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Advancing the Profession & Optimizing Patient Care Using a Digital ePor/olio to Demonstrate Learning & Professional Growth in Pharmacy

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Advancing  the  Profession  &  Optimizing  Patient  Care  

Using  a  Digital  ePor/olio  to  Demonstrate  Learning  &  Professional  Growth  in  Pharmacy  

About  us  .  .  .  Susan M. Gardner, Ph.D.

Assistant Dean for Professional & Student Affairs Assistant Professor

[email protected] @PhDSus

Rebecca S. Linger, Ph.D.

Associate Professor of Medicinal Chemistry Department of Pharmaceutical & Administrative Sciences

[email protected]

University of Charleston (WV) School of Pharmacy

About  Our  School  of  Pharmacy  

Objectives  

ì  Understand  how  an  ePor.olio  can  be  used  to  document  and  assess  student-­‐learning  outcomes  for  curricular  and  co-­‐curricular  experiences.    

ì  Iden<fy  strategies  and  ac<vi<es  for  assessing  co-­‐curricular  learning  at  the  undergraduate  and  graduate/professional  levels.    

ì  Iden<fy  ways  academic  affairs  and  student  affairs  can  partner  to  beAer  capture  student  learning  as  it  occurs  both  inside  and  outside  the  classroom  seBng.    

ì  Determine  how  ePor.olio  ac<vi<es  can  be  used  to  develop  students’  academic,  leadership,  and  “soG”  skills.    

Conceptual  Foundation  ì  Call  for  increased  assessment  of  student  learning  outside  the  student  

classroom  

ì  WVHEPC/NASPA  Collabora<on:  Building  a  Culture  of  Evidence  in  Student  Affairs  (2012)  ì  Alloca<on  of  Resources  ì  Program  Improvement    ì  Data-­‐driven  decisions    

ì  AACRAO/NASPA  Project  (2012)    ì  Co-­‐Curricular  Transcript  ì  Documenta<on  of  Student  Learning  Outside  the  Classroom  

ì  Apprecia<ve  Inquiry/Advising    

The  Case  for  Assessment  

ì  Move  beyond  alloca<on  of  resources  and  process  improvement—student  learning  and  development  

ì  Center  for  the  Advance  of  Pharmacy  Educa<on  (CAPE)  Outcomes  2013  ì  Four  Domains  ì  One  en<rely  focused  on  personal  and  professional  

development    ì  American  Council  for  Pharmacy  Educa<on  (ACPE)  2016  

Accredita<on  Standards  ì  New  emphasis  on  assessing  student  co-­‐curricular  learning  ì  Inten<onal  connec<ons  with  pharmacy  curriculum    

First  Steps  

Students  are  par<cipa<ng  in  co-­‐curricular  ac<vi<es:    Let’s  capture  that!  

ì  Iden<fy  the  ac<vi<es  and  ar<facts  of    evidence  

ì  Ensure  that  students  are  mee<ng  the    core  competencies  of  the  program  with    co-­‐curricular  ac<vi<es  

ì  Design  a  repository  for  the  ar<facts  ì  Chalk  and  Wire  ì  PharmAcademic  ì  hAps://epor.olioreview.wordpress.com/epor.olio-­‐list/  

ì  Determine  who  will  assess  

Initial  Activities  and  Artifacts  Year-­‐Semester   AcEvity   ArEfact  

P1-­‐Fall   Membership  in  at  least  one  student  organiza<on    Par<cipate  in  a  journal  club  

Copy  of  Registra<on      Copy  of  Journal  Club  

P1-­‐Spring   Par<cipate  in  a  health  fair    Write  a  reflec<on  

Copy  of  sign-­‐in  sheet    Copy  of  reflec<on  

P2-­‐Fall   Membership  in  at  least  one  student  organiza<on    Par<cipate  in  a  health  fair  

Copy  of  Registra<on      Copy  of  sign-­‐in  sheet  

P2-­‐Spring   Par<cipate  in  drug  inventory/ordering    Par<cipate  in  Pharmacist’s  Day  at  the  Legislature    

Document  signed  by  preceptor  confirming  par<cipa<on    Copy  of  sign-­‐in  sheet  

Initial  Activities  and  Artifacts  

Year-­‐Semester   AcEvity   ArEfact  

P3-­‐Fall   Membership  in  at  least  one  student  organiza<on    Write  a  SOAP  note    Develop  a  drug  monograph  

Copy  of  Registra<on      Copy  of  SOAP  note    Copy  of  monograph  

P3-­‐Spring   Present  one  oral  presenta<on    Par<cipate  in  a  health  fair    Par<cipate  in  a  Journal  Club    Write  a  leAer  to  legislator  regarding  healthcare  legisla<on  

Electronic  copy  of  PowerPoint      Copy  of  sign-­‐in  sheet    Copy  of  Journal  Club    Copy  of  leAer  

Initial  Activities  and  Artifacts  

Year-­‐Semester  

AcEvity   ArEfact  

P4-­‐Fall   Advanced  Ethics  Presenta<on  (PHAR  807)    Present  a  formal  pa<ent  presenta<on  to  a  preceptor  

Copy  of  presenta<on,  paper  and  graded  rubric      HIPPA-­‐compliant  (deiden<fied)  formal  pa<ent  case    write-­‐up  or  SOAP  notes  cosigned  by  preceptor  

P4-­‐Spring   Immuniza<on  Cer<fica<on    MTM  Cer<fica<on    Diabetes  Cer<fica<on  

Copy  of  Cer<ficate    Copy  of  Cer<ficate    Copy  of  Cer<ficate  

Core  Competencies  of  Program  

ì  Communication

ì  Promotion of Public Health and Wellness

ì  Advancement of Pharmacy and Healthcare

ì  Personal and Professional Growth

ì  Ethical and Legal Judgement

ì  Providing Pharmacy Care to a Patient Population

ì  Use of Evidence-based Explanation in the Practice of Pharmacy

ì  System Management

The  Biggest  Issues  

ì  Advising  System  Was  Broken    ì  Students  indicated  in  surveys  and  focus  groups  that  they  rarely  (if  

ever  met  with  their  advisor)  ì  No  focus  on  holis<c  student  learning/development  ì  Lack  of  emphasis  on  career  development    

ì  Documented  Par<cipa<on  not  Learning  ì  Did  not  assess  student  learning  ì  Did  not  allow  students  to  make  inten<onal  connec<ons  between  

curricular  and  co-­‐curricular  experiences    

The  Biggest  Issues  

ì  Adequate  training  of  students  ì  How  to  use  the  portal  ì  Expecta<ons  

ì  Proper  communica<on  to  faculty  ì  ePor.olio  as  part  of  academic  advising  ì  Expecta<ons  

Redesign  &  Implementation  

ì  Incorporate  Apprecia<ve  Advising  ì  Advisor  as  career  coach  ì  Advisor  as  mentor    

ì  Build  the  ePor.olio  as  a  required  “class”  ì  Write  a  syllabus  ì  Create  a  class  within  the  curriculum  

ì  The  class  shows  up  on  their  schedule  ì  It  is  part  of  their  transcripts  ì  Non-­‐credit  vs.  Credit  

ì  Clearly  define  the  expecta<ons  of  par<cipa<on  (for  faculty  and  students)  

ì  Provide  wri<ng  prompts  for  ac<vity  reflec<ons    ì  Create  a  wriAen  communica<on  element  that  guides  students  to  reflect  

on  their  career  choices    

Clearly  Defined  Course  Outcomes  

ì  Document  involvement  in  co-­‐curricular  ac<vi<es,  achievements,  and  leadership  opportuni<es  throughout  the  program.  

ì  Increase  self-­‐awareness  through  examina<on  and  reflec<on  on  experiences,  development  of  skills,  abili<es,  beliefs,  values,  and  mo<va<on  as  these  enhance  or  limit  personal  and  professional  growth.  

ì  Self-­‐assess  the  student’s  co-­‐curricular  professional  growth  and  development.  

ì  Design  an  individualized  co-­‐curricular  program  that  will  facilitate  and  support  the  student’s  achievement  of  personal  goals  related  to  preparing  to  enter  a  desired  prac<ce  area  aGer  comple<on  of  the  pharmacy  program.  

ì  Develop  a  professional  curriculum  vitae  that  reflects  the  student’s  evolu<on  throughout  the  individual’s  academic  and  co-­‐curricular  experience.  

Course  Goals  

The  ePor/olio  has  two  main  goals.    Students  will:  1.  Complete  a  series  of  globally  mandated  

ac<vi<es  each  semester  2.  Complete  one  self-­‐selected  ac<vity  each  

semester  that  reflects  the  student’s  interests,  perceived  needs,  and  career  choice  

Globally  Mandated  Activities  

ì  Career  AspiraEons  Document    ì  WriAen  as  chapters    ì  Based  on  personal  outcomes  developed  in  concert  with  the  advisor  ì  Evolves  over  <me  

ì  Curriculum  Vitae    

ì  Six  Key  Areas:  ì  Advocacy  ì  Cultural  Awareness  ì  Interprofessional  Educa<on  (IPE)  ì  Leadership/Management  ì  Public  Health  Outreach  ì  Scholarship    

Globally  Mandated  Activities  Year   Semester   Required  acEvity   Evidence  to  be  used  in  student  ePor/olio  P1   Fall     •  Verify  your  Immuniza<on  &  

Health  Clearance  Form  (Leadership/Mgt.)  

•  Create  your  CV  (Scholarship)  

•  Membership  in  at  least  one  student  organiza<on  (Leadership)      

•  Par<cipate  in  a  journal  club  (Scholarship)  

•  Create  your  Career  Aspira<ons  Documents  (Scholarship)    

•  Personal  Outcomes    

•  Upload  Immuniza<on  Cer<fica<on  &  Health  Clearance  form  in  Health  Status  

•  Upload  CV  in  CV/Resume  

•  Copy  of  registra<on  and  short  reflec<on  on  why  you  chose  to  become  a  member  of  the  organiza<on  and  how  you  see  it  informing  your  future  pharmacy  prac<ce  

•  Copy  of  journal  club    

•  Copy  of  Career  Aspira<ons  Document:  May  use  APhA  Career  Pathways  Document  provided  in  PHAR  510  

•  Meet  with  your  advisor  to  establish  achievable  and  measurable  outcomes  to  be  completed  by  gradua<on.  Outcomes  may  change  from  year  to  year.  

Self-­‐Selected  Activities  

ì  Iden<fied  in  concert  with  advisor  (based  on  career  goals  and  personal  outcomes)    

ì  One  ac<viy  per  semester  P1,  P2  and  P3  years  

ì  Eight  Categories  ì  Communica<on,  Teamwork  &  Collabora<on  ì  Promo<on  of  Public  Health  and  Wellness  ì  Advancement  of  Pharmacy  and  Healthcare  ì  Personal  and  Professional  Growth  ì  Ethical  and  Legal  Judgment  ì  Providing  Pharmacy  Care  to  Pa<ent  Popula<on  ì  Use  of  Evidence-­‐Based  Explana<on  in  the  Prac<ce  of  Pharmacy  ì  System  Management    

Writing  Prompts  and  Reflection  Guides  

ì  Many  of  the  ac<vi<es  will  require  the  student  to  write  a  “reflec<on”  on  their  experience  ì  Helps  student  to  recognize  the  value  of  the  experience  ì  Shows  the  student  was  truly  involved  with  the  ac<vity  

ì  Crea<ng  wri<ng  prompts  and  reflec<on  guides  will  help  the  student  begin  the  process  

Reflection  Guide*  

ì  Reflec<ons  should  address  the  student’s  perspec<ve  of:  ì  How  the  ac<vity  contributed  to  achieving  the  related  global  goal  ì  An  assessment  of  what  the  student  got  out  of  the  experience  ì  How  the  experience  might  be  improved  (if  appropriate).  

ì  The  reflec<on  should  include  an  assessment  of  how  the  ac<vity/experience  contributed  to  the  student’s  knowledge,  skills,  abili<es,  and  mo<va<on  as  it  contributed  to  the  individual’s  personal  and  professional  growth  and  development.  

ì  The  student  should  be  able  to  assess  how  any  co-­‐curricular  ac<vi<es  contributed  to  his/her  development  of  professional  outcomes.  

*  From  ePor.olio  Syllabus  

Instructions  on  Writing  Career  Aspirations  Documents    

Chapter  1:  Beginning  of  P1  year  

ì  Write  a  reflec<on  on  your  career  goals  and  aspira<ons  as  a  Pharmacist  using  the  APHA  Career  Pathways  Document  provided  in  PHAR  510  during  fall  semester.  This  5  to  10  page  reflec<on  should:  ì  Describe  the  type  of  Pharmacist  you  want  to  

become.  ì  Discuss  the  career  pathways  you  want  to  

explore.  

ì  Iden<fy  what  you  want  to  experience  in  the  next  four  years  to  become  that  Pharmacist.  

ì  Describe  obstacles  you  foresee  in  pursuing  this  career  and  explain  how  would  you  overcome  them  

ì  Describe  another  Pharmacy  career  opportunity  in  which  you  are  interested  

 

Chapter  2:  End  of  P1  year  

ì  Write  5  to  10  page  reflec<on  on  your  career  aspira<ons  as  wriAen  at  the  beginning  of  your  P1  year.  ì  In  what  ac<vi<es  were  you  engaged  during  

your  P1  year  to  explore  your  career  goals?  How  did  these  ac<vi<es  affect  your  view  of  these  goals?  Reflect  honestly  on  your  efforts  to  explore  these  goals.  

ì  Did  your  enthusiasm  for  your  career  choice  change  during  this  year?  How?  Why?  

ì  What  other  career  opportuni<es  have  you  discovered  that  you  would  like  to  explore?  

 

Instructions  on  Writing  Career  Aspirations  Documents    

Chapter  3:  End  of  P2  year  

ì  Write  a  5  to  10  page  reflec<on  on  your  career  aspira<ons  as  wriAen  at  the  end  of  your  P1  year.  ì  In  what  ac<vi<es  were  you  engaged  during  your  P2  year  to  explore  your  career  

goals?  How  did  these  ac<vi<es  affect  your  view  of  these  goals?  Reflect  honestly  on  your  efforts  to  explore  these  goals.  

ì  Did  your  enthusiasm  for  your  career  choice  change  during  this  year?  How?  Why?  

ì  What  other  career  opportuni<es  have  you  discovered  that  you  would  like  to  explore?  

ì  In  what  ways  have  IPPEs  and  par<cipa<on  in  co-­‐curricular  experiences  influenced  your  path  to  pharmacy  prac<ce?  

ì  How  have  your  experiences  thus  far  prepared  you  for  APPE  rota<ons?  What  challenges  do  you  foresee  with    APPE  rota<ons  and  how  will  you  work  to  overcome  those  challenges?  

Initial  Assessment  of  Effectiveness  

ì  Survey  administered  to  faculty  and  students  in  December  2015  

ì  Advising  perceived  as  more  valuable    

ì  Incorpora<on  of  career  development  

ì  Student/Advisor  mee<ngs  increased  (average  three  <mes  per  semester)    

ì  Baseline  for  evalua<on  

 

Future  Considerations  

ì  Assessment  of  student  learning/growth  over  four  years  (need  long-­‐term  data)  

ì  P4  ePor.olio  Defense  

ì  Living/breathing  process    

ì  Ongoing  training/professional  development  for  faculty  (advisors)    

ì  Workload/evalua<on  considera<ons    

 

Tips  for  Success  

ì  Make  the  por.olio  part  of  your  curriculum,  advising  process,  and/or  systema<c  reten<on  program  not  just  an  extra  task  for  students  ì  PARTNER  with  academic  affairs    ì  Find  a  documenta<on  system  that  works  (train  people)  ì  Iden<fy  point  persons  (coordinators  or  a  commiAee)    

ì  Communicate  the  value  of  the  por.olio  to  students  

ì  Create  a  “menu”  of  op<ons  based  on  desired  outcomes    

ì  Train  the  students  on  the  use  of  the  documenta<on  system/process  

ì  Include  Assessment  Rubrics  to  clearly  define  expecta<ons  

ì  Train  faculty  on  expecta<ons  related  to  advising  and    student  evalua<on  

ì  Naming  conven<ons    

Questions?  

References  

ì  Cambridge,  D.  (2010).  Epor.olios  for  lifelong  learning  and  assessment.  San  Francisco,  CA:  Jossey-­‐Bass.  

ì  Fain,  P.  (13,  August  2015).  Project  to  create  models  for  a  broader  form  of  student  transcript.  Inside  Higher  Ed.  Retrieved  from:  hAps://www.insidehighered.com/news/2015/07/13/project-­‐create-­‐models-­‐broader-­‐form-­‐student-­‐transcript    

ì  Light,  T.,  Chen,  L.  &  IAelson,  J.  (  2012).  Documen9ng  learning  with  ePor=olios.  San  Francisco,  CA:  Jossey-­‐Bass.