Phi Delta Chi Alpha Gamma Chapter

Albert Benjamin Prescott Scholarship Report

UNC Eshelman School of Pharmacy University of North Carolina at Chapel Hill

Number of Collegiate Brothers Elected to Rho Chi: 14

Number of Collegiate Brothers in all academic years: 105 Number of Students Elected to Rho Chi: 62 Rho Chi Brothers/Collegiate Brothers: 13%

Rho Chi Brothers/Rho Chi (all students): 23%

Primary Authors

Worthy Prelate: Seth Barry Scholarship Committee Co-Chairs: Morgan Forshay and Seyram Fudzie

Scholarship Committee Members: Ali Cervantes, Vivian Cheng, Corey Cicci, Bobby Huynh, Izzy Kang, Sarah Troutman

2014-2015

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Introduction The Alpha Gamma Chapter at the UNC Eshelman School of Pharmacy continually emphasizes scholastic achievement as a crucial component of the Phi Delta Chi Fraternity. In order to further advance Brothers in clinical pharmacy knowledge, the Scholarship Committee has worked diligently, upholding our motto, Alterum Alterius Auxilio Eget. This year, the committee has aimed to aid both new and older Brothers in the classroom and out on rotations by utilizing resources used in the past and creating new resources for the future. In the past, the committee has developed excellent workshops and resources for the first year and second year classes, largely with the help of older Brothers with experience in those classes. Last year, the Scholarship Committee worked to perfect many of the more popular events by placing emphasis on real world application. The Scholarship Committee continues to take feedback from the Brotherhood on existing events in order to adapt them to best benefit the next class. Many of these changes involved the addition of simulations of patient interactions, which serves to better prepare Brothers for various patient interaction check-offs in school as well as prepare them for real-life pharmacy practice. Additionally, this setup requires involvement of many older Brothers assisting younger Brothers and facilitates teamwork throughout the entire fraternity. This year, the committee recognized a gap in resources, specifically for the third-year class, and has been working to create new events, implementing ideas generated by third-year Brothers. These ideas included expanding the APPE/Post-Graduate Panel and creating more workshops and study guides for the third-year class next year. One newly created event for next year’s use is the Infectious Disease Bug-Drug review game, created by current third-year Scholarship Committee members for one of the most difficult modules in the pharmacotherapy class. Current third-year Brothers are also working to make study guides for the pharmacotherapy exams, which are provided to the Brotherhood and stored as a resource for next year’s third-year class. A major challenge for the committee this year involved the implementation of the new curriculum for first-year students because old first-year workshops may not exactly correlate with the new curriculum’s material. The Scholarship Committee has been working closely with the first-year class, as well as professors involved in the curriculum transformation, to begin adapting our resources for future classes. The Scholarship Committee aims to prepare all of the Brothers in the Alpha Gamma Chapter for the most important tests and check-offs in pharmacy school, leading to success both in the classroom and in their future careers.

Promoting Scholastic Improvement and Achievement

Programs and Events

Objective Structured Clinical Exam Workshop

Second-year Brothers complete their first Objective Structured Clinical Exam (OSCE) during the fall semester. The OSCE experience consists of student pharmacists rotating through different rooms, counseling standardized patients on medications and devices previously discussed throughout the semester in Pharmaceutical Care Lab (PCL). Students learn over 100 products, including insulin pens, contraceptives, and inhalers. Any of these may potentially be included as part of an OSCE scenario. In order to reinforce material learned in PCL and simulate the direct-patient care environment, Brothers are divided into groups and rotate through five stations, with third-year Brothers serving as mock patients. One Brother counsels on the product and then the group and the mock patient provide constructive feedback. Each Brother in the group has an opportunity to counsel at one of the five stations. This experience prepares Brothers for their OSCEs, giving them the chance to reinforce their knowledge of the material and foster confidence in their patient interactions. The OSCE Workshop is offered prior to both the first OSCE in the fall semester and the second OSCE in the spring semester.

Cardiology Workshop

Each January, the Brothers of the Alpha Gamma Chapter of Phi Delta Chi venture to the mountains near Gatlinburg, Tennessee for a weekend of fun and fellowship, and each January the second-year Brothers have a cardiology pharmacotherapy exam upon returning to Chapel Hill. This exam covers hyperlipidemia, hypertension, and their appropriate management. Truly exemplifying AAAE, the Brothers of PDC manage to

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both enjoy the majesty of the Great Smoky Mountains and prepare for their future as healthcare professionals by holding the Gatlinburg Cardio Review in a rustic cabin. Older Brothers review the high points of hypertension classification, appropriate statin intensity, and clinical pearls. Brothers then break up into groups to work on prepared patient cases to fine tune and hone their ability to apply this important information. Opinions and questions are shared at the conclusion to better benefit the entire brotherhood. It just wouldn’t be Gatlinburg without a little ASCVD risk assessment!

Standardized Patient Interview Preparation

The Standardized Patient Interview (SPI) is the first experience with a mock patient, where they must collect the patient’s medical history to review for any adherence issues. The Alpha Gamma Chapter hosted a workshop to allow first-year Potential Brothers to practice their patient interview skills. Brothers acted as the mock patients and were paired one-on-one with first-years. The Brothers were given 2 medication lists: a basic list with just the names of the medications the patient was taking, and a detailed list outlining the strengths, frequencies, routes of administration, and other medications the patient had that were not included on the basic list. The Potential Brothers were given the basic list and, within a time limit, had to interview the Brother to gather the information on the detailed list. Afterwards, the Brothers provided constructive feedback about the Potential Brothers interviewing techniques, such as reminding them to ask open-ended questions and to use patient-friendly language. Next, a quiz was held in a separate classroom to simulate the quiz administered at the SPI to test if the Potential Brothers were able to gather all the information needed from the patient. Designing the SPI Workshop to mimic the actual experience made the Brothers more comfortable for the graded experience and resulted in improved performance.

SOAP Note Workshop

The SOAP Note Workshop is one of our best events for first-year Brothers, as this assignment is a major part of the curriculum through all four years of the pharmacy curriculum. Beyond the SOAP note assignment, this skill set is essential for brothers to be effective pharmacy practitioners. The challenge with this assignment is not only accurately assessing a patient case but also fitting all of the important patient care plans in a one page document. This workshop is facilitated by the Worthy Prelate and the Scholarship Committee, presenting the context in which SOAP notes are utilized in clinical pharmacy, then a basic outline of what information fits in each of the S-O-A-P categories is presented. Once the Brothers have a basic understanding of the SOAP note, patient cases are presented so that the Brothers have the opportunity to apply the new skill set they have just acquired. Members of the committee are present in order to provide one-on-one assistance to the first-year Brothers. Overall, upon leaving this workshop, Brothers have the foundational knowledge to effectively identify patient problems, and write up an efficient SOAP note to demonstrate how they will provide optimal patient care.

Calculation Domination Workshop

Near the end of each semester, student pharmacists at the UNC Eshelman School of Pharmacy are tasked with completing a high-stakes calculations exam, which assesses student expertise in completing pharmaceutical calculations accurately and efficiently. The Scholarship Committee provides calculation workshops every semester prior to each exam, and these workshops are open to all Brothers in each class seeking extra assistance. A practice exam, drafted by the committee, included topics such as percent and ratio strength, isotonic solutions, radiopharmaceuticals, creatinine clearance, and plant extractives. This exam was provided to attending Brothers for an allotted time, and at its conclusion, problems were reviewed sequentially, with any questions being addressed, discussed, and worked out as a group. Brothers were also provided a fill-in-the-blank formula worksheet to be completed at home and used as a future study reference.

Top 200 Bingo

Knowledge of the drug information for the drugs listed on the Top 200 Medication List is continually assessed throughout the pharmacy curriculum. However, at the end of the third year, Brothers take a cumulative Top 200 Medication exam. In order to prepare for this, a Top 200 Bingo game is held for Brothers during the spring

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semester. In addition to third-year Brothers attending, first- and second-year Brothers also attend so that they can review and prepare for their own Top 200 assessments. At this workshop, bingo boards are distributed, and different categories of drug information are called out for Brothers to match the information to a drug that is listed on their bingo board. As the game is played at a rapid pace, it challenges Brothers to quickly retrieve knowledge about the drugs. Several rounds are played, and each round ends when a brother announces that they have identified five drugs in a row, “Bingo!”. Also, at the end of each round the drugs announced are reviewed so that each Brother can identify which drugs they need to further review before their exam.

Diabetes Jeopardy

Brothers complete a pharmacotherapy module on diabetes during the fall semester of their second year. This module is one of the more challenging components of the pharmacotherapy course due to its continuous treatment evolution and number of new medications approved each year. The Scholarship Committee designed a friendly and competitive Diabetes Jeopardy game to help Brothers assess their knowledge of the disease state and treatments in 2014. The categories of this game included Drugs, Clinical Pearls, Goals & Mechanism of Action, More than Diabetes, and Miscellaneous. The game also included two final jeopardy rounds with questions based on clinical patient cases, as the students would see on the exam. These questions required Brothers to assess the patient, prioritize problems, and proved a comprehensive treatment plan. The Scholarship Committee updated the jeopardy game questions based on the American Diabetes Association guidelines for 2015. The Diabetes Jeopardy event allowed the second-year Brothers to work in teams to answer the questions, which helped provide the Brothers with a boost of confidence in the areas of the disease that they knew well and helped reveal areas for improvement leading up to the exam.

Self-Care Presentation Practice and Critique (Semester Long)

In the fall, first-year students work in small groups to research and design presentations on assigned herbal supplements, for example ginger, Gingko Bilboa, and St. John’s Wort for Pharmaceutical Care Lab. The groups must present information on the supplement’s history, indications, dosage forms, administration, mechanism of action, clinical studies regarding its use, and present their group’s clinical recommendations for the use of the supplement in practice under a strict time limit of 20 minutes. This Self-Care presentation is the first formal presentation that first-year students will do in front of their peers. In order to prepare the Prospective Brothers for this important presentation, the Alpha Gamma Chapter began holding Self-Care Presentation Workshops in Fall 2013. Prospective Brothers and their group members, who may not be in PDC, are offered the opportunity to practice their presentation in front of Brothers volunteering to provide constructive feedback. Critique from the Brothers includes suggestions on more visually-appealing formatting techniques and how to polish presentation skills to improve professionalism. The Self-Care Presentation Workshop also serves as a great opportunity for Brothers to review their knowledge about herbal supplements as they review the presentations. With the curriculum transformation, the Self-Care presentation may become a spring semester project but will remain an important event for the first-year Potential Brothers.

APPE/Post-Graduate Panel

After receiving great feedback from last year's panel the Scholarship Committee held the second annual Advanced Pharmacy Practice Experience (APPE) and Post-Graduate Panel. The primary objective of the panel was to provide the opportunity for third year Brothers to have all of their questions answered prior to selecting preferences for fourth year rotations. Our committee invited a panel comprised of three fourth-year students currently on rotations, one Post-Graduate Year-One Resident and one Postdoctoral Fellow. The panel consisted of PDC alumni or current active Brothers. The fourth-year panelists were asked to discuss where their rotations were being held and their experiences so far out in the field. The post-graduate panelists gave the Brothers insight into what it is like as new practitioners and how to make a good impression as a student pharmacist. The panelists also provided great advice on how to manage difficult situations while on rotations. Overall, the third-year Brothers left the panel feeling better prepared for their upcoming rotations and post-graduate plans.

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Pathophysiology Family Feud

Under the new curriculum, Brothers take a course in pathophysiology of human disease during the fall semester of their first-year. This course seeks to give students a broad understanding of diseases and their underlying pathological characteristics for each body system. This was voted to be the course that Potential Brothers were struggling with the most, and thus the Scholarship Committee opted to design a review activity, in the form of Family Feud, to prepare for the comprehensive midterm. Categories in the game covered areas such as disease symptoms, disease markers, disease classifications, and disease risk factors. The game format was particularly useful for this course, as the categories used and covered in class often have long lists of examples. The categories covered allowed Potential Brothers to recall and internalize some of the most important content leading up to the midterm. Potential Brothers were initially divided up into “families” for a more competitive game, but by the end, the class had merged into one large “family” to allow for more input to each question. The Pathophysiology Family Feud event allowed for an interactive review to help Potential Brothers assess what they knew well and what needed review prior to the exam.

Drug Literature Jeopardy

One of the most difficult and important courses in the UNC pharmacy curriculum is the Drug Literature course during our second year of school. This course challenges students to learn how to assess and apply current drug information from primary, secondary, and tertiary resources. Therefore, in order to assist the second-year Brothers with their second exam preparation, a Drug Literature Jeopardy scholarship activity was planned and executed. In this activity, teams of brothers competed to answer the jeopardy questions correctly and earn the most points. What was unique about this jeopardy game was that each question was based upon a clinical research study. Thus brothers not only had to understand the course material, but also understand how to apply the concepts to real research scenarios. Overall, this scholarship activity was an immensely helpful resource for the second-year Brothers as they prepared for their second exam!

Resources

Pharmacotherapy Study Guides

The pharmacotherapy course moves at a fast pace, with a new module topic every other week. For each module in the class, the Scholarship Committee has provided study resources for both second- and third-year Brothers. Study resources include study guides, summary PowerPoints, Quizlets for terms, and drug tables provided by Brothers currently taking the class and Brothers who have taken the class in the past. Because the pharmacotherapy courses are so content-heavy, the compiled study guides are a helpful resource for Brothers to have both for the exam and for future reference during fourth year for specific topics on rotation. Additionally, this is a good resource for Brothers to use if they need to clarify content or fill in gaps in their own notes.

Top 200 Drugs

As part of the curriculum, each student must learn the Top 200 drugs. Throughout the year, students are assigned approximately 10 drugs every week and tasked to learn the brand/generic names, therapeutic class, and indication. As students progress through the pharmacy curriculum, additional layers of knowledge are added on, and students must learn the mechanisms of action, black box warnings, and pregnancy categories. One of the most efficient ways to learn drugs is through flashcards, so our Chapter has provided a weekly Quizlets with drug flashcards, released at the end of each week, including the required materials that each class should know. The timing allowed each Brother to have time to look up the drug information individually, and then could use flashcards as a study resource before the quizzes. Since its implementation, the Quizlet has a great success and there has been much positive feedback amongst Brothers.

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Hospital/Community IPPE Evaluations

After the first and second year of pharmacy school, first- and second-year Brothers complete Introductory Pharmacy Practice Experiences (IPPE) in the hospital and community setting. Brothers are placed in hospital and community locations based on a lottery system, which involved students ranking locations based on preference. Because Brothers are often unaware of site and preceptor opportunities in each location, the Scholarship Committee facilitates communication of these experiences between classes. A Google form is sent out to all of the Brothers with prompting questions such as amount of time spent with preceptor, pharmacy encounter experiences, schedule, and positive and negative comments. The responses are then provided to the class before ranking to help Brothers rank specific regions, sites, and preceptors. This system is a great way for third year Brothers to assist first- and second-year Brothers with their rotation site selections to help maximize the rotation experience.

Scholastic Achievement Awards

Smarty Pants Awards As part of the scholarship pillar of Phi Delta Chi, Alpha Gamma acknowledges those Brothers that exhibit excellence in the classroom. For each exam, Brothers may elect to submit their exam scores to the Worthy Prelate. The Worthy Prelate reviews the scores and announces the “Smarty Pants” award at every meeting to the Brother with the highest score on a given exam. The Brother awarded Smarty Pants is given a Certificate of Achievement, mini Smarty Pants, and smarties candies. While the Smarty Pants program promotes academic excellence and a competitive environment, the most beneficial component of the program to the Brotherhood is the fact that it recognizes Brothers who are succeeding in a class so that a Brother who is struggling could look to them for advice.

Improvement Jorts Awards “Improvement Jorts” are awarded to the Brother with the highest point improvement between consecutive exams in a given class. The Worthy Prelate announces the winners of Improvement Jorts at every meeting and the fraternity praises the winner, fostering positive encouragement for Brothers who have worked hard to improve in a class. The winner also has the opportunity to sign their name on a pair of jorts that is passed down from year to year. Additionally, Brothers have the opportunity to submit the name of a Brother who helped them prepare for an exam, emphasizing AAAE and pointing out potential individuals for Brothers struggling in a class to turn to for advice.

Conclusion As a Brotherhood, the Scholarship Committee strives for greater academic success while promoting teamwork and encouragement throughout the Alpha Gamma Chapter. As the Scholarship Committee looks forward to next year, it is important to utilize past successful resources while continuing to modify and fill in gaps for the changing curriculum. We hope to implement newly developed resources for the third-year class and continue to work quickly and proactively to provide beneficial workshops for the first and second year students, even as the curriculum changes. We will continue to use previously successful workshops as they fit with the new curriculum, while constantly looking for aspects of the new curriculum that warrant new workshops. The new curriculum involves early immersion of Brothers into pharmacy practice beginning after their first year and continuing on through their third year. The Scholarship Committee will keep this in mind, with the hopes of continuing to focus on incorporating patient simulations into the workshops. We hope to maintain the average GPA of our Chapter at 3.69, striving to attain an average of 3.72. With these goals in mind, the Scholarship Committee is excited to take on the challenges associated with the new curriculum.

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Chapter Statistics

Category Chapter Earnings

Average GPA 3.69

Number of Brothers in Honors Program 25

Number of Brothers in Rho Chi 14

Number of Brothers Receiving Scholarships 29

Total Value of Scholarships Received $174,000

Teaching Assistant Positions 4

Pledge Class Average GPA

Epsilon 3.68

Zeta 3.70

Class Average GPA

Class of 2017 3.66

Class of 2018 3.71

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Appendix Dermatology Study Guide

Women’s Health Study Guide

Dermatology and Women’s Health Study Guides were created and distributed to second-year Brothers prior to their pharmacotherapy exams

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Diabetes Jeopardy

The Scholarship Committee utilized a Jeopardy Review game to help second-year Brothers prepare for their upcoming Diabetes Exam. Categories included Drugs, Clinical Pearls, Goals and Mechanism of Action, More Diabetes and a Miscellaneous category.

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SOAP Note Workshop

The Scholarship Committee held a SOAP Note Writing Workshop in order to teach the first-year Brothers how to write a complete SOAP Note. Second- and third-year Brothers led the workshop and answered any questions that the first-year Brothers had.

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APPE/Post-Graduate Panel

The APPE/Post-Graduate Panel was a great opportunity for the third-year Brothers to seek advice from their fourth-year Brothers and Post-Graduate alumni! The panelists answered questions regarding fourth year rotations, APPE selections, and residency applications.

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Infectious Disease Study Guide The Scholarship Committee created study guides for brothers to use to prepare for the final I.D. exam. Brothers will also be able to access the study guides during their fourth year I.D. rotations and to study for the NAPLEX.

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Quizlets The Scholarship Committee utilized Quizlets as a study tool for Brothers in all years. The Scholarship Committee would create and distribute the Quizlets to Brothers a few days before quizzes and exams.

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Scholastic Achievement - Improvement Jorts Improvement Jorts were rewarded to Brothers for their Scholastic Achievement. Brothers Kate Summer and Angie Llanos received the Improvement Jorts after their second Pharmacotherapy Exam!