record of training and experience of …record of training and experience of provisionally...

COMMUNITY PHARMACY

RECORD OF TRAINING AND EXPERIENCE OF

PROVISIONALLY REGISTERED PHARMACIST

(PRP)

PHARMACY BOARD MALAYSIA

1 MINISTRY OF HEALTH MALAYSIA

2017

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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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 Qualifying Examination To Practice Pharmacy conducted by the Pharmacy Board of Malaysia.

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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 6 main areas of training for the PRP; 2.3.1 Public Hospital

2.3.2 Community Pharmacy

2.3.3 Private hospital

2.3.4 Research and Development (Academia)

2.3.5 Manufacturing Pharmaceutical Industry

2.3.6 Non- Manufacturing Pharmaceutical Industry

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;

Scale Rating Description

9 – 10 Excellent

Performance represents an extraordinary level of achievement and commitment in terms of quality and time, technical skills and knowledge, ingenuity, creativity and initiative.

7 – 8 Good Performance exceeded expectation. All goals, objectives and targets were achieved above the established standards.

5 – 6 Satisfactory Performance met expectations in terms of quality of work, efficiency and timeliness

2.5.3 The passing mark is 60 % for each respective section. The overall

average should be not less than 60%.

2.5.4 The final appraisal and Appendix A or Appendix A1 should be completed by the Master Preceptor at the end of the 12th month of the training period. The original log book with completed appraisal and Appendix A or Appendix A1 need to be sent to PBM addressed as below by the preceptor within ONE month from the end date of the PRP training:

Setiausaha Lembaga Farmasi Malaysia Bahagian Perkhidmatan Farmasi Kementerian Kesihatan Malaysia Lot 36, Jalan Universiti

Scale Rating Description

3 – 4 Unsatisfactory Performance failed to meet expectations and/or one or more of the targets were not met

1 – 2 Poor

Performance was consistently below expectations and/or reasonable progress towards achieving goals was ot made. Significant improvement is needed in one or more areas.

46350 PETALING JAYA

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3. DUTIES AND RESPONSIBILITIES OF A PRECEPTOR

3.1 CRITERIA OF A PRECEPTOR

3.1.1 Not less than three years of experience as a registered practicing pharmacist in community pharmacy and holds at least one year Type A poison license prior to training a PRP

3.1.2 Fulfill other criteria set by PBM

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.

3.2.6 To comply to the Preceptor to PRP ratio set by PBM.

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4. DUTIES AND RESPONSIBILITIES OF A PROVISIONALLY REGISTERED 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 preceptor.

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 the average passing mark of your training performance must be at least 60% for each section and the sum total of all the units.

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 (practicing supervisor) and supervised overall by the preceptor. The duration of training in each module is as indicated in Table 1

5.0 At least ONE (1) mini project need to be done compulsorily and the topic selection will be in the interest of the PRP and preceptor.

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Table 1 - Training Modules

COMPETENCY TRAINING MODULES Duration (Weeks)

A. Understanding Legislations And Guidelines (Assessment)

i) Community Pharmacy Benchmarking Guideline ii) Good Dispensing Practice Guideline iii) Good Distribution Practice iv) Code of Conduct for Pharmacist & Bodies Corporate v) Good Governance of Medicine (GGM) vi) National Medicine Policy (NMP) vii) Good Pharmaceutical trading practice guideline viii) Business Licensing Procedure

B. Community Pharmacy Practice (Logbook & Assessment )

Section 1: Dispensing Process of a Prescription (Poison Group B) 48 weeks

1.1 Medical and Medication History Taking

Processing Prescription and Intervention

1.2 Filling and Dispensing (Including Labeling and

Recording)

Section 2: Minor Ailments Management

Section 3: Medication Counseling

Section 4: Wellness Management

Section 5: Drug Information Service

Section 6: Handling of Medication Error Reporting and Adverse

Drug Reaction Reporting (Assessment Only)

C. Pharmacy and Business Management (Assessment)

Section 1: Organizational Structure Section 2: Shop Layout & Merchandising

Section 3: Marketing Strategy

Section 4: Store Management

4.1 General Store Management

4.2 Procurement And Distribution

4.3 Storage

4.4 Inventory Control

4.5 Disposal

4.6 Product Complaints

4.7 Product Recall

Section 5: Finance Management

Section 6 Human Resource Management

Section 7: Safety and Security

Section 8: Customer Service

D. Out-patient Pharmacy Services (Health Clinic attachment) (Logbook 4 weeks

&Assessment )

TOTAL 52

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LOG BOOK

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COMMUNITY PHARMACY PRACTICE LOGBOOK

SECTION 1: DISPENSING PROCESS OF A PRESCRIPTION

1.1: Medical and Medication History Taking

At least 10 history taking process must be assessed by a preceptor (Attach History Taking Form (Appendix 1) for each case)

Date Patient complaint/ symptom Medication

History ()

Allergy (/x)

Medical history()

Special Consideration

()

Family History

() Remark

Name of Preceptor: Signature: General Remarks:

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1.2 PROCESSING PRESCRIPTION AND INTERVENTION

At least 10 complete screening processes with 5 interventions must be assessed by a preceptor

Date Drugs Type of Interventions

Description of intervention(s)

Incomplete Prescriptions

Inappropriate Regimens

Inappropriate Prescriptions

Complete Prescriptions Other

Type of Interventions:

1. Incomplete (a) Frequency (b) Duration (c) Signature & (d) Patient’s name, (e) Date of Rx Prescriptions chop/MMC/addres of age, address and ID

the clinic

2. Inappropriate (a) Medicine (b) Duration (c) Dose (d) Frequency Regimens

3. Inappropriate (a) Spelling (b) Wrong (c) Polypharmacy (d) Interaction (e) Contraindication Prescriptions Identification

4. Others (a) Authenticity (b) Illegibility

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Date Drugs Type of Interventions

Description of intervention(s)

Incomplete Prescriptions

Inappropriate Regimens

Inappropriate Prescriptions

Complete Prescriptions Other


1. Incomplete (a) Frequency (b) Duration (c) Signature & (d) Patient’s name, (e) Date of Rx

Prescriptions chop/MMC/addres of age, address and ID

the clinic

2. Inappropriate (a) Medicine (b) Duration (c) Dose (d) Frequency Regimens

3. Inappropriate (a) Spelling (b) Wrong (c) Polypharmacy (d) Interaction (e) Contraindication Prescriptions Identification

4. Others (a) Authenticity (b) Illegibility


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1.3 : FILLING AND DISPENSING (Include Labeling and Recording) (Poison Group B)

At least 10 complete filling processes must be assessed by a preceptor

Date Name of Medication Indication Dosage Regimen Name & Signature of

Preceptor

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Date Name of Medication Indication Dosage Regimen Name & Signature of

preceptor

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SECTION 2: MINOR AILMENTS MANAGEMENT

At least 20 cases must be directly observed and assessed by a preceptor

Date Name of Patient Type of Ailments

Medication and medical history

taking ()

Action Taken (Medication/ monitoring)

Counseling()

Dispensing (Filling & Labelling

()

Name & Signature of

Preceptor

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taking ()


Counseling()


()

Name & Signature of

Preceptor

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taking ()


Counseling()


()

Name & Signature of

Preceptor

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taking ()


Counseling()


()

Name & Signature of

Preceptor

SECTION 3: MEDICATION COUNSELING

At least 50 counseling must be directly observed and assessed by a preceptor and documented using the Counseling Form in Appendix 2 for each case)

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SECTION 4: WELLNESS MANAGEMENT

At least 50 cases under the supervision of a preceptor

Date Type of device/ Supplement/ Non Information provided

Name & Signature of pharmacological intervention Preceptor

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SECTION 5: DRUG INFORMATION SERVICES

At least 50 enquiries, answered under the supervision of a preceptor

Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose

Interaction Efficacy consideration

(Please specify) (Please specify) (Please specify)

(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose



(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose


(Please specify) (Please specify) (Please specify) (Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose



(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose



(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose



(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose



(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose



(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose



(Pregnancy etc)

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Type of Enquiries

Date

Source of

Poisoning

Allergy

Special Others

reference

Indication/ dose


(Please specify) (Please specify) (Please specify) (Pregnancy etc)

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OUTPATIENT PHARMACY (HEALTH CLINIC ATTACHMENT) LOGBOOK

OUT PATIENT PHARMACY SERVICES (4 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.

8. Proficient in dispensing.

9. Knowledge on the pre-packing process, packaging and labeling of

medication dispensed.

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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

At least 50 prescription / 4 weeks

WEEK 1

Type of Interventions Total number of Point of

Description of Preceptor’s Date Incomplete Inappropriate Inappropriate

No intervention prescription Screening intervention(s) Signature

screened/day (*R/F/D)

Prescriptions Regimens Prescriptions Other


1. Incomplete Prescriptions - (a) Frequency (b) Duration (c) Signature & chop (d) Countersignature

2. Inappropriate Regimens - (a) Medicine (b) Duration (c) Dose (d) Frequency

3. Inappropriate Prescriptions - (a) Spelling (b) Wrong Identification (c) Polypharmacy (d) Interaction (e) Contraindication

4. Other - (a) Not in the hospital drug formulary (b) Authenticity (c) Illegibility

* R: Receiving F: Filling D: Dispensing


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WEEK 2

Type of Interventions Total number of Point of Description of Preceptor’s

Date Incomplete Inappropriate Inappropriate

No intervention prescription Screening Other intervention(s) Signature

screened/day (*R/F/D)

Prescriptions Regimens Prescriptions








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WEEK 3

Type of Interventions Total number of

Point of Description of

No intervention prescription Preceptor’s Incomplete Inappropriate Inappropriate Screening intervention(s) Date

screened/day Other

Signature Prescriptions Regimens Prescriptions

(*R/F/D)








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WEEK 4

Type of Interventions Total number of

Point of Description of

No intervention prescription Preceptor’s Incomplete Inappropriate Inappropriate Screening intervention(s) Date

screened/day Other

Signature Prescriptions Regimens Prescriptions

(*R/F/D)








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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

Patient Particulars No. of Item in Prescriptions

Name & Signature of

assessment Remarks Senior Pharmacist

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SECTION 3: DISPENSING (Minimum 4 hours/day equivalent to 50 prescriptions (* subject to capacity of individual health clinic)

Date Number of Prescriptions Dispensed

Name & Signature of Preceptor (minimum 4 hours / day)

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SECTION 3: DISPENSING (Minimum 4 hours/day equivalent to 50 prescriptions) (* subject to capacity of individual health clinic)

Date Number of Prescriptions Dispensed

Name & Signature of Preceptor (minimum 4 hours / day)

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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

Patients RN

Counseling Based On The Types Of Pharmacotherapy Management – minimum 5 patients/ type *where applicable

Name & Signature of

Preceptor

Date

Anti diabetics

Anti hypertensives

Anti Asthmatics

Anti Retrovirals

Anti coagulants

Others (Please Specify)

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WEEK 2

Patients RN


Name & Signature of

Preceptor

Date

Anti diabetics

Anti hypertensives

Anti Asthmatics

Anti Retrovirals

Anti coagulants


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WEEK 3

Patients RN


Name & Signature of

Preceptor

Date

Anti diabetics

Anti hypertensives

Anti Asthmatics

Anti Retrovirals

Anti coagulants


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WEEK 4

Patients RN


Name & Signature of

Preceptor

Date

Anti diabetics

Anti hypertensives

Anti Asthmatics

Anti Retrovirals

Anti coagulants


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SECTION 5: DANGEROUS DRUG & PSYCHOTROPIC

Psychotropic & Dangerous Drug

Number Of Prescriptions Dispensed & Recorded Name & Signature of Pharmacist

Date (minimum 10 prescriptions/ week) In-charge

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SECTION 6: 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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ASSESSMENT

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COMMUNITY PHARMACY ASSESSMENT

A. UNDERSTANDING LEGISLATIONS AND GUIDELINES

Knowledge Level of Understanding

Comments Name and Signature of Preceptor 1 2 3 4 5 6 7 8 9 10

i) Community Pharmacy Benchmarking Guideline

ii) Good Dispensing Practice Guideline

iii) Good Distribution Practice

iv) Code of Conduct for Pharmacist & Bodies Corporate

v) Good Governance of Medicine (GGM)

vi) National Medicine Policy (NMP)

vii) Good Pharmaceutical trading practice guideline

viii) Business Licensing Procedure

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B. COMMUNITY PHARMACY PRACTICE

Knowledge

Level of Understanding

Comments 1 2 3 4 5 6 7 8 9 10

Section 1: Dispensing Process of a Prescription (Poison Group B)

1.1 Medical and Medication History Taking

1.2 Processing Prescription and Intervention

1.3 Filling and Dispensing (Including Labeling and Recording)

Section 2 Minor Ailments Management

Section 3 Medication Counseling

Section 4 Wellness Management

Section 5 Drug Information Service

Section 6

Handling of Medication Error Reporting and Adverse Drug Reaction Reporting e.g Filling up

MADRAC form.

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C. PHARMACY AND BUSINESS MANAGEMENT

Section 1: ORGANIZATIONAL STRUCTURE

Knowledge


Comments Name and Signature of

Preceptor

1 2 3

4 5 6 7 8

9 10

ORGANIZATION

STRUCTURE/LAYOUT/ CHART

Able to understand structure/layout and identify your role in the

organization

Section 2: SHOP LAYOUT & MERCHANDISING

Knowledge Level of Understanding Comments Name and Signature of

Preceptor

1 2 3 4 5 6 7 8 9 10

Understanding the principle of Shop Layout.

Understanding the principle

in Merchandising, management of customer flow

Section 3: MARKETING STRATEGY

Knowledge Level of Understanding Comments Name and Signature of

Preceptor

1 2 3 4 5 6 7 8 9 10

Understanding the marketing strategy

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Section 4: STORE MANAGEMENT

Knowledge and understanding of the principles of store management organization structure, inventory, stock

movement and control, cleanliness, and security

4.1 GENERAL STORE MANAGEMENT

Knowledge


Comments Name and Signature

of Preceptor 1 2 3

4 5 6 7 8 9 10

PRODUCT CATEGORIES Awareness of Store Catalogue and type

CLEANLINESS Able to identify requirements

SECURITY/ SAFETY Able to list security/safety aspects of store

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4.2 PROCUREMENT AND DISTRIBUTION

Knowledge of ordering process and monitoring of vendor performances


Name and Signature of

Preceptor

Knowledge Comments

1 2 3 4 5 6 7 8 9 10

Purchasing Procedure

Able to recognize the different

method/processes in

procurement:

- Quotation

- Direct supply

- Distribution centre

- Inter branch transfer

Detection of Genuine and Registered Product

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 quantityy (able

to know min 5 Items)

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Level of Understanding Name and Signature

of Preceptor Knowledge

Comments 1 2 3

4 5 6 7 8 9 10

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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4.3 STORAGE

Knowledge of storage in accordance to Good Distribution Practice

Level of Understanding Name and

Knowledge

Comments Signature of

1 2 3 4 5 6 7 8 9 10 Preceptor

Good Distribution 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

equipment monitoring

(thermometer monitored)

documentation

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4.4 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


Knowledge


1 2 3 4 5 6 7 8 9 10 Preceptor

Drug Usage Pattern

Able to retrieve, print, analyse and

interpret reports (min generate 5

reports)

Slow/ Non- moving Stock



reports)

Item Below / Above Buffer Level



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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Knowledge


1 2 3 4 5 6 7 8 9 10 Preceptor

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

4.5 DISPOSAL

Knowledge of disposal procedures and documentation.


Knowledge


1 2 3 4 5 6 7 8 9 10 Preceptor

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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4.6 PRODUCT COMPLAINTS

Knowledge of handling of product complaints and reporting procedures


Knowledge


1 2 3 4 5 6 7 8 9 10 Preceptor

Handling of Complaints

(minimum of 5 cases)

Able to understand and explain workflow, Retrieval of products, data and relevant

documentation

4.7 PRODUCT RECALL

Knowledge of handling of product recall and reporting procedures


Knowledge


1 2 3 4 5 6 7 8 9 10 Preceptor

Handling of Product recall

Able to understand and explain workflow, retrieval of data, products and relevant

documentation.

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Section 5: FINANCIAL MANAGEMENT

Knowledge and understanding of the financial aspects of the business


Signature of Preceptor

Knowledge

Comments

1 2 3 4 5 6 7 8 9 10

Understanding of Profit

Loss Analysis, Performance

measurements and financial control.

Section 6: HUMAN RESOURCE (HR) MANAGEMENT

Knowledge Level of Understanding

Comments Name and

Signature of Preceptor 1 2 3 4 5 6 7 8 9 10

Understanding the basic

aspects of HR management

Section 7: SAFETY AND SECURITY

Knowledge Level of Understanding Comments

Name and Signature of

Preceptor

1 2 3 4 5 6 7 8 9 10

Understanding on the

relevant safety and security aspects

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Section 8: CUSTOMER SERVICE

Understanding that customer satisfaction is a major requisite to business success.

Knowledge


Comments

1 2 3 4 5 6 7 8 9 10

Understanding of client

satisfaction.

GENERAL COMMENT ON ATTITUDE

Mark = x 100% = %

550

Preceptor’s Name & Signature:

NOTE: % mark should not less than 60% for every units/ sections.

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D. OUTPATIENT PHARMACY ASSESSMENT (HEALTH CLINIC ATTACHMENT)

SECTION A: MANAGEMENT OF OUTPATIENT PHARMACY


Knowledge


1 2

3 4 5 6 7 8 9 10 Preceptor

Familiarity with drug range.

Knowledge on generic names,

proprietary names, pharmacological

Good dispensing procedure

Patient waiting time and peak hour

management (staff mobilization)

Psychotropic and dangerous drugs

distribution and disposal in accordance

to the respective legislations:

SECTION B: COMPETENT ASSESSMENT


Knowledge


1 2

3 4 5 6 7 8 9 10 Preceptor

Screening

Filling of Prescriptions

Dispensing

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Knowledge


1 2 3 4 5 6 7 8 9 10 Preceptor

Medication Counseling

Dangerous Drug & Psychotropic

Preparation/ Observation/ Counter- Checking of Job

Sheet of Extemporaneous

Management of Outpatient Pharmacy

GENERAL COMMENT ON ATTITUDE

Mark = x 100%

110

= %

Preceptor’s Name & Signature:

NOTE: % mark should not less than 60% for every units/ services.

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APPRAISAL BY MASTER PRECEPTOR

Setiausaha Lembaga Farmasi Malaysia Bahagian Perkhidmatan Farmasi Lot 36, Jalan Universiti, 46350 Petaling Jaya, Selangor.

Name of Provisionally Registered Pharmacist:

................................................................................................

I/CNumber:………………………………………………………

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 Pharmacist Act 1951.

1. Proposal:

1A. Certificate of satisfactory experience in accordance to sub-regulation 7(1) Registration of Pharmacists Regulations 2004 is recommended to given to him/her

1B. Certificate of satisfactory experience in accordance to sub-regulation 7(1) Registration of Pharmacists Regulations 2004 is not recommended to given to him/her

2. Preceptor’s Details:

Name: …………………………………………………………………………………………………………

Address of Training Premise: ………………………………………………………………………………………………………… ………………………………………….......…………………………………………………………

Preceptor’s Signature:

Date:

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APPRAISAL BY PRP TO PRECEPTOR

Setiausaha Lembaga Farmasi Malaysia Bahagian Perkhidmatan Farmasi Lot 36, Jalan Universiti, 46350 Petaling Jaya, Selangor.

Name of Provisionally Registered Pharmacist: ............................................................................................................... I/C Number: ……………………………………………………………………………………… PRP Registration Number: ………………………………………………………………… Place of Training: ……………………………………………………………………………… I have undergone training at the above place from (date): ________________ to _____________

Grade Subject 1 2 3 4

NA Comments

Unsatisfactory

Satisfactory

Good

Excellent

a. Facilities of

Training Place b. Professional

Exposure by

the Preceptor c. Professional

Guidance by

the Preceptor d. Training

Skills of the Preceptor

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Community Pharmacy

PRP PERSONAL ASSESSMENT BY PRECEPTOR

SECTION 1: DEMONSTRATE A PROFESSIONAL APPROACH

No. Assessment Level of Performance

Comments 1 2 3 4 5 6 7 8 9 10 NA

1. Action and attitudes are demonstrated which indicate a commitment to quality of pharmaceutical care of the patient

2. A polite and helpful manner is demonstrated

3. Dress code and behavior meet the requirements of the organisation

4. Reliability is demonstrated

5. Initiative is demonstrated

6. Recognition of personal limitation is demonstrated

7. Work is carried out in an organised manner and with attention to detail so that the desired result is achieved

8. Work 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

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12. Stressful situations are handled without undue agitation

13. Decisions are made which demonstrated the ability to think clearly, logically and with 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 (SECTION 1)

SECTION 2: TEAMWORK


Comments 1 2 3 4 5 6 7 8 9 10 NA

17. A manner is demonstrated which indicates that due respect is given to the ideas and opinion of colleagues

18. Advice and criticisms are offered to colleagues in a manner unlikely to cause offence

19. Constructive criticism is receive in a positive manner


SECTION 3: UNDERTAKE PERSONAL AND PROFESSIONAL DEVELOPMENT


Comments 1 2 3 4 5 6 7 8 9 10 NA

20. The ability to self-evaluate and reflect on experiences is demonstrated

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21. Feedback on performance is used effectively to improved competence

22. The ability to accept responsibility for meeting own development needs and achieving targets is demonstrated


SECTION 4: COMMUNICATION SKILLS


Comments 1 2 3 4 5 6 7 8 9 10 NA

23. A sufficient command of the Bahasa Malaysia and English Language is demonstrated

24.

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

25. Questioning is used effectively to elicit necessary information and increase understanding

26. Responses in conversation are helpful and clear

27. Body language is appropriate to the situation

28. Clear, concise and well-structured written material is provided when required

29. All responses (whether spoken or written) are tailored to the needs of the recipient

30. A clear, polite and helpful telephone manner is demonstrated

31. Complaints or demands are responded to in a polite manner

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32. An appropriately assertive manner is used when unreasonable demands or complaints are made


SECTION 5: INTEGRITY


Comments 1 2 3 4 5 6 7 8 9 10 NA

33. The quality of being honest and having strong moral principles

34. Implementation of appropriate policies and procedures that ensure the effective, efficient and ethical management of pharmaceutical system (medicine regulatory system and medicine supply system).

35. Transparent, accountable, follows the rule of law and prevent corruption.

36. Telling the truth, being open and not taking advantage of others

37. Demonstrate responsibility, show respect and caring of others


MARKS (%) (SECTION 1 – SECTION 5)

Marks = _________ X 100 370 = _________ %

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Community Pharmacy

Appendix A

SUMMARY OF PERFORMANCE (%) FOR EACH SECTION

NO. SECTION MARK %

1. Understanding Legislations And Guidelines (Assessment)

2. Community Pharmacy Practice (Logbook & Assessment )

3. Pharmacy and Business Management (Assessment)

4. Out-patient Pharmacy Services (Health Clinic attachment)

(Logbook &Assessment )

AVERAGE MARK

PRP PERSONAL ASSESSMENT AVERAGE PERFORMANCE

1 Demonstrate a Professional Approach

2 Work Effectively as Part of a Team

3 Undertake Personal and Professional Development

4 Communication Skills

5 Intergrity

AVERAGE MARK

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Community Pharmacy

Appendix A1

(TO BE FILLED BY PRINCIPAL PRECEPTOR FOR THOSE EXTENDED) SUMMARY OF PERFORMANCE (%) FOR EACH SECTION

Mark % Mark % Actual

prior to after NO. SECTION extension

extension extension period

period period

1. Understanding Legislations And Guidelines (Assessment)

2. Community Pharmacy Practice (Logbook & Assessment )

3. Pharmacy and Business

Management (Assessment)

Out-patient Pharmacy Services

4. (Health Clinic attachment)

(Logbook &Assessment )

AVERAGE MARK

PRP PERSONAL ASSESSMENT AVERAGE

PERFORMANCE

1 Demonstrate a

ProfessionalApproach

2 Work Effectively as Part of a Team

3 Undertake Personal and

Professional Development

4 Communication Skills

5 Intergrity

AVERAGE MARK

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Community Pharmacy

APPENDIX 1

MEDICATION HISTORY ASSESSMENT FORM

Community Pharmacy (CP) Name:…………………………………………………………………….

FORM TO BE FILLED BY THE PHARMACIST UPON PATIENT VISIT

B: REASON FOR VISIT TO CP

A: PATIENT BIODATA

Full Name

Gender : M / F Age:

RN/IC : --------------------------------------------------------------------------- _

Address : _________________________

Phone No :

Visit Date/Time : ______________________________________________________

C: ALLERGY & ADVERSE DRUG REACTION

PMHx :___________________________

Last Visit / :

Review Date

D: DRUG HISTORY

Patient’s own drugs checked?

Yes No

BALANCE

WRITE C FOR

MEDICATION CONTINUE, DC

DOSE FREQUENCY FROM FOR COMMENTS

(Specify strength)

PREVIOUS DISCONTINUE,

SUPPLY WH FOR WITHOLD

NON-PRESCRIPTION MEDICATION

REASON FOR TAKING BALANCE/COMMENTS (Includes Herbal/Vitamin/Other Supplements)

E: PHARMACIST NOTES

Pharmacist Sign & Stamp : Time / Date :________________________

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Community Pharmacy COMPLIANCE ASSESSMENT (Choose either A or B) A. ‘8-items Morisky Medication Adherence Scale’

You indicated that you are taking medication for your health problem. Individuals have identified several issues regarding their medication-taking behavior and we are interested in your experiences. There is no right or wrong answer. Please

answer each question based on your personal experience with your medication. Interviewers may self identify

regarding difficulties they may experience concerning medication-taking behavior. (Please circle the correct answer)

No Question Answer

1 Do you sometimes forget to take your pills? Yes (0) No (1)

2 People sometimes miss taking medications for reasons other than forgetting. Thinking Yes (0) No (1)

over the past two weeks, were there any days when you did not take your medicine?

3 Have you ever cut back or stopped taking your medication without telling your doctor Yes (0) No (1)

because you felt worse when you took it?

4 When you travel or leave home, do you sometimes forget to bring along your Yes (0) No (1)

medications?

5 Did you take your medicine yesterday? Yes (1) No (0)

6 When you feel like your disease is under control, do you sometimes stop taking your Yes (0) No (1)

medicine?

7 Taking medication everyday is a real inconvenience for some people. Do you ever get Yes (0) No (1)

hassled about sticking to your treatment plan?

8 How often do you have difficulty remembering to take all your medication? Never/ Rarely …. (1)

Once in a while… (0.75)

Sometimes ……. (0.5)

Usually ………… (0.25)

All the time ……. (0)

Please refer manual for scoring.

SCORE

(<6) Low-adherence (6 to <8) Medium adherence (8) High adherence

B. Pill/ Tablet counts

Compliance score is calculated according to the formula:

Compliance score = No. of tablets dispensed – No. tablets not taken x 100% Correct no. of tablets should be taken

Compliance score = ( ) – ( ) x 100% = ( )

*Compliant to medication when score is ≥ 85%

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Community Pharmacy

APPENDIX 2

Lampiran A1: Borang Kaunseling Individu (Pesakit Luar)

BORANG KAUNSELING FARMASI KOMUNITI

Nama

IC Umur (tahun)

Jantina Lelaki Perempuan

Bangsa Melayu Cina India Lain-lain

Alamat Tel

Tinggi m Berat kg BMI

Tujuan

1. Kaunseling ubat

3. Kaunseling alat ubatan

kaunseling

2. Penilaian komplians

4. Lain-lain

Jenis pesakit 1. Walk-In 3. Dirujuk oleh preskriber

Diagnosis

2. Kaunseling susulan

Sejarah penyakit

Alergi ubat Tidak Ya Nyatakan

Kad alergi Tidak Ya No. kad

Merokok Tidak Ya Nyatakan

Alkohol Tidak Ya Nyatakan

Mengandung Tidak Ya Trimester

Menyusu Tidak Ya

OTC Tidak Ya Nyatakan

Sejarah pengubatan (jika ada)

Nama ubat Dos Frekuensi

Senarai ubat terkini

Nama ubat Dos Frekuensi

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Community Pharmacy

‘8-ITEMS MORISKY MEDICATION ADHERENCE SCALE’

Anda menyatakan bahawa anda mengambil ubat untuk merawat penyakit anda. Beberapa isu telah dikenalpasti

oleh sesetengah individu berkenaan tabiat pengambilan ubatan mereka. Oleh yang demikian, kami berminat

untuk mengetahui pengalaman anda. Soalan berikut adalah tinjauan semata-mata. Tiada jawapan yang betul

atau salah. Sila jawab berdasarkan pengalaman peribadi anda (sila bulatkan pada jawapan yang berkenaan). No. Soalan Jawapan

1Pernahkah anda terlupa untuk mengambil ubat anda? Ya(0) Tidak(1) 2 Selain terlupa, terdapat juga alasan-alasan lain yang menyebabkan pesakit

tidak dapat atau terlepas mengambil ubat mereka. Sejak dua minggu yang Ya(0) Tidak(1)

lepas, pernahkah anda terlepas atau tidak dapat mengambil ubatan anda?

3 Adakah anda pernah berhenti atau mengurangkan pengambilan ubat tanpa memberitahu doktor terlebih dahulu jika anda mendapati ubat itu memberi Ya(0) Tidak(1)

kesan yang tidak diingini selepas menggunakannya?

4 Apabila anda melancong atau keluar dari rumah, pernahkah anda terlupa Ya(0) Tidak(1) untuk membawa bersama ubat anda?

5 Adakah anda mengambil ubat anda semalam? Ya(1) Tidak(0)

6 Apabila anda merasakan penyakit anda terkawal, adakah kadang kala Ya(0) Tidak(1) anda akan berhenti mengambil ubat?

7 Pengambilan ubat setiap hari menyebabkan kesulitan terhadap sesetengah pesakit. Pernahkah anda mengalami kesulitan untuk mengikuti jadual Ya(0) Tidak(1)

pengambilan ubatan anda? 8Berapa kerapkah anda mengalami kesukaran dalam mengingati Tidak pernah (1)

pengambilan semua ubat anda? Jarang-jarang (0.75) Kadang-kadang (0.5)

Selalu/sering kali (0.25)

Sepanjang masa (0)

MARKAH

< 6: Low adherence, 6 to <8: Medium adherence, 8: High adherence

MAKLUMBALAS SELEPAS KAUNSELING

Tahap kefahaman

Baik Sederhana Lemah Komplians

Ubat-ubatan/alat ubatan

ULASAN PEGAWAI FARMASI

Perlu kaunseling Tidak

Ya

Tarikh

susulan

Tandatangan

Nama & Cop Pegawai Farmasi

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Community Pharmacy

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record of training and experience of …record of training and experience of provisionally...

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