Course Code: PHRM 3110 Year offered:...

Pharmacy Skills Laboratory III (PSL-3)

Course Code: PHRM 3110 Year offered: 2018R

Credit hours: 3

This course involves a wide range of topics, instructors, and learning strategies, therefore the

location and duration of any given session will vary with the activity.

PLEASE PAY CLOSE ATTENTION TO THE EXACT DATE, TIME, and LOCATION OF EACH SESSION.

Attendance will be monitored and it is the student’s responsibility to know where, when, and

what is being offered during any given week. The schedule as well as any necessary updates

and/or changes will be posted on D2L and/or through the University e-mail system exclusively.

It is the student’s responsibility to monitor for these updates.

Course Facilitators:

Name Contact information

Dr. Christopher Louizos Course Coordinator

Office: Room 113, College of Pharmacy Voice: 474-9082 E-mail: [email protected]

Dr. Jennifer Wiebe Office: Room 213, College of Pharmacy Voice: 272-3112 E-mail: [email protected]

Ms. Annette Jones Administrative Support


Dr. Grace Frankel (Leave) Performance Based Assessment Coordinator


Dr. Christine Leong (Leave) Physical Assessment Lead


Dr. Dana Turcotte Office: Room 229, College of Pharmacy Voice: 295-5358 E-mail: [email protected]

Dr. Jamie Falk


mailto:[email protected]







Ms. Kelly Drummond Office: Room 117, College of Pharmacy Voice: 474-6282 E-mail: [email protected]

Ms. Drena Dunford


Ms. Sheila Ng Office: Room 115, College of Pharmacy Voice: 975-7763 E-mail: [email protected]

Ms. Nancy Kleiman Office: Room 121, College of Pharmacy Voice: 474-6692 E-mail: [email protected]

Mr. Scott McDougall E-mail: [email protected]

Ms. Elizabeth Ptasznik E-mail: [email protected]

The University requires all students to activate an official University email account. For full details of the Electronic Communication with Students:

http://umanitoba.ca/ist/email/studentemailindex.html

Please note that all communication between instructors and students must comply with the electronic communication with student policy:

http://umanitoba.ca/admin/governance/media/Electronic_Communication_with_Students_Policy_-_2013_09_01_RF.pdf

You are required to obtain and use your u of m email account for all communication between yourself and the university. Emails that are not sent from a University of Manitoba email account will not be replied to by the instructors.

Please Note: Responses to e-mails may take several working days and will occur Mondays to

Fridays between 8:30 AM and 4:30 PM

Course Description

General Course Information: Level and sequence of the course:

Pharmacy Skills Laboratory III (PSL-3) builds on the objectives and expectations of Pharmacy

Skills Laboratory I and II with an emphasis on integration and application of knowledge and

skills. Given that much of this course is case-based, students are expected to apply the full

scope of their knowledge including Human Anatomy (80.103), Fundamentals of Physiology

(90.103), Medicinal Chemistry (PHRM 2220 & PHRM 3220), Pharmacology (89.210),

Biopharmaceutics/Pharmacokinetics (PHRM 2270 & PHRM 2280 & PHRM 3500), Clinical

Pharmacy (PHRM 2310 & PHRM 3310), Principles to Scientific Literature (PHRM 3510) and

Natural Products (PHRM 3430).







http://umanitoba.ca/ist/email/studentemailindex.html



Students must have an introductory understanding of the pharmaceutical care process,

including skills in medication history taking, therapeutic problem solving and monitoring, drug

information science, interpersonal communication, and documentation. Students are also

expected to have skills in medical literature retrieval and interpretation.

Course Learning Objectives:

Pharmacy Skills Laboratory III (PSL-3) is designed to activate and integrate prior knowledge,

promote the processing of new information and provide opportunities for knowledge and skills

application.

This course uses interactive and case-based strategies to help the student:

1. Apply essential knowledge, skills, and values required in the provision of pharmaceutical care.

2. Demonstrate skills which focus on: problem solving, critical thinking, communication (written and oral), self-directed learning, and a caring attitude.

3. Develop skills which will be essential for current and expanding Pharmacy Practice. 4. Retrieve and synthesize appropriate drug information from tertiary, secondary, and

primary sources and effectively communicate responses directed to the inquirer. 5. Develop personal and professional confidence and interpersonal skills. 6. Understand the pharmacist’s responsibilities and challenges in ensuring optimal health

outcomes in patients. 7. Appreciate the scope of patient health care needs, often requiring a multidimensional

and inter-professional approach to care. 8. Demonstrate professional conduct with regards to individual moral beliefs, PHIA,

pharmacy regulations, and respecting patient’s rights.

Course Objectives / Educational Mapping:

Course Objectives At the completion of this course, the student should be able to:

AFPC Educational Outcome (2017) Achieved

NAPRA Competency Achieved

Learning Level (ICE – Ideas, Connections, Extensions)

Performance Level (Novice, Functional, Competent)

Demonstrate the ability to systematically collect and analyze pertinent patient information to identify or prevent one or more drug-related issues or to address a drug information need (eg. drug interactions, adverse drug reactions, etc.).

CP 2.1 CP 2.2

2.1 2.2 2.3 2.4

Extensions Competent

Demonstrate the ability to prioritize and resolve a patient’s drug-related issue(s)

CP 1.1 CP 1.3

2.4 2.5


or to address his/her drug information needs. This may require activation and integration of existing knowledge and/or using appropriate drug information search strategy to gather & synthesize existing/emerging evidence.

CP 2.2 SC 1.1 SC 2.2

6.1 6.2 6.3

Develop and document a care plan using a concise, standardized process (data, assessment, intervention & monitoring plan).

CP 2.3 CP 2.4 CP 2.5 CM 1.2 CM 1.3 PR 1.1

2.5 2.6 2.8 6.2 7.1 7.2

Connections Functional

Generate a method of effective communication which integrates collaboration amongst patients and other Health Care Professionals to ensure resolution of drug-related issue(s) or drug information needs.

CM 1.1 CM 2.3 CM 2.4 CM 3.1 CL 1.2

2.5 7.1 7.2 8.3


Prepare and deliver a demonstration on various home health devices intended to educate patients and peers on their appropriate use.

CP 2.5 CM 1.1 CM 1.5 HA 1.3 SC 4.1 SC 4.2

3.1 5.1 7.3


Collaborate and communicate with peers and standardized patients as a means of acquiring new therapeutic knowledge, demonstrating problem solving skills, developing interpersonal skills, and developing health promotion material.

CP 1.3 CP 1.5 CP 2.1 CP 2.2 CP 2.4 CP 2.5 CM 1.4 CM 1.5 CL 2.3 PR 2.6 SC 1.3 SC 2.1

2.1 2.1 2.3 2.4 2.5 2.6 2.8 7.1 7.3 8.3 8.4


Demonstrate the ability to practice pharmacy in a safe and effective manner using available safety tools and techniques.

CM 2.4 LM 1.2 LM 1.3 PR 2.1

1.1 1.2 2.7 3.1 4.1 9.1 9.4


Demonstrate the ability to solve pharmaceutical calculations

SC 1.1 3.1 Connections Functional

Demonstrate the background knowledge and technical ability to administer

CP 1.4 CM 1.1

1.1 2.7


immunizations and injections HA 1.3 HA 2.2 PR 1.4 PR 3.3

5.1 5.2

Demonstrate the background knowledge and technical ability to perform physical assessments.

CP 1.5 PR 3.3

2.2 2.3

Connections Novice

Demonstrate the background knowledge and technical ability to interpret and order lab tests.

CP 1.5 CP 2.5 PR 3.3

2.2 2.3

Extensions Functional

Demonstrate the background knowledge and technical ability to dispense a veterinary prescription safely.

CP 1.5 CP 2.5 PR 3.3

2.2 2.3 3.1

Ideas Novice

Demonstrate motivation to engage in self-directed and group learning

SC 2.4 PR 3.3

8.3 Extensions Functional

Teaching and learning methods:

This course does NOT utilize the traditional classroom-based, didactic teaching format.

Students will actively participate in a variety of self-directed and collaborative experiences such

as group work, role playing, presentations (in-class and online), workshops, and delivery of

patient focused care. Students are expected to assume significant responsibility for their own

learning: communicating with standardized patients, collecting and synthesizing pertinent

information and developing and implementing individual care plans; participating in case

discussions with peers and health professionals; participating in self and peer evaluation;

communicating and collaborating with health professionals; and identifying, retrieving and

interpreting information using appropriate primary, secondary or tertiary literature. For the

immunizations and injections, physical assessment, and clinical lab ordering portion of this

course, students will participate in online learning modules, in-class quizzes, and a

workshop/case discussions to practice their skills and become knowledgeable in these areas.

Students will also participate in a compulsory Physical Assessment Blood Pressure Clinic, which

provides the opportunity to practice their blood pressure technique using a manual

sphygmomanometer on patients under the supervision of an instructor. The instructors for this

course will function as facilitators, offering guidance, clarification and information.

A major teaching strategy used in PSL-3 is the Performance Based Assessment (PBA) Program.

The Teaching Objective Structured Clinical Examination (TOSCE) is used to teach and assess

student performance around the 7 core competencies (communication, critical thinking,

problem solving, decision making, professionalism, self-assessment and collaboration). TOSCEs

are often perceived by students as stressful encounters. To build student confidence with a

focus on skill development, the course includes a number of “simulations” prior to a final

Objective Structured Clinical Examination (OSCE). Try to think of these sessions as unique

learning opportunities in a controlled and safe environment.

Assessment process:

Assessment will take place throughout the term using both formative and summative

strategies. Student performance will be evaluated in the context of written assignments,

quizzes, presentations, laboratory activities, workshops, and simulated patient encounters.

Particular emphasis will be placed on the ability to accurately and effectively collect, integrate,

critique, apply and communicate knowledge in a caring and professional manner.

Assessment criteria and grading:

This course has been designed around 7 core competencies. Specifically, these core competencies will be developed through student participation in the activities listed under assessment and grading.

These activities will involve both individual and interactive group sessions. Assessment will be through assignments, presentations and performance throughout the term. Further details regarding evaluation criteria will be provided by individual instructors as required by each session.

Assessment and grading:

Laboratory Activity Evaluation (Section 1) Value

Fall Term

Veterinary Pharmacy Lab Activity 5%

Immunization and Injections Quiz 5%

Drug Interactions Lab 4%

Ordering and Interpretation of Lab Values Quiz #1 2.5%

Physical Assessment Quiz 5%

Ordering and Interpretation of Lab Values Take-

Home Assignment

5%

Clinical Resoning Lab Assignment and Reflection 7%

Winter Term

Ordering and Interpretation of Lab Values Quiz #2 2.5%

Home Health Devices Workshop 4%

Patient Care Plan and Presentation 10%

TOTAL 50%

Performance Based Evaluation (Section 2) Value

Teaching Objective Structured Clinical Examination

(TOSCE)

10%

Objective Structured Clinical Examination (OSCE) 30%

Pharmacy Practice Stations 10%

TOTAL 50%

Miscellaneous (Section 3) Value

Canadian Red Cross Standard First Aid CPR-HCP* PASS

Immunizations and Injections Modules and Online

Evaluation**

PASS

Immunizations and Injections Workshop PASS

Physical Assessment Modules and Online

Evaluation***

PASS

Physical Assessment Workshop PASS

Ordering and Interpretation of Lab Values Modules

and Online Evaluation****

PASS

*Students must complete their Canadian Red Cross Standard First Aid CPR-HCP certification

and submit proof to the Dean’s office prior to 01/October/2017

**Students must receive a PASS (70% or greater) on ALL Online Modules to receive a PASS

standing. If a student receives a FAIL on the Online Modules and/or In-Class Quiz they will be

unable to attend the workshop. The online modules must be completed and proof must be

submitted to the Dean’s office prior to 01/October/2017

*** Students must receive a PASS (80% or greater) on the Online Module to receive a PASS

standing on the online module component. If a student receives a FAIL on the Online Module

and/or In-Class Quiz they will be unable to attend the workshop. The online modules must

be completed by 24/October/2017.

**** Students must receive a PASS (70% or greater) on all of the Online Modules to receive a

PASS standing.

PLEASE NOTE

There are THREE separate sections to the evaluation in this course (Activity Evaluation,

Performance Based Evaluation, and Miscellaneous). Activity Evaluation and Performance Based

Evaluation MUST both be passed with a grade of C or better in order to achieve standing in the

course. The Miscellaneous section is comprised of pre-requisite activities that MUST be

passed/completed to participate in the Immunizations and Injections, Physical Assessment, and

Ordering and Interpreting Lab values workshops/discussions.

Failure to pass any ONE section (Section 1, 2, or 3) of the program assessment will result in a

grade of D for the course (regardless of aggregate performance). A grade of D or a grade of F

may also be awarded for an aggregate mark below 60% and 50% respectively.

Supplemental examinations will NOT be offered in any section of Pharmacy Skills Lab 3. The

Dean’s office will have ultimate discretion on any decisions made.

Attendance is mandatory at all the sessions and will be monitored. Exceptions may be made

for illness and bereavement if the course coordinator is informed prior to the session. An

unexcused absence (including debriefing sessions) will result in students receiving a “0” for that

activity and/or assignment.

Assessment policies:

As with all pharmacy courses, students are expected to exhibit professional, respectful,

sensitive behaviour throughout this course.

The regulations and requirements concerning scholastic progress, attendance at class, deferred

examinations, incompletes, academic honesty, and professional unsuitability are outlined in the

Faculty of Pharmacy chapter of the University of Manitoba General Calendar and the Faculty of

Pharmacy Student Handbook. All such policies apply to this course.

Grades:

The total of all of the above evaluations will be translated into the following letter grades:

Total Percentage

(%) Achieved

Letter Grade Grade Point Description

90 – 100 A+ 4.5 Exceptional

80 – 89 A 4 Excellent

75 – 79 B+ 3.5 Very Good

70 – 74 B 3 Good

65 – 69 C+ 2.5 Satisfactory

60 – 64 C 2 Adequate

50 – 59 D 1 Marginal

49 or below F 0 Failure

Cheating, Plagiarism and Fraud:

Please be familiar with the information provided;

http://umanitoba.ca/student/resource/student_advocacy/cheating_plagiarism_fraud.html

Policy on Electronic Devices:

Please Note: All electronic devices (on or off) are strictly prohibited in rooms where any

activities occur. This includes but is not limited to cell phones, tablets, tape recorders, and

http://umanitoba.ca/student/resource/student_advocacy/cheating_plagiarism_fraud.html

iPods. If you have any questions or concerns about an electronic device please bring it to the

attention of an instructor immediately.

Recommended texts and references:

Ansel HC., Pharmaceutical Calculations, 14th or 15th Edition, Lippincott Williams & Wilkins,

Philadelphia, 2012.

Students will also be expected to identify and retrieve pertinent resources including textbooks

in therapeutics, electronic databases such as MEDLINE, online-references (eg. ACCESS

Pharmacy), pharmacy and medical journals as well as collaborate with peers and facilitators.

PSL-3 Schedule 2018R DRAFT

FALL TERM

DATE TIME ROOM FACILITATOR(S) TOPIC

12/Sep/2017 9:00 – 10:00 264 Dr. Louizos

Dr. Wiebe Course/syllabus overview Ordering and Interpretation of Lab Values, and Immunizations and Injections Orientation

13/Sep/2017 12:00 – 3:00 264 Dr. Louizos

Mr. McDougall Ms. Petaznik

Patient Safety, Medication Reconciliation, and Adverse Drug Reactions Orientation

19/Sep/2017 9:00 – 10:00 264 Dr. Louizos

Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 1: Electrolytes, Fluids and Acid-Base Balance)

20/Sep/2017 12:00 – 4:00

264 156

4 x tut rooms

Dr. Louizos Dr. Wiebe

Prescription Checking & Veterinary Pharmacy Orientation and Lab

26/Sep/2017 9:00 – 10:00 264 Dr. Louizos

Immunizations and Injections QUIZ

27/Sep/2017 12:00 – 2:00

264 Dr. Louizos

Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 2: Hematology and Module 3: Hepatic and Lipid Tests)

03/Oct/2017 9:00 – 10:00 264 Dr. Louizos

Dr. Wiebe ?????

Physical Assessment Orientation & Drug Interactions Orientation

04/Oct/2017 12:00 – 4:30 156

4 x tut rooms Dr. Louizos ?????

Drug Interactions Lab

10/Oct/2017 9:00 – 10:00 264 Dr. Louizos

Ordering and Interpretation of Lab Values QUIZ (Introduction and Modules 1, 2 & 3)

17/Oct/2017 9:00 – 10:00 264 Dr. Louizos

Dr. Wiebe ?????

Clinical Reasoning & Pharmacy Orientation

18/Oct/2017 12:00 – 3:00 264

156 4 x tut rooms

Dr. Louizos Dr. Wiebe ?????

Clinical Reasoning & Pharmacy Lab

24/Oct/2017 9:00 – 10:00 264 Dr. Louizos

Physical Assessment Quiz

25/Oct/2017 12:00 – 4:30 264

4 x tut rooms Dr. Louizos Dr. Wiebe ?????

Clinical Reasoning & Pharmacy Discussions/Reflection

28/Oct/2017 8:00 – 3:00 CLSF Skills Lab

Concourse Dr. Louizos ?????

Immunizations and Injections Workshop (Group 1)

01/Nov/2017

12:00 – 3:00 156 4 x tut rooms

Dr. Louizos Dr. Wiebe Ms. Kleiman

Ms. Ng Ms. Drummond

Physical Assessment Workshop Group #1

04/Nov/2017 8:00 – 3:00 CLSF Skills Lab

Concourse Dr. Louizos ?????

Immunizations and Injections Workshop (Group 1)


07/Nov/2017 9:00 – 10:00 264 Dr. Louizos

Dr. Wiebe Performance Based Assessment (PBA) and TOSCE Practice Scenarios & TOSCE Orientation

08/Nov/2017

12:00 – 3:00 156 4 x tut rooms

Dr. Louizos Dr. Wiebe Ms. Ng Ms. Kleiman (After 1 PM) Ms. Drummond ?????

Physical Assessment Workshop Group #2

15/Nov/2017

12:00 – 4:00 156 4 x tut rooms

Dr. Louizos Dr. Wiebe Dr. Falk ????? ????? Ms. Drummond

TOSCE Practice Scenarios Activity

21/Nov/2017 9:00 – 10:00 264 Dr. Louizos

TOSCE Practice Scenarios Debrief and Open Lab Orientation

22/Nov/2017 12:00-3:00 254 Dr. Louizos

Dr. Wiebe ?????

Open Lab (Calculations, Vet, Rx Checking, I&I, Lab tests, Drug Interactions)

29/Nov/2017

8:30 – 3:00 CLSF Basement

Lecture Theatre

Dr. Louizos Dr. Wiebe ????? ????? Dr. Falk ????? Ms. Drummond

TOSCE

05/Dec/2017 9:00 – 10:00

264 Dr. Louizos

Dr. Wiebe TOSCE Debrief and Case Discussion

06/Dec/2017 12:00 – 4:00 254 Dr. Louizos

Dr. Wiebe ?????

Pharmacy Practice Stations Activity

**The schedule as well as any necessary updates and/or changes will be posted on UM Learn. It is the student’s responsibility to monitor UM Learn for updates**

PSL-3 Schedule 2018R DRAFT

WINTER TERM


02/Jan/2018 12:30 – 2:30 LT Dr. Louizos

Dr. Wiebe Mr. Oliver

Advanced Clinical Case Discussion

05/Jan/2018 11:00 – 12:00 164 Dr. Louizos

Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 4: Endocrine Tests)

09/Jan/2018 10:00 – 1:00 LT Dr. Louizos

Dr. Wiebe Ms. Ahmed

Home Health Devices Introduction, Dealing with Difficult Patient Encounters & TOSCE Video Review Session

12/Jan/2018 11:00 – 12:00 164 Dr. Louizos

Dr. Wiebe Ordering and Interpretation of Lab Values Case Review (Module 5: Renal Tests)

Online N/A Dr. Louizos

Dr. Wiebe Ordering and Interpretation of Lab Values (Miscellaneous Module: Drug Monitoring) Please Note: Cases are self-study (answers will be posted on UM Learn)

16/Jan/2018 10:00 – 2:00 LT Dr. Louizos

Dr. Wiebe Patient Care Plans #2 Orientation, Group Work-up, and Questions and Answer Session

19/Jan/2018 11:00 – 12:00 164 Dr. Louizos Ordering and Interpretation of Lab Values QUIZ (Modules 4,5 & Miscellaneous)

Ordering and Interpretation of Lab Values Take-Home Assignment Distributed

23/Jan/2018 10:00 – 3:30 LT Dr. Louizos

Mr. Oliver Patient Care Plan #2 Presentations

30/Jan/2018

10:00 – 3:00 254 Dr. Louizos Dr. Dunford Ms. Ng Mr. Oliver

Home Health Devices Activity

06/Feb/2018

10:00 – 3:00 116 120 124 128

Dr. Louizos

OSCE Preparation Session #1

09/Feb/2018 11:00 – 12:00 164 Dr. Louizos Home Health Devices Debrief

13/Feb/2018 10:00 – 12:30 LT Dr. Louizos

Mr. Oliver Patient Care Plan #2 Presentations Debrief & OSCE Orientation Lab Tests Take-Home Assignment DUE (9:00AM on UMLearn)

27/Feb/2018

10:00 – 2:30 116 120 124 128

Dr. Louizos Dr. Turcotte ???? Dr. Falk Ms. Drummond Mr. Oliver TBD

OSCE Practice Scenarios Activity

02/Mar/2018 11:00 – 12:00 164 Dr. Louizos

Mr. Oliver OSCE Practice Scenarios Debrief

06/Mar/2018

10:00 – 3:00 116 120 124 128

Dr. Louizos


13/Mar/2018

10:00 – 3:00 116 120 124 128

Dr. Louizos


20/Mar/2018

TBA TBA Dr. Louizos Dr. Turcotte Dr. Dunford Dr. Falk ????? Ms. Ng Ms. Drummond Mr. Oliver TBD

OSCE

Course Code: PHRM 3110 Year offered:...

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