Pharmacist-led education curriculum for fourth-year medical students: a single-center experience

Main Article Content

Bashayer Mohammed Alshehail https://orcid.org/0000-0003-2372-9462
Haytham Abdulaziz Wali https://orcid.org/0000-0001-6279-3809
Zainab Al Jamea https://orcid.org/0000-0003-4549-2638
Nouf Alotaibi https://orcid.org/0000-0001-7029-3089
Abdulsalam Alasseri https://orcid.org/0000-0003-1531-7214
Abdulaziz Aldahami https://orcid.org/0009-0002-0473-7993
Abdulsattar AlHussain
Duaa Alsulaiman https://orcid.org/0000-0001-6070-2539
Ebtesam ALGeri https://orcid.org/0000-0001-9556-4252
Mohammad Alhassan https://orcid.org/0009-0004-7133-0274
Salma Ansassy https://orcid.org/0000-0002-9010-6145
Hani Alharbi https://orcid.org/0000-0001-9059-5404
Fatma AlRoubia https://orcid.org/0000-0002-9224-3581
Mohab Manna https://orcid.org/0000-0002-9883-2547
Marwan Alwazzeh https://orcid.org/0009-0000-9695-3364
Sara Al-Warthan https://orcid.org/0000-0003-4079-1559

Keywords

Pharmacist-led Education, Curriculum, Medical Students, knowledge, Interprofessional Education

Abstract

Background: Doctors are usually challenged by the transition between theoretical basic science knowledge and actual clinical practice. Thus, a critical educational intervention is the early incorporation of pharmacists into the pharmacotherapy courses for undergraduate medical students from their college years and moving to the practice setting. Objective: We sought to determine if a pharmacist-led education course would improve medical students’ knowledge of general pharmacotherapy topics. Methods: All fourth-year female medical students were invited to enroll in the pharmacy practice curriculum between January and March 2022. The program was divided into three main domains: formal lectures, a hands-on prescription writing skills session, and on-site pharmacy practice sessions. The pharmacy practice session was divided into three sections: first section pharmacy practice, second section pharmacy innovation, and the third section clinical pharmacy. Those who completed the curriculum were requested to complete preand post-session assessments and curriculum evaluations. Results: One hundred fourteen medical students enrolled in the pharmacy practice module. One hundred eleven (97.4%) completed the pre-and post-course assessment. After completing the module, the medical students’ knowledge scores improved from pre- to post-course. A significant difference in the overall knowledge was observed between the pre-course and post-course scores (9.51 versus 16.04; p<0.001). The difference between the pre-course and post-course scores was also significant when comparing the knowledge per each part of the assessment, showing an average score of 2.78 versus 4.05 (p<0.001) for the first section; 3.39 versus 5.49 (p<0.001) for the second section; 3.34 versus 6.48 (p<0.001) for the third section. The program received overall positive feedback; the experience was rated overall as “Excellent” by 73% of the participants. Conclusion: We have demonstrated the impact of a pharmacist-led curriculum for medical students on improving their knowledge of fundamental pharmacy practice areas.

Abstract 606 | PDF Downloads 492

References

1. van Diggele C, Roberts C, Burgess A, et al. Interprofessional education: tips for design and implementation. BMC Med Educ. 2020;20(Suppl 2):455. https://doi.org/10.1186/s12909-020-02286-z
2. Gilbert JH, Yan J, Hoffman SJ. A WHO report: framework for action on interprofessional education and collaborative practice. J Allied Health. 2010;(39 Suppl 1):196-197.
3. Hamilton LA, Behal ML, Metheny WP. Impact of Pharmacist Education on Incoming Medical Residents. Hosp Pharm. 2022;57(4):442-447. https://doi.org/10.1177/00185787211046860
4. Newby DA, Stokes B, Smith AJ. A pilot study of a pharmacist-led prescribing program for final-year medical students. BMC Med Educ. 2019;19(1):54. https://doi.org/10.1186/s12909-019-1486-1
5. Lerchenfeldt S, Hall LM. Pharm.D.s in the Midst of M.D.s and Ph.D.s: the Importance of Pharmacists in Medical Education. Medical Science Educator. 2018;28(1):259-261. https://doi.org/10.1007/s40670-017-0520-3
6. Wiernik PH. A dangerous lack of pharmacology education in medical and nursing schools: A policy statement from the American College of Clinical Pharmacology. J Clin Pharmacol. 2015;55(9):953-954. https://doi.org/10.1002/jcph.539
7. Mokrzecki S, Pain T, Mallett A, et al. Pharmacist-Led Education for Final Year Medical Students: A Pilot Study. Front Med (Lausanne). 2021;8:732054. https://doi.org/10.3389/fmed.2021.732054
8. Agee C, Coulter L, Hudson J. Effects of pharmacy resident led education on resident physician prescribing habits associated with stress ulcer prophylaxis in non-intensive care unit patients. Am J Health Syst Pharm. 2015;72(11 Suppl 1):S48-52. https://
doi.org/10.2146/sp150013
9. Myers MK, Jansson-Knodell CL, Schroeder DR, et al. Using knowledge translation for quality improvement: an interprofessional education intervention to improve thromboprophylaxis among medical inpatients. J Multidiscip Healthc. 2018;11:467-472. 
https://doi.org/10.2147/jmdh.s171745
10. Tittle V, Randall D, Maheswaran V, et al. Practical prescribing course: a student evaluation. Clin Teach. 2014;11(1):38-42. https://doi.org/10.1111/tct.12106
11. Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med Inform Assoc. 2010;17(1):78-84. https://doi.org/10.1197/jamia.m3285
12. Radley DC, Wasserman MR, Olsho LE, et al. Reduction in medication errors in hospitals due to adoption of computerized  provider order entry systems. J Am Med Inform Assoc. 2013;20(3):470-476. https://doi.org/10.1136/amiajnl-2012-001241
13. Saudi Food and Drug Authority (SDFA) Procedures and Controls of Narcotics and Psychotropic Substances. 2019.
14. McLean SF. Case-Based Learning and its Application in Medical and Health-Care Fields: A Review of Worldwide Literature. J Med Educ Curric Dev. 2016;3. https://doi.org/10.4137/jmecd.s20377
15. Garin N, Sole N, Lucas B, et al. Drug related problems in clinical practice: a cross-sectional study on their prevalence, risk factors and associated pharmaceutical interventions. Scientific Reports. 2021;11(1):883. https://doi.org/10.1038/s41598-020-
80560-2
16. van den Bemt P, Egberts T. Drug-related problems: Definitions and classification. Eur J Hosp Pharm Pract. 2007;13. 
17. Pharmacists ASoH-S. ASHP Guidelines on Compounding Sterile Preparations. Am J Health Syst Pharm. 2014;71(2):145-166. https://doi.org/10.2146/sp140001
18. Batson S, Herranz A, Rohrbach N, et al. Automation of in-hospital pharmacy dispensing: a systematic review. Eur J Hosp Pharm. 2021;28(2):58-64. https://doi.org/10.1136/ejhpharm-2019-002081
19. Chapuis C, Roustit M, Bal G, et al. Automated drug dispensing system reduces medication errors in an intensive care setting. Crit Care Med. 2010;38(12):2275-2281. https://doi.org/10.1016/j.yane.2011.01.076
20. Risør BW, Lisby M, Sørensen J. An automated medication system reduces errors in the medication administration process: results from a Danish hospital study. Eur J Hosp Pharm. 2016;23(4):189-196. https://doi.org/10.1136/ejhpharm-2015-000749
21. El-Jardali F, Dimassi H, Jamal D, et al. Predictors and outcomes of patient safety culture in hospitals. BMC Health Serv Res. 2011;11(1):45. https://doi.org/10.1186/1472-6963-11-45
22. (ISMP) IFSMP. ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. 2021.
23. (ISMP) IfSMP. ISMP List of Confused Drug Names. 2019.
24. Hopkinson JB. Nutritional support of the elderly cancer patient: the role of the nurse. Nutrition. 2015;31(4):598-602. https://doi.org/10.1016/j.nut.2014.12.013
25. Katoue MG. Role of pharmacists in providing parenteral nutrition support: current insights and future directions. Integr Pharm Res Pract. 2018;7:125-140. https://doi.org/10.2147/iprp.s117118
26. Barlam TF, Cosgrove SE, Abbo LM, et al. Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis. 2016;62(10):e51-77. https://doi.
org/10.1093/cid/ciw118
27. Miesner AR, Lyons W, McLoughlin A. Educating medical residents through podcasts developed by PharmD students. Curr Pharm Teach Learn. 2017;9(4):683-688. https://doi.org/10.1016/j.cptl.2017.03.003
28. Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: A systematic review and meta-analysis. PLoS One. 2021;16(6):e0253588. https://doi.org/10.1371/
journal.pone.0253588
29. Gursanscky J, Young J, Griffett K, et al. Benefit of targeted, pharmacist-led education for junior doctors in reducing prescription writing errors – a controlled trial. Journal of Pharmacy Practice and Research. 2018;48(1):26-35. https://doi.org/10.1002/
jppr.1330
30. D’Epiro G, Trout MJ. Importance of Pharmacists in Medical Education. Medical Science Educator. 2018;28(1):263. https://doi.org/10.1007/s40670-018-0550-5

Most read articles by the same author(s)