COMMUNITY PHARMACY
RECORD OF TRAINING AND EXPERIENCE OF PROVISIONALLY REGISTERED PHARMACIST
(PRP)
PHARMACY BOARD MALAYSIAMINISTRY OF HEALTH MALAYSIA
2012
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Pharmacy Board Malaysia 2012 Page 2
PERSONAL PARTICULARS(TO BE COMPLETED BY PROVISIONALLY REGISTERED PHARMACIST – PRP)
1. Name as in Identification Card (in capital letter) :
2. I/C Number :
3. Provisional Registration Number:
4. Telephone Number:
5. Mobile Phone Number:
6. Home Address :
7. Correspondence Address (if not the same as above):
8. E-mail Address :
9. Qualification (Degree awarded/University/Year) :
10. Scholarship/Sponsor Federal/MARA/PTPTN/Others) :
11. Principal Training Place :
12. Commencement Date:
13. Name & Contact Number of Person in case of emergency
I confirm that the above information is true.
Signature : Date :
Name :
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Pharmacy Board Malaysia 2012 Page 3
1. INTRODUCTION
1.1 The Registration of Pharmacists Act (Amendment) 2003 stipulates that a person who is provisionally registered shall be required to obtain experience immediately upon being provisionally registered, engage in employment as a pharmacist to the satisfaction of the Pharmacy Board for a period of not less than one year.
1.2 The engagement as a pharmacist must be in any premises accredited and approved by Pharmacy Board Malaysia (PBM).
1.3 The PBM may extend for not more than one year the period of training of a provisionally registered pharmacist (PRP) if the Board is not satisfied with the performance of that person as a pharmacist.
1.4 The provisional registration of a person shall be revoked if that person fails to engage in employment as a PRP to the satisfaction of the Pharmacy Board for a period of not less than 52 weeks in any premises accredited and approved by PBM.
1.5 All PRPs are required to pass the Pharmacy Jurisprudence Examination conducted by the Pharmacy Board during their training.
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Pharmacy Board Malaysia 2012 Page 4
2. PRP TRAINING MODULES AND RECORD
2.1 This record book is designed primarily to guide PRP and preceptors of various pharmacy disciplines in the training organization in coordinating activities and programmes during the 52 weeks of training.
2.2 This record book will be the basis for the appraisal by all preceptors, which will be submitted to the PBM for the purpose of registration as a Fully Registered Pharmacist (FRP).
2.3 There are 4 main areas of training for the PRP;
2.3.1 Private Hospital 2.3.2 Industrial Pharmacy (manufacturing)2.3.3 Research and Development (teaching institution)2.3.4 Community Pharmacy
2.4 The PRP is required to fill the following information;
2.4.1 Name, I/C Number, Name of organizations and period of training.
2.4.2 Date of task completed and evidence of proof for each section/unit of attachment. If the column is not enough, please make attachment.
2.4.3 Each evidence given is to be endorsed by the immediate preceptor/s of the section/unit.
2.5 The preceptor is required to complete the record by filling the following;
2.5.1 Endorse the completion of each task with signature, name and date in the column provided.
2.5.2 Level of performance is based on the following scale;
1- unsatisfactory2- satisfactory3- good4- excellent orN/A Not applicable
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The passing mark is 60 % for each respective section and the sum total of all the sections.
2.5.3 The final appraisal is to be completed by the Master Preceptor at the 11th month of the training period and to be sent to ;
Setiausaha Lembaga Farmasi MalaysiaBahagian Perkhidmatan FarmasiKementerian Kesihatan MalaysiaLot 36, Jalan Universiti,46350 PETALING JAYA
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3. DUTIES AND RESPONSIBILITIES OF A PRECEPTOR
3.1 CRITERIA OF A PRECEPTOR
Not less than four years of experience as a registered practising pharmacist in Malaysia.
3.2 Responsibilities of a Preceptor;
3.2.1 To be a learning resource for the PRP who receives necessary training to develop skills and competencies as a community pharmacist.
3.2.2 To guide the PRP throughout 52 weeks of training.
3.2.3 To be a role model as a professional pharmacist to the PRP
3.2.4 To provide professional services and constructive feedbacks during the training.
3.2.5 To assess PRP performances during the training period.
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4. DUTIES AND RESPONSIBILITIES OF A PROVISIONALLYREGISTERED PHARMACIST [PRP]
Being a Provisionally Registered Pharmacist [PRP], you should;
4.1 At all-times comply with the directives and orders given to you by the department head.
4.2 Aim to become a competent registered pharmacist by the end of the training period.
4.3 Undertake the training modules/ program with a positive attitude and a
commitment to learn from the preceptor and other staff in the training environment.
4.4 Remember that obtaining adequate working experience is your responsibility. Others will help, but it requires a conscientious effort on your own part, not just passive acceptance.
4.5 Recognize that not all of the preceptor’s time can be devoted to teaching, and you should therefore actively acquire knowledge and skills by observation, reading and questioning others.
4.6 Be aware that, in addition to the daily activities, your time should be set aside to consider activities outside working/office hours.
4.7 Always actively participate in professional development as it is essential to build on your undergraduate studies and keep abreast of current knowledge.
4.8 Be aware that; the Certificate of Satisfactory Experience, required under Section 6A(2) Registration of Pharmacists Act (Amendment) 2003 will only be issued to you if;
(i) You have passed the Pharmacy Jurisprudence Exam which will be conducted by the Pharmacy Board in March/June/November.[Please inform your immediate preceptor if you wish to sit for the test at least a month earlier]
(ii) The average passing mark of your training performance must be at least 60% for each section and the sum total of all the units.
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4.9 Overview Of Competencies Training Schedule:
During the entire training duration, the PRP will be placed in the core Divisions/Departments in the Company under the guidance and supervision of the Department/Division Head and supervised overall by a Master Preceptor. The duration of training in each module is as indicated in Table 1.1.
Mini project where indicated under the different modules are optional but it will be in the interest of the PRP to be given at least ONE (1) mini project throughout the period of training.
Table 1.1: Training Time-table
COMPETENCY TRAINING MODULES Duration(Weeks)
Management and Business Procedure
40-44Store Management
Medication Error Reporting /ADR Reporting
Out-patient Pharmacy Services (Hospital/Health Clinic, Ministry of Health) 8-12
TOTAL 52
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ASSESSMENT
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1. MANAGEMENT AND BUSINESS PROCEDURES
1.1 LICENSING & LEGISLATIONS
Knowledge and the understanding of the principle of the Business Management and Procedures
No. Knowledge Level of Performance Comments
1 2 3 4 NA
1
1.1
Understanding of the Relevant Legislations
Local Government Licensing, Practicing Licensing, Business Components
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1.2 FINANCIAL MANAGEMENT
Knowledge and understanding of the financial aspects of the business
No. Knowledge Level of Performance Comments
1 2 3 4 NA
1. Understanding of Profit Loss Analysis, Performance measurements and financial control.
1.3 SHOP LAYOUT & MERCHANDISING
No. Knowledge Level of Performance Comments
1 2 3 4 NA
1. Understanding the principle of Shop Layout.
2. Understanding the principle in Merchandising, management of customer flow
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No. Task Level of Performance Comments
1 2 3 4 NA
3. To perform product merchandising for min of 20 items
1.4 INDUSTRIAL RELATION & HUMAN RESOURCE (HR) MANAGEMENT
No. Knowledge Level of Performance Comments
1 2 3 4 NA
1. Understanding the basic aspects of HR management
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1.5 SAFETY
No. Knowledge Level of Performance Comments
1 2 3 4 NA
1. Understanding on the relevant safety aspects and statutory requirements
1.6 CUSTOMER SERVICE
Understanding that customer satisfaction is a major requisite to business success.
No. Knowledge Level of Performance Comments
1 2 3 4 NA
1. Understanding of client satisfaction.
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1.7 DRUG INFORMATION SERVICE(Minimum of 10 cases)
No. Task
Level of Performance Comments
1 2 3 4 NA
1 Retrieve, analyze drug information with documentation from relevant sources eg BNF
GENERAL COMMENT ON ATTITUDE
Mark = ______________ x 100% = ______________ %
40
Preceptor’s Name & Signature:
NOTE:
1. If the service is not available in the industry, the Principal Preceptor/ Head of Pharmacists in the organisation therefore has right to transfer the PRP to other units/ sections.
2. % mark should not less than 60% for every units/ sections.
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2.0 OUT PATIENT PHARMACY SERVICES (HOSPITAL/MAIN HEALTH CLINIC, MINISTRY OF HEALTH)
(8-12 WEEKS)
Management of Outpatient Pharmacy
1. Knowledge of stock movement and control, patient waiting time, peak hour management (staff mobilization), staff training, handling of drug information requests and pharmacy QAP.
Dispensing of medication / prescriptions
2. Proficient in prescription ordering & supply system (including Integrated Medication Supply System) and verification. Good communication skills and counter service. Documentation of relevant data and statistics. Proficient in reading. Interpretation of prescriptions and completeness of prescription (e.g. drug name, dose, frequency, duration etc).
3. Familiarity with drug range. Knowledge on generic names, proprietary names, pharmacological groupings, Hospital Formularies.
4. Proficient in the screening of prescriptions (e.g. Dosage regimen, polypharmacy, drug interactions, adequacy of instruction(s), contraindications, incompatibilities etc.). The screening of a prescription must be performed at any point of processing a prescription, e.g. during receiving, filling and dispensing.
5. Awareness of the importance of patient’s medication record (e.g. warfarin medication card)
6. Ability to contact prescriber to discuss errors or ambiguous prescriptions.
7. Proficient in filling prescriptions.
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8. Proficient in dispensing.
9. Knowledge on the pre-packing process, packaging and labeling of medication dispensed.
Patient medication counseling
10. Ability to advise/ counsel on patient drug regimen/ therapy, indications, storage conditions, precautions, side effects, food / drug interactions, dosage regimen, compliance and missed doses, use of devices (e.g. inhalers, insulin pens, interferon pens).
11. Ability to perform in conducting group / individual counseling sessions.
Dangerous / Psychotropic Drugs Management
12. Knowledge of psychotropic and dangerous drugs distribution and disposal in accordance to the respective legislations:
Dangerous Drugs Act 1952 Poisons Act 1952 Poisons (Psychotropic Substances) Regulations 1989
13. The activities include in this department are:
Screening Filling Dispensing Medication Counseling Dangerous Drugs & Psychotropic
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SECTION 1: SCREENING
WEEK 1
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 18
SECTION 1: SCREENING
WEEK 2
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 19
SECTION 1: SCREENING
WEEK 3
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 20
SECTION 1: SCREENING
WEEK 4
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 21
SECTION 1: SCREENING
WEEK 5
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 22
SECTION 1: SCREENING
WEEK 6
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 23
SECTION 1: SCREENING
WEEK 7
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 24
SECTION 1: SCREENING
WEEK 8
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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SECTION 1: SCREENING
WEEK 9
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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SECTION 1: SCREENING
WEEK 10
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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SECTION 1: SCREENING
WEEK 11
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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Pharmacy Board Malaysia 2012 Page 28
SECTION 1: SCREENING
WEEK 12
Date
Type of InterventionsPoint of
Screening (*R/F/D)
Description of intervention(s)Incomplete
PrescriptionsInappropriate
RegimensInappropriate Prescriptions
Other
Type of Interventions:
1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility
* R: Receiving F: Filling D: Dispensing
Name of Preceptor: Signature: General Remarks:
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SECTION 2: FILLING OF PRESCRIPTIONS (Include Labeling and Recording)
At least 5 complete filling processes must be assessed by a senior pharmacist
Date of assessment
Patient Particulars No. of Item in Prescriptions RemarksName & Signature
of Senior Pharmacist
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Pharmacy Board Malaysia 2012 Page 30
SECTION 3: DISPENSING (Minimum 4 hours/day equivalent to 50 prescriptions* subject to capacity of
individual hospital)
DateNumber of Prescriptions Dispensed
(minimum 4 hours / day)Name & Signature of Preceptor
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SECTION 3: DISPENSING (Minimum 4 hours/day equivalent to 50 prescriptions)
DateNumber of Prescriptions Dispensed
(minimum 4 hours / day)Name & Signature of Preceptor
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Pharmacy Board Malaysia 2012 Page 32
MEDICATION COUNSELING
At least 5 counseling must be directly observed and assessed by a senior pharmacist
SECTION 4 : Counseling on Minor Ailments
(Minimum of 50 cases)
Date Name of Patient
Type of Ailments
Action Taken
Advice Given
Comments Name & Signature of
Preceptor
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SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
At least 5 counseling must be directly observed and assessed by a senior pharmacist
WEEK 1
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 34
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 2
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 35
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 3
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 36
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 4
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 37
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 5
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of Preceptor
Antidiabetics
Antihypertensives
AntiAsthmatics
AntiRetrovirals
Anticoagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 38
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 6
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 39
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 7
DatePatients
RN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 40
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 8
DatePatients
RN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 41
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 9
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
ofPreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
CoagulantsOthers (Please Specify)
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Pharmacy Board Malaysia 2012 Page 42
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 10
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 43
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 11
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 44
SECTION 4: MEDICATION COUNSELING (INDIVIDUAL – Minimum 3/ week)
WEEK 12
Date PatientsRN
Counseling Based On The Types Of Pharmacotherapy Management –minimum 5 patients/ type *where applicable
Name & Signature
of PreceptorAnti
diabeticsAnti
hypertensivesAnti
AsthmaticsAnti
RetroviralsAnti
coagulants
Others (Please Specify)
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Pharmacy Board Malaysia 2012 Page 45
SECTION 5: MEDICATION COUNSELING (GROUP – Minimum 1/ month *if applicable)
DateNumber of
Counseling Sessions
Counseling Based On The Types Of Pharmacotherapy Management –minimum 1 session/ type
Name & Signature of
PreceptorAntidiabetics Antihypertensives Antiasthmatics Others (e.g : cardiac rehab, Renal, Psychiatry)
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Pharmacy Board Malaysia 2012 Page 46
SECTION 6: DANGEROUS DRUG & PSYCHOTROPIC
Date
Psychotropic & Dangerous Drug
Number Of Prescriptions Dispensed & Recorded (minimum 10 prescriptions/ week)
Name & Signature of Pharmacist In-charge
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Pharmacy Board Malaysia 2012 Page 47
SECTION 7: PREPARATION / OBSERVATION / COUNTER-CHECKING OF JOB SHEET OF EXTEMPORANEOUS (MIN 5 EACH)
Ability to understand formulation and calculate the appropriate quantities required
Extemporaneous Preparations
Date MRN Name of Preparation Remarks Signature of Preceptor
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Pharmacy Board Malaysia 2012 Page 48
ASSESSMENT
SECTION 8: MANAGEMENT OF OUTPATIENT PHARMACY
No. Knowledge
Level of Performance
Comments
1 2 3 4 NA
1 Familiarity with drug range. Knowledge on generic names, proprietary names, pharmacological groupings, Hospital Formularies
2 Good dispensing procedure
3 Stock movement and inventory control
4 Patient waiting time and peak hour management (staff mobilization)
5 Collection of statistical data (e.g.: QAP – Outpatient Indicators, Hospital Specific Approach)
6 Psychotropic and dangerous drugs distribution and disposal in accordance to the respective legislations:
Dangerous Drugs Act 1952 Poisons Act 1952
(Psychotropic Substances Regulations 1989)
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Pharmacy Board Malaysia 2012 Page 49
SECTION 9: COMPETENT ASSESSMENT
No. Task
Level of Performance
Comments1 2 3 4 NA
1 Screening
2 Filling of Prescriptions
3 Dispensing
4 Medication Counseling
5 Dangerous Drug & Psychotropic
6 Preparation/ Observation/ Counter-Checking of Job Sheet of Extemporaneous
7 Management of Outpatient Pharmacy
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SECTION 10: GENERAL COMMENT ON ATTITUDE
Mark = ______________ x 100%
52
= ______________ %
Preceptor’s Name & Signature:
NOTE:
1. If the service is not available in the hospital, the Principal Preceptor/ Head of Pharmacists in the hospital (KPF) therefore has right to disseminate the PRP to other unit/ service.
2. % mark should not less than 60% for every units/ services.
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3.0 STORE MANAGEMENT
Knowledge and understanding of the principles of store management organization structure, inventory, stock movement and control, cleanliness, and security
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
ORGANIZATION STRUCTURE/LAYOUT/ CHART
Able to understand structure/layout and identify your role in the organization
INVENTORY
Awareness of Store Catalogue and type of products managed.
STOCK MOVEMENT AND CONTROL
Able to explain stock movement and control of drugs and non drugs
CLEANLINESS
Able to identify requirements
SECURITY/ SAFETY
Able to list security/safety aspects of store
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Pharmacy Board Malaysia 2012 Page 52
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
TREASURY INSTRUCTION
Able to recognize the different method/processes in procurement:
Direct purchase Quotation
PROCEDURES IN STORE MANAGEMENT
Able to understand stock movement and control:
Bin card Computerised Inventory program
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Pharmacy Board Malaysia 2012 Page 53
3.1 PROCUREMENT AND DISTRIBUTION
Knowledge of ordering process and monitoring of vendor performances
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
How to identify genuine product versus fake/unregistered products
Able to use Medi-tag to decode genuine Hologram
Able to understand and decipher MAL registration number
Ordering systems
Min Order Value (able to know MOV of min 5 suppliers)
Ask for quotation (min 5) Trade Negotiation (min with 3 suppliers) Min/Max order qty (able to know min 5
Items)
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Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
Optional: e-Procurement (e.g. Asia-Rx) optional
Min able to generate 5 PO using e-procurement systems
Receiving Of Goods
Stock checking against Inv or D/O against P/O
Expiry date checking
Sign and acknowledgement on D/O & Inv
At least 10 exercise of the above event
Applicable only to Preceptor with wholesaling activity
Include Good Distribution Practice (GDP)
Working knowledge with respect to the legislative requirement on wholesaling activity. (e.g. the recording requirement, licensing requirement,)
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3.2 STORAGE
Knowledge of storage in accordance to Good Storage Practice
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
GOOD STORAGE PRACTICE
Able to identify storage requirement of pharmaceutical dosage form according to manufacturer’s instruction.
Min 10 items
COLD CHAIN MANAGEMENT
Able to identify the :
cold chain process goods monitoring – from receiving to
dispensing must maintain cold chain standard
equipments monitoring (thermometer monitored)
documentation
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Pharmacy Board Malaysia 2012 Page 56
3.3 INVENTORY CONTROL
Knowledge and understanding of drug usage patterns, identification of slow and non-moving stocks, maximum and minimum stock levels, cost accounting, and expiry date monitoring
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
DRUG USAGE PATTERN
Able to retrieve, print, analyse and interpret reports (min generate 5 reports)
SLOW/ NON- MOVING STOCK
Able to retrieve, print, analyse and interpret reports (min generate 5 reports)
ITEM BELOW / ABOVE BUFFER LEVEL
Able to retrieve, print, analyse and interpret reports (min generate 5 reports)
ITEM NEAR EXPIRY
Ability in managing near expiry item and to highlight to management for appropriate follow up action. (min 2 times)
STOCK TAKE
Min once per year
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Pharmacy Board Malaysia 2012 Page 57
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
Return procedure
Familiar with the method to initiate and complete return procedure (generate Trade Return Notes / Goods Return Notes or ask for Credit Note)
e.g.: Wrong item sent, near expiry goods received
Min 5 incidences
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Pharmacy Board Malaysia 2012 Page 58
3.4 DISPOSAL
Knowledge of disposal procedures and documentation.
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
DISPOSAL PROCESS
Able to understand the workflow for proper disposal
LIST OF EXPIRED ITEMS
Able to generate a list of expired goods for disposal
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Pharmacy Board Malaysia 2012 Page 59
3.5 PRODUCT COMPLAINTS
Knowledge of handling of product complaints and reporting procedures
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
Handling of Complaints (minimum of 5 cases)
Able to understand and explain workflow, Retrieval of products, data and relevant documentation
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Pharmacy Board Malaysia 2012 Page 60
3.6 PRODUCT RECALL
Knowledge of handling of product recall and reporting procedures
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
Handling of Product recall
Able to understand and explain workflow, retrieval of data, products and relevant documentation.
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3.7 DANGEROUS / PSYCHOTROPIC DRUGS MANAGEMENT
Knowledge of psychotropic and dangerous drugs distribution and disposal in accordance to the respective legislations
Date Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
DANGEROUS DRUGS ACT 1952 , POISON (PSYCHOTROPIC SUBSTANCES) REGULATION 1989 AND POISONS ACT 1952
Knowledge on handling Dangerous/Psychotropic items in accordance with the above Acts
(minimum of 2 cases)
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4. MEDICATION ERROR REPORTING/ ADR REPORTING
No. Task Level of Performance Comments Name and Signature of
Preceptor1 2 3 4 NA
1. Handling of Medication Error Reporting and Adverse Drug Reaction ReportingMedication Safety Centre, Ministry of Health
(minimum 2 cases-if any)
e.g Filling up MADRAC form. Malaysian Adverse Drug Reaction Advisory Committee
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GENERAL COMMENT ON ATTITUDE
Mark = ______________ x 100%
104
= ______________ %
Preceptor’s Name & Signature:
NOTE:
3. If the service is not available in the hospital, the Principal Preceptor/ Head of Pharmacists in the hospital (KPF) therefore has right to disseminate the PRP to other unit/ service.
4. % mark should not less than 60% for every units/ services.
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Training of PRP in Community Pharmacy Practice
Examples of activities
Week 1 – week 26
Orientation Company Policies References Extemporaneous Prep , SOP Dispensing Guidelines Near Misses Topics of Minor ailments Working relationship with staff Security/ safety CPD Extended services : methadone Counselling technique Poison classification Medical services Company business activities Drug interactions OTC Infection diseases Cough Health promotion activities TCM Rapport / communication with prescribers Storage of eye /ear drops Referrals Stock management / expiry ADR/ Medication errors
Address out-of-stock situation
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Week 27- week 52
Over the counter (OTC) Invoicing Drug interactions Minimum stocks Psychotropic stock counts CVS Budget purchasing NSAIDS/ Wound care Code of conduct Pricing system/policies Rehab Use of medical devises Medication Therapy Adherence Clinic (MTAC) eg. on Diabetes Mellitus Glucometer/BMI Epilepsy Layout Occupational health hazards Information on medical devices Oral hygiene Misuse of medicines National Poison Centre/ National Call Centre (HKL) Veterinary pharmacy Good customer service Baby formula NGOs/ Support group Handling complaints Pediatric dosing Staff management Training of staff Organization chart Marketing strategy Immunization Legislation Drug in pregnancy Human resource, staff recruitment Drug recall
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Handling dispensing error Foot care in Diabetes Mellitus Budget control Medical devise: Blood Pressure Disposable of expired stocks Geriatric diseases Profit and loss (P&L) Contact lens Wound care/ulcer W/s business, good distribution guidelines Employment contract/ appraisal Scabies/lice Infra-red light/ Forehead thermometer Malaysian Pharmaceutical Society (MPS) Obesity/ anti-obesity Women health Staff motivation activity Oral Contraceptive (OC) , missed dose Immunosuppressant Stock take procedures Smoking cessation POS, stock management SOP for locum
Duty roaster
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Name of Provisionally Registered Pharmacist [PRP]:
……………………………………………………………………
I/C Number: …………………………………………………….
PRP Registration Number: …………………………………..
Place of Training: ……………………………………………..
I certify that the above PRP has completed his/ her training as required under subsection 6A (2) of the Registration of Pharmacists Act 1951.
1. Proposal:
1A. The above PRP has obtained average mark of: __________ % and
1B. He/ She has *passed/ failed the Pharmacy Jurisprudence Examination
1C. Certificate of satisfactory experience in accordance to sub-regulation 7(1) Registration of Pharmacists Regulations 2004 is recommended to be given to him/ her.
1D. Certificate of satisfactory experience in accordance to sub-regulation 7(1)Registration of Pharmacists Regulations 2004 is not recommended to be given to *him/ her and
1E. *He/ she needs to extend the training for another ________month/s;
in Unit/Section ________________________________ *or/and
*He/ She needs to pass the Pharmacy Jurisprudence Examination
2. Principal Preceptor’s detail:
APPRAISAL BY PRINCIPAL PRECEPTOR
Photo (to be affixed here)
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2.1 Name:
2.2 Office address:
2.3 Principal Preceptor’s signature: ………………………….
2.4 Date:
APPRAISAL BY MASTER PRECEPTOR
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Pharmacy Board Malaysia 2012 Page 69
SetiausahaLembaga Farmasi MalaysiaBahagian Perkhidmatan FarmasiKementerian Kesihatan MalaysiaBeg Berkunci No.924Pejabat Pos Jalan Sultan46790 PETALING JAYA
PROPOSAL OF FULL REGISTRATION
Name of Provisionally Registered Pharmacist [PRP]: ………………………………….
I/C Number: ……………………………………………
PRP Registration Number: ………………………….
Place of Training: ………………………………………………………………………………
I certify that the above PRP has completed his/ her training as required under subsection 6A (2) of the Registration of Pharmacists Act 1951.
1. Proposal:
1A. Certificate of satisfactory experience in accordance to sub-regulation 7(1) Registration of Pharmacists Regulations 2004 is *recommended/ not recommended to be given to him/ her and he/ she is *qualified/ not qualified for Full Registration.
1B. *He/ she needs to extend the training for another ___________month/s from (date):_____________to_______________ (date).
1C. The extension of the training is because;i) His /her performance was below 60% or /and
ii) He/ she needs to pass the Pharmacy Jurisprudence Examination
2. Master Preceptor’s detail:2.1 Name:2.2 Office address:2.3 Master Preceptor’s signature: ………………………….2.4 Date:
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APPRAISAL BY PROVISIONALLY REGISTERED PHARMACIST [PRP] TO PRECEPTOR – (optional)
SetiausahaLembaga Farmasi MalaysiaBahagian Perkhidmatan FarmasiKementerian Kesihatan MalaysiaBeg Berkunci No.924Pejabat Pos Jalan Sultan46790 PETALING JAYA
APPRAISAL OF PRECEPTORS
Name of Provisionally Registered Pharmacist [PRP] : ………………………………….
I/C Number: ……………………………………………
PRP Registration Number: ………………………….
Place of Training: ………………………………………………………………………………
I have undergone training at the above place from (date): __________to: _______(date)
Subject
Grade
1 = unsatisfactory
2 = satisfactory
3 = good
4 = excellent
N/A = not applicable
A. Facilities of
Training Place
Comment (how things can be improved); Please make attachment where necessary)
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B. Professional
Exposure by
Preceptors
Comment (how things can be improved); Please make attachment where necessary)
C. Professional
Guidance by
Preceptors
Comment (how things can be improved); Please make attachment where necessary)
D. Training
Skills of The Preceptors
Comment (how things can be improved); Please make attachment where necessary)
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Demonstrate a Professional Approach
Assessment Score
1. Action and attitudes are demonstrated which indicate a commitment to quality performance
2. A polite and helpful manner is demonstrated
3. Dress code and behavior meet the requirements of the organization
4. Reliability is demonstrated
5. Initiative is demonstrated when is the warranted
6. Recognition of personal limitation is demonstrated
7. Works is carried out in an organized manner and with attention to detail so that the desired result is achieved
8. Works is prioritized effectively
9. Tasks are pursued to completion and within agreed time limits (unless overriding circumstances make this impossible)
10. Problems or potential problems are identified and the appropriate corrective action taken or solution found
11. New situation are responded to with flexibility and willingness
12. Stressful situations are handle without undue agitation
13. Decision are made which demonstrated the ability to think clearly and logically and to use discretion
14. Tasks and situation are approached with due regard to legal implications and organizational policy
15. The safety of the working area is maintained to all times so that the health and safety of colleagues and the public is not compromised
16. The security of the premises is upheld at all times
Total Marks =
Average Total =
Average Performance in %= ______ x (100%) = %
64
PRP PERSONAL ASSESSMENT BY PRINCIPLE PRECEPTORS
1 = unsatisfactory; 2 = satisfactory; 3 = good; 4 = excellent; N/A = not applicable
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Work Effectively as Part of a Team
Assessment Score
1. A manner is demonstrated which indicates that due respect is given to the ideas and opinion of colleagues
2. Advice and criticisms are offered to colleagues in a manner unlikely to cause offence
3. Constructive criticism is receive in a positive manner
Total Marks =
Average Total =
Average Performance in %= _______ x 100 = %
12
Undertake Personal and Professional Development
Assessment Score
1. The ability to self-evaluate and reflect on experiences is demonstrated
2. Feedback on performance is used effectively to improved competence
3. The ability to accept responsibility for meeting own development needs and achieving targets is demonstrated
Total Marks =
Average Total =
Average Performance in % = _______ x 100 = %
12
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Communication Skills
Assessment Score
1. A sufficient command of the Bahasa Malaysia and English Language is demonstrated
2. Conversations (in person or over the telephone) are conducted in a manner which demonstrates due regard to confidentiality and the feelings of the other person
3. Questioning is used effectively to elicit necessary information and increase understanding
4. Responses in conversation are helpful and clear
5. Body language is appropriate to the situation
6. Clear, concise and well-structured written material is provided when required
7. All responses (whether spoken or written) are tailored to the needs of the recipient
8. A clear, polite and helpful telephone manner is demonstrated
9. Complaints or demands are responded to in a polite manner
10. An appropriately assertive manner is used when unreasonable demands or complaints are made
Total Marks=
Average Total =
Average Performance in %= ______ x 100 = %
40
PRP Personal Assessment Average Performance
INDICATORS
(%)
1.
Demonstrate a Professional Approach
2.
Work Effectively as Part of a Team
3.
Undertake Personal and Professional Development
4.
Communication Skills
PERFORMANCE
AVERAGE
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Appendix A
SUMMARY OF PERFORMANCE (%) FOR EACH SECTION
MARK (%) FOR EACH SECTION
No. Section Mark (%)
1. Out-patient Pharmacy Services (Hospital/Health Clinic, Ministry of Health)
2. Management and Business Procedure
3. Store Management
4. Medication Error Reporting /ADR Reporting
AVERAGE MARK
PRP PERSONAL ASSESSMENT AVERAGE PERFORMANCE
5. Demonstrate a Professional Approach
6. Work Effectively as Part of a Team
7. Undertake Personal and Professional Development
8. Communication Skills
AVERAGE MARK
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Appendix A1
(TO BE FILLED BY PRINCIPAL PRECEPTOR FOR THOSE EXTENDED)
SUMMARY OF PERFORMANCE (%) FOR EACH SECTION
MARK (%) FOR EACH SECTION
No. Section Mark % prior to
extension period
Mark % after extension
period
Actual extension
period
1. Out-patient Pharmacy Services (Hospital/Health Clinic, Ministry of Health)
2. Management and Business
Procedure
3. Store Management
4. Medication Error Reporting /ADR
Reporting
AVERAGE MARK
PRP PERSONAL ASSESSMENT AVERAGE PERFORMANCE
5. Demonstrate a Professional Approach
6. Work Effectively as Part of a Team
7. Undertake Personal and Professional Development
8. Communication Skills
AVERAGE MARK
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ACKNOWLEDGEMENTS
Advisor
Dr.Salmah binti BahriPharmaceutical Services Division, Ministry of Health Malaysia
Committee Members/Participants during “ Bengkel Penyediaan Buku Log PRP 2012,Kuala Terengganu, 26-29 March 2012”
Mr. Amrahi bin BuangUniversity Malaya Medical Centre
Mdm. Zainab binti Md.YusufPharmaceutical Services Division, Ministry of Health Malaysia
Mr. Azaruddin bin AzisPharmaceutical Services Division, Ministry of Health Malaysia
Mdm.Yip Sook YingAlychem Sdn.Bhd.
Mr. Abdul Aziz bin JamaludinAl-Shifaa Pharmacy
Mr.Jeff Kong Jiang Foong DF Pharmacy
Mdm.Chiew Mei YeeWatsons Pharmacy
Mr.Soh Boon HongDual Care Pharmacy Sdn.Bhd.
Mdm.Rohana binti YusofExquisite Healthcare Sdn.Bhd.
Mdm. Wan Hwei YenGM Pharmacy Practice Guardian Pharmacy
Mdm. Winda Hayani HasanHayani ADR Enterprise
Reviewer
Mr.Azman bin YahyaPharmaceutical Services Division, Ministry of Health Malaysia
Secretariat
Mdm. Salwati Abd.KadirPharmaceutical Services Division, Ministry of Health Malaysia
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