C Innes1,2, S Cunningham1, B Addison1, Y Wedekind3, E Watson4, I Rudd4, A Power5, L Karim1, G F Rushworth6,7. 1. School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen, AB10 7GJ, UK. 2. Highland Pharmacy Education & Research Centre, NHS Highland, Inverness, IV2 3JH, UK. 3. School of Medicine, University of Dundee, Nethergate, Dundee, DD1 4HN, Scotland, UK. 4. NHS Highland, Old Perth Road, Inverness, IV2 3JH, UK. 5. Central Quay, NHS Education for Scotland, 89 Hydepark Street, Glasgow, G3 8BW, UK. 6. School of Pharmacy and Life Sciences, Robert Gordon University, Aberdeen, AB10 7GJ, UK. ext.rushworth1@rgu.ac.uk. 7. Highland Pharmacy Education & Research Centre, NHS Highland, Inverness, IV2 3JH, UK. ext.rushworth1@rgu.ac.uk.
Abstract
BACKGROUND: A Pharmacy Longitudinal Clerkship (PLC) was designed to develop student pharmacists' (SPs) competence in a general practice setting. AIM: The aim was to carry out a theoretically underpinned qualitative evaluation of stakeholder perceptions of influences of behavioural determinants on SP development for clinical practice in general practice. METHOD: General practice-based PLCs were delivered in 2019/20 and 2020/21 for two cohorts of SPs in NHS Highland, Scotland. Qualitative semi-structured interviews were used to explore stakeholder perceptions of influences of behavioural determinants on SP development. Informed written consent was obtained. An interview schedule was developed and piloted using the Theoretical Domains Framework (TDF). Interviews were recorded, transcribed verbatim and analysed using thematic methodology. Ethics approval was granted. RESULTS: Seven SPs and five general practitioner (GP) tutors were interviewed. Key themes were identified mapped to TDF domains and included: knowledge-utilisation and practical application of knowledge; skills-triangulation of skills under clinical supervision; beliefs about capabilities-confidence building with clinical and patient contact; professional role and identity-elucidation of professional roles within general practice. CONCLUSION: This evaluation shows benefits of embedding SPs within clinical teams and immersing them in a clinical environment over a prolonged period in a general practice Pharmacy Longitudinal Clerkship. It is expected this will translate into a more confident transition to postgraduate professional clinical practice. Funding should be sought to test alternative PLC arrangements including: multiple full-time longitudinal placement blocks; or ultimately a year-long longitudinal clerkship programme with an IPE element.
BACKGROUND: A Pharmacy Longitudinal Clerkship (PLC) was designed to develop student pharmacists' (SPs) competence in a general practice setting. AIM: The aim was to carry out a theoretically underpinned qualitative evaluation of stakeholder perceptions of influences of behavioural determinants on SP development for clinical practice in general practice. METHOD: General practice-based PLCs were delivered in 2019/20 and 2020/21 for two cohorts of SPs in NHS Highland, Scotland. Qualitative semi-structured interviews were used to explore stakeholder perceptions of influences of behavioural determinants on SP development. Informed written consent was obtained. An interview schedule was developed and piloted using the Theoretical Domains Framework (TDF). Interviews were recorded, transcribed verbatim and analysed using thematic methodology. Ethics approval was granted. RESULTS: Seven SPs and five general practitioner (GP) tutors were interviewed. Key themes were identified mapped to TDF domains and included: knowledge-utilisation and practical application of knowledge; skills-triangulation of skills under clinical supervision; beliefs about capabilities-confidence building with clinical and patient contact; professional role and identity-elucidation of professional roles within general practice. CONCLUSION: This evaluation shows benefits of embedding SPs within clinical teams and immersing them in a clinical environment over a prolonged period in a general practice Pharmacy Longitudinal Clerkship. It is expected this will translate into a more confident transition to postgraduate professional clinical practice. Funding should be sought to test alternative PLC arrangements including: multiple full-time longitudinal placement blocks; or ultimately a year-long longitudinal clerkship programme with an IPE element.
Authors: Tesnime Jebara; Ailsa Power; Anne Boyter; Sabrina A Jacob; Jane Portlock; Scott Cunningham Journal: J Interprof Care Date: 2022-01-11 Impact factor: 2.338
Authors: Catriona Innes; Gordon Rushworth; Brian Addison; Yvonne Wedekind; Emma Watson; Ian Rudd; Ailsa Power; Scott Cunningham Journal: Educ Prim Care Date: 2021-12-03