33585861.
9.    Janke KK, Nelson MH, Bzowyckyj AS, Fuentes DG, Rosenberg E, DiCenzo R. Deliberate Integration of Student Leadership Development in Doctor of Pharmacy Programs. Am J Pharm Educ. 2016 Feb 25;80(1):2. doi: 10.5688/ajpe8012. PMID: 26941428; PMCID: PMC4776295.
10.    Reed BN, Klutts AM, Mattingly TJ 2nd. A Systematic Review of Leadership Definitions, Competencies, and Assessment Methods in Pharmacy Education. Am J Pharm Educ. 2019 Nov;83(9):7520. doi: 10.5688/ajpe7520. PMID: 31871362; PMCID: PMC6920635.
11.    Halpern H. Systemic thinking: a qualitative study of how GPs use this approach. Educ Prim Care. 2005;16:467-73.
12.    West GB. The importance of quantitative systemic thinking in medicine. Lancet. 2012 Apr 21;379(9825):1551-9. doi: 10.1016/S0140-6736(12)60281-5. Epub 2012 Apr 18. PMID: 22516561.
13.    Ratka A. Integration as a paramount educational strategy in academic pharmacy. Am J Pharm Educ. 2012 Mar 12;76(2):19. doi: 10.5688/ajpe76219. PMID: 22438591; PMCID: PMC3305928.
14.    Islamic Republic of Iran, Ministry of Health and Medical Education, Deputy Ministry for Education. Pharmacy Degree: Doctor of Pharmacy (PharmD). Available from: http://chac.saorg.ir/Ch.Ac-Site/pharmd_generalpharmacy.pdf .
15.    World Health Organization. Personnel per 10 000 population-Pharmacists. Available from:  https://rho.emro.who.int/Indicator/TermID/74  
16.    Islamic Republic of Iran, Ministry of Health and Medical Education, Deputy Ministry for Education.  Approved educational programs for general pharmacy education. Available from: http://hcmep.behdasht.gov.ir/index.aspx?siteid=369&pageid=40484.  
17.    Islamic Republic of Iran, Ministry of Health and Medical Education, Deputy Ministry for Education. How to hold short-term professional training courses for general doctoral students in pharmacy. Available from: http://epscnet.behdasht.gov.ir/uploads/Shivename_kootahModat.pdf.
18.    Jacobs DM, Daly CJ, Tierney SL, O'Brien E, Fiebelkorn KD. Attitudes and Perceptions of Dual PharmD/MBA Degree Program Students. Am J Pharm Educ. 2017 May;81(4):71. doi: 10.5688/ajpe81471. PMID: 28630512; PMCID: PMC5468709.
19.    Salmon K, Fan J. An update on characteristics of dual PharmD/MBA programs in the United States: 2016-2017. Curr Pharm Teach Learn. 2019 May;11(5):469-475. doi: 10.1016/j.cptl.2019.02.009. 
20.    Thai A, Draugalis J. Dual PharmD/MBA programs 2001-2002: a descriptive report. Am J Pharm Educ. 2002;66:372-6.
21.    Bahar Business School. Faculty of Pharm MBA. Available from: https://www.bahar.ac.ir/courses/mba/%D9%85%D8%AF%DB%8C%D8%B1%DB%8C%D8%AA-%D8%AF%D8%A7%D8%B1%D9%88%DB%8C%DB%8C 
22.    Holtzman CW, Sifontis NM. Pharmacy students' perspectives on a PharmD/MPH dual degree program at a large metropolitan school of pharmacy. Pharm Pract (Granada). 2014 Jan;12(1):359. doi: 10.4321/s1886-36552014000100003. 
23.    Chumney EC, Ragucci KR, Jones KJ. Impact of a dual PharmD/MBA degree on graduates' academic performance, career opportunities, and earning potential. Am J Pharm Educ. 2008 Apr 15;72(2):26. doi: 10.5688/aj720226.
24.    Chauvin SW, Rodenhauser P, Bowdish BE, Shenoi S. Double duty: students' perceptions of Tulane's MD-MPH dual degree program. Teach Learn Med. 2000 Fall;12(4):221-30. doi: 10.1207/S15328015TLM1204_11. PMID: 11273373.
25.    Gortney JS, Seed S, Borja-Hart N, Young V, Woodard LJ, Nobles-Knight D, et al. The prevalence and characteristics of dual PharmD/MPH programs offered at US colleges and schools of pharmacy. Am J Pharm Educ. 2013 Aug 12;77(6):116. doi: 10.5688/ajpe776116. 
26.    Mesdaghinia A, Keshavarz H, Jazayeri A, Nejat S, Salehi A. The master of public health (MPH) program, at the school of public health Tehran University of Medical Sciences, Iran. Iran J Public Health. 2009;38:32-3.
27.    Naughton CA, Friesner D, Scott D, Miller D, Albano C. Designing a master of public health degree within a department of pharmacy practice. Am J Pharm Educ. 2010 Dec 15;74(10):186. doi: 10.5688/aj7410186. 
28.    Rosenberg SN. A survey of physicians who studied public health during medical school. Am J Prev Med. 1998 Apr;14(3):184-8. doi: 10.1016/s0749-3797(97)00065-2. PMID: 9569218.
29.    Singleton JA, Nissen LM. Teaching Pharmacy students how to manage effectively in a highly competitive environment. Pharm Edu 2014;14:21-5.
30.    Wilson JE, Smith MJ, George DL, Oliphant EA. An Advanced Pharmacy Practice Experience in Leadership Development. Am J Pharm Educ. 2021 Sep;85(8):8361. doi: 10.5688/ajpe8361. Epub 2021 Feb 24. PMID: 34615621; PMCID: PMC8500285.
31.    Zenger WF, Zenger SK. Curriculum Planning: A Ten-Step Process. Palo Alto, CA, R&E Research Associates, 1982.
32.    Cai W, Sankaran G. Promoting critical thinking through an interdisciplinary study abroad program. J Int Stud. 2015;5:38-49.
33.    McMillan SS, King M, Tully MP. How to use the nominal group and Delphi techniques. Int J Clin Pharm. 2016 Jun;38(3):655-62. doi: 10.1007/s11096-016-0257-x. Epub 2016 Feb 5. PMID: 26846316; PMCID: PMC4909789.
34.    Horton JN. Nominal group technique. A method of decision-making by committee. Anaesthesia. 1980 Aug;35(8):811-4. doi: 10.1111/j.1365-2044.1980.tb03924.x. PMID: 7446921.
35.    Kirkpatrick D, Kirkpatrick J. Evaluating Training Programs: The Four Levels.3rd ed. Oakland, CA, Berrett-Koehler Publishers, 2006.
36.    Zarshenas L, Sharif F, Molazem Z, Khayyer M, Zare N, Ebadi A. Professional socialization in nursing: A qualitative content analysis. Iran J Nurs Midwifery Res. 2014 Jul;19(4):432-8. PMID: 25183987; PMCID: PMC4145501.
37.    Roehl A, Reddy SL, Shannon GJ. The flipped classroom: An opportunity to engage millennial students through active learning strategies. Fam Consum Sci Res J. 2013;105:44-9.
38.    Seybert AL, Smithburger PL, Benedict NJ, Kobulinsky LR, Kane‐Gill SL, Coons JC. Evidence for simulation in pharmacy education. J Am Coll Clin Pharm. 2019 ;2:686-92. https://doi.org/10.1002/jac5.1167
39.    Columbia University, Mailman School of Public Health. Available from: http://www.publichealth.columbia.edu/sites/default/files/pdf/accreditation-2017-web.pdf