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American Journal of Pharmaceutical Education

Meeting Abstracts

104th Annual Meeting, July 20-23, 2003, Minneapolis, Minnesota

 


ADMINISTRATIVE, INSTITUTIONAL, AND PROGRAMMATIC ISSUES

The Challenges of Recruiting Minority American Graduate Students. Anthony C. Capomacchia, The University of Georgia. Objectives: The objective of the current work is to examine the Coach Model for recruiting minority students for the pharmaceutical and biomedical sciences at The University of Georgia (UGA); with the long-term goal to build a recognized program for their training. Methods: Attendance at regional graduate and professional fairs, special recruiting trips for interested students, seminars, workshops, and visits to UGA are used to attract the best students possible. Also, direct family contact and visits, assuring that funding is available, and finding agreeable mentors are vital. Results: During the nine years of the study, 22 students were matriculated to graduate programs in the pharmaceutical and biomedical sciences. Seven have graduated, one transferred, the rest remain on track to graduate within four or five years of entering the program. Funding for each student was obtained from a combination of sources including the Department, Graduate School, Alfred P. Sloan Foundation, and the National Institutes of Health. Faculty status was deemed to play a pivotal role in the success of the project. Implications: A graduate program for training minority students in the pharmaceutical and biomedical sciences can be implemented, and perhaps for other science disciplines as well. Providing faculty and Department are willing to devote time and resources to the effort. The need for a positive training environment cannot be overemphasized.

Citation Analysis of Lyman Award Winning Papers (1967 – 1997). Dennis F. Thompson, Nina R. Morris, Southwestern Oklahoma State University. Purpose: The purpose of this research was to characterize the citation pattern of Lyman award winners from 1967 – 1997. Methods: A list of all Lyman award-winning papers was obtained. Each paper was searched on the Institute for Scientific Information Web of Knowledge to obtain citation counts. For comparison, the most cited paper from the American Journal of Pharmaceutical Education (AJPE) for each year was also obtained. Lyman award winners were ranked by number of citations per year. The highly cited 1993 article from the “Commission to Implement Change in Pharmacy” was excluded from the analysis. Results: The 1993 Lyman Award winning paper had the highest citation rate at 1.2 citations/year. The top five Lyman Award papers were 1993, 1987, 1995, 1976, and 1996. Only one paper received the Lyman Award and was the most cited paper for that year (1993). The average number of citations received for the top 22 Lyman award winning papers was 7.9 citations vs. 17.6 citations for the corresponding most cited paper in AJPE for that year. Average citations per year were 0.49 for Lyman Awards winners vs. 1.2 for the most cited AJPE articles for the corresponding years. Conclusions: Lyman Award winning papers are generally not the most cited papers in AJPE.

Use of a Weekly Open Forum to Acclimate Students in a Distance Education Environment. Mark L. Britton, Keith A. Swanson, Melissa S. Medina, University of Oklahoma. Objectives: A weekly open student forum is used to assess and address student concerns, assist in their emotional and academic acclimation in a distance education (DE) environment, facilitate development of a single class identity and class unity, and to aid in professionalization. Methods: All first year pharmacy students on the Oklahoma City and Tulsa campuses are required to attend a weekly class meeting over the noon hour on Wednesdays during the first academic year moderated by either the academic dean or the director of student services. Others regularly attending these sessions include the assistant directors of student services, classroom facilitators, the chair of the curriculum committee, the director of instruction and assessment, and any interested faculty. Students are welcome to bring up any topic of concern during the meeting and are encouraged to submit agenda items to the academic dean. Students are periodically being surveyed about their experiences in a DE learning environment and also provided the opportunity to express their opinions in a chat room. Implications: As DE technologies become more common in pharmacy education to assist in relieving the pharmacy manpower shortage, faculty and administrators must intentionally provide many unique opportunities for student expression. A weekly open forum may assist students and faculty in interpreting the educational environment and its effects on learning and classroom interpersonal dynamics.

Standard Time of an Outpatient Prescription Processing at Samut Sakhon Hospital. Chanuttha Ploylearmsang, Petcharat Pongcharoensuk, Saichol Pimkow, Amnouy Preukpakpoom, Mahidol University, Thailand. Objective: To determine standard time and workload of outpatient pharmacy services at Samut Sakhon Hospital, a 500-bed public institution in Thailand. Methods: Workflow analysis was first conducted to identify activities of outpatient prescription processing. Activity data were collected during 8 am to 4 pm, for 14 days during October 15 to November 2, 2001. Both direct time study and a 5-minute interval of work sampling were used to collect timing of 14 activities. Results: A total of 5,320 and 12,724 observations were recorded for pharmacists’ and non-pharmacists’ activities respectively. Overall, an average of 1,051 prescriptions was filled per day, with an average of 3.21 drug items per prescription. It takes 13.95 minutes to process a prescription, starting when the prescription arrives at the pharmacy until the patient collects the drug products. Pharmacists and non-pharmacists spend a total time 1.81 and 6.63 minutes per prescription, respectively. The three activities with the highest standard times were prescription filling, dispensing/counseling and data entry; 98.11, 51.64, and 45.75 seconds respectively. Productive time of pharmacists and non-pharmacists were 71.94% and 73.83%. From the standard time, it requires 26 and 83 man-hours per day of pharmacist and non-pharmacist for outpatient prescription process. Implications: Standard time and workload measurement could be an effective tool to efficiently manage the available manpower in hospital. These results could provide the basic information for other hospitals’ managers to assess efficiency of their pharmacy services.

Faculty Development Through Peer Teaching Assessment. Susan M. Paulsen, Marianne McCollum, Tom Cyr, Ralph J. Altiere, University of Colorado Health Sciences. Objectives: Develop a comprehensive peer teaching assessment system that would advance faculty development through mentoring, foster quality teaching, and diversify teaching portfolios for advancement. Methods: The assessment committee and the UCHSC Office of Education (OE) developed assessment tools based on validated models of good teaching. Faculty volunteers became assessors after OE training. Instructors scheduled for peer teaching assessment received resource material and assessment forms in advance. Co- assessors were assigned to each instructor. Peer teaching assessment process includes: (1) Request for course materials (2) Pre-observation meeting discussing the course materials and elicit instructor goals, philosophies and needs (3) Classroom activity observed. (4) Videotape of classroom activity provided to instructor for self-assessment. 5) Co-assessors meet to discuss the observation 6) Post-observation interview with co-assessors and instructor, 7) Optional second observation if requested, 8) Final assessment report reviewed and signed by instructor and assessors and forwarded to department chair. Assessment tools will be included in poster. Process analysis was conducted by survey. Survey results are very positive with faculty placing a high value on the process and very high value on structured discussions about teaching. Implications: Offering a novel structured faculty-mentoring program to improve the “good teacher” learning curve through discussion of varied teaching strategies and experiences. Strengthening evidence of good teaching beyond student perception data and promoting school goals for outcomes based education.

Student Opinion of Effectiveness of a Longitudinal Versus an Elective Herbal Course. Susan Paulsen, Robert Page, Donald Nuzum, University of Colorado Health Sciences Center. Objective: Determine the effectiveness of a stand-alone herbal course versus integrating herbal material into existing courses in preparing students to answer herbal questions on clerkship rotations. Secondarily, to determine if students felt that herbal courses should be required. Methods: This curriculum offers a comprehensive herbal elective during the third year of the curriculum, as well as, herbal pharmacotherapy principals threaded throughout our pharmacotherapy/pathophysiology course series during the second and third years. Fourth year pharmacy (n=40) students currently on clerkship were surveyed. Ninety-two percent of students agreed that the elective assisted them in answering herbal questions and improving patient care. Eighty-eight percent of students agreed that a mandatory herbal class should be offered. Forty-five percent felt that the integrated longitudinal method did not prepare them for clerkships. Seventy-eight percent received most of their herbal questions on community rotations and 50% on clinical rotations. Implications: There is increasing dependence on a pharmacist’s ability to answer herbal questions. Pharmacy curricula are work intensive and additional mandatory courses must be added judiciously. Currently, 30% of Schools of Pharmacy surveyed (n=82) offer a stand-alone herbal elective, and for 13% it is required. A stand-alone herbal course enhances student’s ability regarding their herbal knowledge compared to a longitudinal integrated method. Due to changes in the NABLEX exam, students may need more comprehensive, structured courses in herbal pharmacotherapy.

Impact of a Student-Based Tutoring System. Keith A. Swanson, Chad A. Douglas, Melissa S. Medina, University of Oklahoma. Objectives: To investigate the impact of a student-based tutoring system offered by Rho Chi members on subsequent test performance and academic progression. Methods: Members of the Rho Chi honor society have organized and offered tutoring to first-year pharmacy students for many years. Students are referred to the service through student services, the academic dean, or general advertisements. Due to program expansion to a distant campus, some tutoring sessions were delivered via “web-cam” technologies. Prior academic status and utilization of the service was compared to test scores and academic progression. Two surveys were administered to collect subjective data. Results were compared between tutored and non-tutored populations and between near and distant tutored sessions. Results: Tutoring was delivered to 48 of 124 students (38.7%) to mainly female students (93.8%). Slight differences in pre-pharmacy GPA, PCAT scores and pre-pharmacy hours earned were noted between tutored and non-tutored populations. Tutored students had a greater average increase in scores between exams than non-tutored students (+8.5 points vs. +4.5 points). Some differences in tutoring outcomes were noted between students tutored on-site and those tutored via “web-cam”. Student comments about the service were generally positive, but many noted that they were not aware of the program. Conclusions: Many factors impact the academic outcomes in a professional curriculum. Students utilizing this student-based tutoring system offered by Rho Chi members appear to benefit from the program.

Pharmacy Student Progression in a Distant Education Environment. Keith A. Swanson, Mark L. Britton, Melissa S. Medina, University of Oklahoma. Objectives: To explore methods to assure successful progression in a distant education learning environment. Methods: A series of meetings and special seminars was implemented to focus student attention on academic responsibilities and enhance professional development. First-year, first-semester students at risk were identified by requiring faculty to report test scores after every exam rather than a single midterm warning. Students at risk were counseled by the academic dean or student services director in person or through ‘web cam’ technologies. Students were referred to the Rho Chi tutoring system, the college educational specialist, or campus-based counseling services when serious learning difficulties were discovered. Results: First year student progression rates into the second term were the highest since initiating the entry-level doctor of pharmacy program in fall 1998. Only 4% of the 2002 entering class of 125 students did not progress into the spring term. Three students were suspended to repeat the first term and two withdrew for personal reasons. No students were dismissed. Non-progression rates range from 4% to 19.5%, averaging 8.3% over 5 admissions classes. Implications: Student progression is influenced by a number of factors such as inherent academic abilities and changes in the delivery of an academic program. A conscientious effort to identify students at risk and implement immediate interventions appears to be effective in maintaining academic progression in a program delivered through distance technologies.

Survey of Remedial Policies in US Colleges/Schools of Pharmacy. Dean L. Arneson, Karen L. Daniel, Nova Southeastern University. Objective: To evaluate the current policies for academic remediation at colleges/schools of pharmacy within the United States. Methods: A survey was developed to assess the various types of academic remediation offered at colleges/schools of pharmacy within the United States. In addition to demographic data for each college/school, survey data to be collected include type of remediation offered, criteria for eligibility for remediation, and college/school policy regarding academic expulsion, probation, and extended course of study. The Office of the Dean at each college/school will be contacted to determine the appropriate individual to be surveyed. A telephone interview will be conducted with the selected individual from each institution. Survey data will be collected and analyzed to determine the extent and method(s) of remediation available at each college/school of pharmacy. Implications: Dissemination of the synopsis of current academic remediation policies may allow colleges/schools of pharmacy across the United States to reassess and make improvements upon existing policies.

Addressing Industry Needs Through Innovative Technologies. Machel Davison, Melissa S. Medina, University of Oklahoma. Several reports have been released in recent years showing the continued need for pharmacists in the nation. Findings from a conference sponsored by The Pharmacy Manpower Project stated that by 2020 15 additional pharmacy schools will be necessary to meet the projected call for pharmacists in the United States. The use of technology is being explored by programs to increase availability of courses, student satisfaction, enrollment, and address budget shortfalls. The University of Oklahoma College of Pharmacy has adopted several new technologies including offering all first year courses via two way video from Oklahoma City to Tulsa and video-streaming/archiving of lectures. In this presentation, we will discuss the pros and cons of adopting new technologies into a course or program and the effects that a new technology has on a program. We will discuss all research methods used in the adoption, implementation, and evaluation of the technology. As well as, preliminary findings after the first semester of the expansion showing that students and faculty are satisfied with the new endeavors. In addition, we will present new implications that have risen from the expansion to Tulsa including the logistics of transporting materials from one campus to another, interactions with/among students, and the use of video archived lectures. Participants from any setting that are considering a new technology to meet current demands will benefit from this presentation because the issue reaches far beyond just the adopting a technology. It delves into legal issues, administrative issues, financial concerns, and technical concerns.

Using the Many-Facet Rasch Statistical Model to Rank Pharmacy Students for Awards and Scholarships. Robert J. Belloto, Thomas H. Wiser, Katherine P. Smith, Allison A. Welder, Ronald J. Ziance, Nevada College of Pharmacy. Objectives: The purpose of this study was to develop and validate a judging and rating system with application to assigning awards and scholarships. Methods: A form was designed to rate students applying for awards and scholarships on seventeen different items within a curricular system that precludes the use of letter grades. Six pharmacy college faculty evaluated evidence submitted from applicants for the items on a five point scale. Since the collected data is qualitative, the data was analyzed using a many-facet Rasch model. The Rasch analysis provides linear measures with all items being on a uniform measuring scale. Results: The statistical analysis showed that certain items performed poorly and were not valuable in rating the candidates. The analysis also readily displayed differences in judge severity or leniency. The Rasch model fit the data well and is a reasonable method to use in ranking candidates for awards. Implications: The judging problem is an old one and few competitions are graded and analyzed statistically. The problem becomes harder when judge ratings are used to rank students and not all candidates are rated by all judges. Given the many legal challenges involving admissions and other procedures, the use of a sound multivariate statistical methodology is a necessary step to be sure that all candidates are treated fairly. The psychometric methodology used is unfamiliar to most pharmacy researchers and may serve as a useful, unbiased, and rigorous scientific approach to student awards and recognition for other colleges and institutions of higher learning.

Comparative Perceptions of Graduating Pharmacy Students as a Component of Curricular Assessment. Stephanie Y. Crawford, Susan L. Peverly, University of Illinois at Chicago. Objectives: In 1997, major curricular revision was implemented for the professional pharmacy program at UIC. This study compared perceptions of graduating students on the pharmacy curriculum. Methods: Written questionnaires were administered to students nearing graduation during years 2000, 2001 (first class under new curriculum) and 2002. Students rated their competence levels to perform professional functions, using a 5-point scale where 1 indicated “not at all competent” and 5 denoted “extremely competent.” Seventeen survey items were developed based upon terminal curricular competencies; additional descriptive items were included. Results: 402/465 (86%) responses were received (years 2000 to 2002, respectively: n=142, n=120, and n=140). Mean ± SD competence scores for the 17-item aggregate scale (Cronbach’s alpha = 0.92) were 3.70 ± 0.53, 3.81 ± 0.56 and 3.89 ± 0.53, respectively, per year. ANOVA, with post-hoc comparisons, demonstrated a difference in the total mean scores between the class of 2000 and the class of 2002 (p<0.05). Individual item analyses revealed that UIC students had higher perceptions of their competence levels in therapeutic and communications activities, but lower scores for administrative activities. One survey item included in transitional years 2000 and 2001 found that students rated the new curriculum to be better (t=-5.09, p<0.001). Implications: Student perceptions of their abilities to meet terminal competencies have increased with the new curriculum, and results help pinpoint areas where curricular remediation is needed. Measurement of student attitudes is valuable when part of a multi-source, multimodal approach in ongoing curricular assessment activities.

Student Willingness to Use a Centralized Application Service. Donald K. Woodward, Rutgers, the State University of New Jersey. Objectives: To determine application trends in terms of number of schools applied to, amount of application fees and to gain insight into student views on a centralized application service (CAS). Methods: Students enrolled in the professional years were requested to fill out a web-based survey. Students entering the first professional year were given a hard copy of the same survey at orientation. Results: Seventy-six students responded. The average number of schools applied to was 1.14. Of the 24 students who applied to more than one school, the average number of schools applied to was 3.65. Of those reporting paying an application fee (n=38), the average total fees were $200 and the average maximum fee was $48. When provided with a description of a hypothetical CAS with $125 initial fee and $30 per additional school, 57% of respondents were willing to participate, 29% were not, and 14% were unsure. Of the cohort reporting applying to only one school, 56% were willing to use a CAS, 27% were not, and 17% were unsure. The most common comment in favor of a CAS was the convenience in filling out a single application and against a CAS was the increased cost when applying to only one or two schools. Implications: While most are willing to use a CAS, between 25-30% were not and 15% were unsure. If these percentages are reflective of students’ actual willingness to apply, using a CAS may decrease a school’s application pool by up to 33%.

A Professional Development Seminar Series for Teaching Assistants. Alicia S. Bouldin, Marvin C. Wilson, University of Mississippi. Intent: The administration at The University of Mississippi School of Pharmacy sponsors a program of professional development for teaching assistants, intended to enhance their skills in their present roles and to foster interest in becoming a pharmacy educator. Methods: The program includes monthly development seminars and an online TA Support resource center, focusing on issues related to pedagogy and careers in academia. TA participation is expected; RAs are also invited. Topics have included: writing multiple-choice questions, preparing teaching portfolios, and plagiarism prevention and detection. Outcomes: This program has the full support of the School’s administration and department chairs. Anecdotal evidence of the program’s success has often come from comments from participants, outside of the seminar settings. An evaluation of the program by participants indicated that they found the information shared in the seminars to be useful (average response was 9.4 on 1-10 scale), clear and easy to understand (average = 10), relevant to their current role (average = 9.3), and relevant to future career roles (average = 7.8). Participants also found that the seminars have helped to increase their confidence as TAs (average = 8); and they would recommend the series to other students interested in careers in academia (average = 9.7). Implications: Enhancing the skills of teaching assistants to facilitate student learning is a benefit to the School as well as to the assistants themselves. Next year the program plans to involve practice residents, several of whom may also be interested in a career in academia.

Web-Based Student Orientation; Providing Increased Depth and Confidence Through Use of The Internet and a Required Electronic Scavenger Hunt. Dennis K. McAllister, Midwestern University-Glendale. Objectives: To increase success of student orientation programs through hands-on exploration of student handbook, faculty biographies, college and university support services and other related materials through the Internet. Methods: A web-based survey (electronic scavenger hunt) was developed that required students to research through web-based University materials to continue and supplement the new student orientation process. This survey was a required assignment in one of the introductory courses. The assistant dean responsible for student affairs developed the questions based upon experience with student knowledge deficit of policies, procedures etc. Results: Student response was very positive. In a follow-up survey, 85% suggested that the electronic scavenger hunt be required as a continuing part of new student orientation. Issues related to student knowledge of polices, procedures, etc, have been fewer and less substantive than prior years when the electronic scavenger hunt was not part of the orientation process. Implications: The electronic scavenger hunt provides a method to continue the orientation process beyond traditional live orientation programs, giving students a hands-on experience in finding and using important college and university related information.

A Survey of Deans of Colleges of Pharmacy with regards to Board of Pharmaceutical Specialty (BPS) Certification and Effects on Academic Units: A Survey of Deans of Colleges and Schools of Pharmacy. Frank Romanelli, Jeff J. Cain, Kelly M. Smith, Melody Ryan, University of Kentucky. Objective: To describe and measure the effects of BPS certification on the realm of academia as perceived by Deans of Colleges of Pharmacy in the United States (US). Methods: An anonymous survey regarding BPS certification was developed and pre-tested. Deans or another appropriate College official at all 84 Colleges of Pharmacy in the US were asked to complete and submit the 13-question survey via the web. Baseline information captured by the survey included College size, mean yearly research dollars, faculty size, and PharmD student enrollment. Information regarding numbers of BPS certified faculty and extent to which BPS certification was considered in the hire process was also sought. Finally, Deans were asked to report any compensation or incentives provided to faculty who are certified or are pursuing certification. Implications: The national pharmacist shortage has affected all practice areas including academia. Little information is available with regards to the effects of BPS certification on the profession, particularly academia. We believe that this information will be helpful to gauge the effects of BPS certification in this area and will also assist Colleges as they attempt to recruit and retain the most qualified faculty members possible.

Administrative Career Planning and Mentoring: A Ten-year Update of the Pharmacy Deanship. Cecilia Plaza, JoLaine R. Draugalis, Grant H. Skrepnek, Marion K. Slack, University of Arizona. Objectives: The career paths and preparation strategies of pharmacy deans as well as the role of administrative-related mentoring in the career advancement of pharmacy deans were assessed. This study provides a longitudinal perspective on the pharmacy deanship. Methods: Using a self-administered questionnaire and two follow-up mailings in mid-2002, 75 out of 82 current deans (one institution in the dean search process was excluded) in member institutions responded, yielding a 91.5 percent response rate. Results: Forty-six deans had five years or more of experience in the deanship whereas the remaining 29 respondents were designated as newly named deans. A hierarchical career path (faculty to department chair/head/ to assistant/associate dean to dean) described the career path of 17.9 percent of deans who had assumed his or her first deanship in the past five years. Seven of the newly named deans skipped the department chair/head position and six skipped the assistant/associate dean position. Seventy-two percent of the newly named deans and 93.5 percent of deans with five or more years of experience reported currently serving as an administrative mentor. Implications: The shortages in academic pharmacy as a result of the increased number of schools and colleges of pharmacy opening, in combination with the graying of the faculty, has ramifications for the academic pharmacy deanship. Elucidation of the normative career path of pharmacy deans and the role of mentoring in administrative career advancement can guide aspiring deans as well as provide information to institutions in structuring programs for leadership development.

Documentation and Analysis of Increased Grade Point Averages at a College of Pharmacy Over 20 Years. Mark C. Granberry, University of Texas. Objectives: Grade inflation has occurred in undergraduate and graduate college education but has not been documented in pharmacy professional education. We undertook this study to evaluate the trend in grade point average (GPA) of graduates of a College of Pharmacy during the previous 20 years. Methods: The final grade point averages, from courses in the professional curriculum, of all students graduating from 1982 through 2002 at the University of Arkansas College of Pharmacy were included. These scores were used to calculate a mean GPA for each graduating class of students. A correlation coefficient was determined to evaluate the change in grade point averages over time. Pharmacy College Admission Test (PCAT) scores and pre-professional GPA of students graduating over the same time period were also evaluated. The level of significance was set at P < 0.05. Results: We found that the mean GPA of over 1300 students during the study period was 3.03 +/- 0.25 out of a possible 4.0. GPAs increased at a rate of about 1 % per year with the lowest GPA (2.67 +/- 0.41) being recorded in 1985 and the highest (3.41 +/- 0.28) in 2000. We found a correlation coefficient of 0.93 (P < 0.000001) when the overall mean class GPAs were compared by year of graduation. A similar increase in student performance, as assessed by PCAT scores and pre-professional GPAs did not occur. Implications: Further study will be undertaken to determine if the trend exists at other colleges and to evaluate for potential causes.

Assessment of Student Professionalism During Acute Care Clerkships at Colleges of Pharmacy. Mark C. Granberry, Rene F. Garza, William J. McIntyre, University of Texas. Objective: The American Association of Colleges of Pharmacy has determined that student professionalism is an issue confronting pharmaceutical education. Our objective was to determine the methods used by Colleges of Pharmacy to assess student professionalism during their experiential clerkships. Methods: We solicited the competency and assessment forms used to assess students during acute care clerkships by Colleges of Pharmacy in the United States. From these forms we determined the percent of responding colleges that have a separate section dedicated to the evaluation of professionalism and the percent of the student’s grade derived from the assessment of their professionalism. Finally, we categorized each college’s competencies into similar domains and determined the percent of colleges that evaluate each domain of professionalism. Results: Of 50 colleges solicited, 26 (52%) provided competency and assessment forms. Fifty-eight percent (15/26) of respondents use a separate section to evaluate professionalism. On average, 16% of students’ clerkship grades were derived from the assessment of professionalism (range 5 to 40%). The most frequently assessed competency domains were respectful interactions with others (69%), punctuality and attendance (62%), concern for patient welfare (50%), self motivation (50%), acceptance of criticism (42%), desire for lifelong learning (42%), accountability and responsibility (38%), honesty and integrity (38%) and patient confidentiality (38%). Twenty-three percent (6/26) of the colleges evaluated three or fewer domains. Implications: Assessment of student professionalism varies widely among Colleges of Pharmacy. On average, a significant portion of student overall performance were derived from the assessment of professionalism.

A Pharmacy Practice Scholarship Committee: What Effect Does it Have? Terri L. Jackson, Wafa Y. Dahdal, Amie McCord, David Zgarrick, Midwestern University – Chicago. Objectives: To alleviate fears, raise interest, and encourage participation in scholarly activity among faculty in a pharmacy practice department. Methods: Of the requirements for faculty success, scholarship is often the most challenging, especially for clinical faculty. Support from administration, mentors and peers are critical for clinical faculty to develop as scholars. To alleviate anxieties and encourage participation in scholarship, our pharmacy practice department established a scholarship committee. The committee developed a series of seminars to address barriers to scholarship that had been identified by faculty. A binder containing scholarship resources was also developed. A questionnaire to evaluate committee impact was administered after six months. Results: Two-thirds (20/30) of department faculty responded. Most respondents were clinical faculty early in their careers (median time at institution: 2.75 years). Seventy percent had attended at least one of the five seminars, while 40% had used the scholarship binder. Fifty percent reported that their attitude toward scholarship had changed as a result of the seminars. Respondents felt increased confidence to perform scholarship, and recognized more scholarship opportunities for in their teaching and practice activities. About 30% reported the seminars had either increased their motivation to perform scholarship or the number of scholarship activities they have taken on. Implications: The committee goal is to increase the quantity and quality of scholarship performed by department faculty. Scholarly activities by faculty will continue to be monitored to evaluate progress towards this goal.

Assessing English Language Skills in the Admissions Interview. Ann Zweber, Barbara Dowling, Deborah Healey, Oregon State University. Objectives: A need for improved language skills among students whose native language is not English was identified. The College of Pharmacy developed a two-step approach to address this issue. The first step was to identify and assist current students with deficiencies. The second step involved revisions to the admissions process. This poster presents the changes that were made in the interview process, in order to: improve faculty and preceptor understanding of communicative competence, apply techniques for objectively assessing oral communication skills in the admissions interview, and incorporate oral English language communication skills into the criteria used for admission. Methods: At the request of the College of Pharmacy admissions committee, the English Language Institute reviewed the current admissions interview questions and form, and modified them to incorporate an objective assessment of students’ ability to communicate effectively in English. A 3-hour workshop was developed and presented to 20 admissions committee members and interested faculty. Interview skills and modified interview assessment forms were integrated into the admissions process. Results: Workshop participants completed an evaluation of the workshop. A second self-evaluation of competency in using the new format will be used again after the interviews are completed. Data from interview assessments will also be available. Implications: Effective communication skills are imperative in the practice of pharmacy. Assessment of students’ communication skills is an important component of the admissions process. Identifying deficiencies prior to admission may be a useful tool in the admissions process.

Pharmacotherapy Decision-Making Ability Based Outcome (ABO) Leveling and Objective Structured Clinical Examination (OSCE) Case Development. Amy H. Schwartz, Maryann Skrabal, Beverly Talluto, Naser Alsharif, Creighton University. Identifying methods to accurately measure student attainment of ABO and predict professional success is a dilemma facing many pharmacy programs. The SPAHP received a Fund for the Improvement of Postsecondary Education (FIPSE) Grant to develop OSCE for each of the twelve ABO that guide the curriculum. The Pharmacy Program Assessment Committee (PPAC) was charged with the task of overseeing OSCE development. Each ABO was assigned a team leader, most of whom were PPAC members. The six faculty members selected for the Pharmacotherapy Decision Making ABO had varying backgrounds representative of each academic level. The development process involved defining academic levels for the ABO and designing cases to assess student progress at the end of each academic year. The group met approximately twice monthly during the six-month period from September 2002 through February 2003. Literature regarding ABO leveling, OSCE development and course syllabi were provided by the PPAC. Individual syllabi objectives were examined closely along with definitions for the other ABO to determine anticipated achievements per academic level. Bloom’s Taxonomy was used to ensure coordination between case/question complexity and student level. Challenges faced during the development process will be described. Each case is subjected to further scrutiny by a subcommittee of the PPAC before dissemination to external reviewers. Comments received will be incorporated prior to administration spring semester 2003. Limited information exists in the literature regarding the leveling a pharmacy-based ABO. The methods described may provide insight for programs considering similar undertakings.

An Initial Assessment of Introductory Practice and Service Learning Experiences in US Pharmacy Curricula. Sondra J. Peters, George E. MacKinnon III, Midwestern University. Objectives: In response to the CAPE Educational Outcomes and accreditation standards, many colleges of pharmacy have developed introductory practice (IP) and service-learning (SL) experiences. The extent to which academic pharmacy has implemented IP and SL and how these experiences have been incorporated into curricula was examined. Methods: A survey was developed and sent to offices of experiential education and chairs of departments of pharmacy practice at 82 colleges of pharmacy. Results: Overall 38 colleges returned surveys (46.3% response). Of the responding colleges, 84.2% required introductory rotations with 75.8% requiring rotations in the first professional year, 60.6% in the second professional year, 48.5% in the third professional year and 6% in the fourth professional year. The majority (90.9%) of respondent colleges offered academic credit for IP rotations while 48.5% provided internship hours for IP rotations. Students completed an average of 1.7 IP rotations (ranging from 1-6 semester/quarters in length). One-half (54.1%) of the colleges required SL experiences for their students and 21.6% provided voluntary SL experiences. Of the colleges providing SL, 65.4% provided students academic credit for these experiences. SL experiences are provided for students throughout all professional years. Implications: The implementation of IP and SL experiences in pharmacy curricula has been met with a wide range of interpretation and responses. The result of this survey begins to elucidate current variations in interpretation and reveals various strategies for meeting the challenges of integrating IP and SL into experiential education. Ongoing dialogue in this area is to be encouraged.

GEAR-UP (Graduate Education and Research at the University of Pittsburgh): A Program for Educating Students about Pharmaceutical Research. Samuel M. Poloyac, Lisa C. Rohan, Patricia D. Kroboth, Randall B. Smith, University of Pittsburgh. GEAR-UP is designed to inform US citizen/permanent resident professional and baccalaureate students of opportunities for graduate study and careers in pharmaceutical research. GEAR-UP creates a link between the potential students and individual School of Pharmacy faculty members through two events: a weekend mini-graduate school held in the spring term and an eight-week summer research internship. The mini-graduate school weekend program consists of both formal and informal interactions designed to educate participants about specific research projects, career opportunities, and the graduate school process. In the first year, 25 students from six universities attended mini-graduate school (25% minority, 75% women). On a scale of 1 to 5, the program was rated as a 4.96 when participants were asked if they would recommend this program to a student considering a career in research. Of these 25 students, two were in the final year of study; both enrolled in our Ph.D. program. Nine students completed the eight-week internships, which provided hands-on research experience, including writing specific aims and hypothesis, performing laboratory techniques, preparing a poster of results and presenting a mini-seminar. Eight of these students gave presentations at the regional Pharmacy Student Research Conferences. Five of the 9 internship participants plan to further their research training and 2 are undecided. Because of the success of the inaugural year of the program, we are continuing the program and will monitor the career decisions of those who participated.

Perspectives on Student/Faculty Relations. Julianna E. Szlagyi, Thomas M. Lemke, University of Houston. Objectives: Because the overall college experience significantly impacts on our graduates we evaluated perspectives regarding student/faculty relations. Methods: Equivalent surveys were developed to collect data concerning perceptions on critical points of interaction among students and faculty both in and out of the classroom. They were asked to complete their respective surveys by indicating a level of agreement or disagreement with statements regarding interactions with faculty/students respectively. Students and faculty were also asked to list attributes of the ideal faculty and student. Results: The response rate for each group was 62%. Surprisingly, students and faculty replied in a similar manner to most of the equivalent statements. Furthermore, the ideal faculty and student described by each were almost identical. However, there were areas that differed. Both groups feel that the other lacks an understanding and sensitivity concerning their responsibilities and problems outside of the classroom. However, most students have not worked closely with faculty on projects or activities. There is also disagreement about the amount of support provided to students to succeed academically. Both students and faculty feel that everyone should work to improve relations. Implications: This collection of data has provided important insight into college student/faculty relations. A major issue is a mutual lack of understanding and sensitivity towards the others responsibilities and roles. Because the overall experience of students in a program can shape the opinions of alumni, the college has formed a task force consisting of faculty and students to address this critical issue.

Virtual Mentor Program: Update on Progress and Assessment. Amy H. Schwartz, Creighton University. Virtual mentors are used to facilitate the comprehension of on-line didactic materials, promote active learning, professional socialization and ease faculty workload. The mentor program was incorporated fall 2001 with the initiation of the web-based traditional PharmD pathway. To date 39 individuals have participated in the first two didactic years of the program. Mentor educational backgrounds include: graduate students (PharmD, DPT, MS and PhD), residency/fellowship (PharmD and M.D.), professional practice (PharmD or Ph.D.) and faculty. Responsibilities are course-specific, ranging from discussion board facilitation to grading assignments. Recruitment has occurred primarily via communications with professional acquaintances; only small-scale searches (alumni news letter or professional list serv) have been required. Faculty, student and mentor instruments have been developed to evaluate individual contributions and assistance provided by information technology and the program administrator. Each instrument is comprised of two sections, survey (which utilizes six-point Likert scale) and open-end response. Instrument development began September 2001, with receipt of final comments from external reviewers March 2002. Feedback from all factions has been collected and is in the process of being collated for analysis [evaluation period fall 2001 (mentors only) through fall 2002]. Information obtained will be used to guide quality improvements. Preliminary findings suggest support and acceptance by faculty, students and mentors alike. Items that remain under development include the mentor web site, an on line application with database interface, professional mentor repository and educational programming.

College-School District-Community Pharmacy Partnership to Develop Minority Student Interest in Pharmacy. Stuart Feldman, Lynn Reich-Johns, Sally G. Boudinot, University of Georgia. Objectives: Develop, implement and evaluate a partnership with the Clarke County School District (CCSD) to educate, mentor and provide pharmacy experience and career opportunities to high school students enrolled in CCSD’s Youth Apprenticeship Program (YAP). Methods: CCSD’s Career and Technical Education Department identified academically qualified minority students with an interest in the health professions. Through interviews two students were selected for the January 1997 pilot class. Students spent four afternoons a week in a structured program in the College of Pharmacy participating in laboratory preparation, attending selected laboratory and classroom sessions, and one-on-one interactions with faculty. As the program evolved members of the Student National Pharmaceutical Association served as mentors to the YAP students and the partnership expanded to include a community pharmacy component. CVS provided community pharmacy experiences allowing the students to move from the sheltered environment of the College of Pharmacy into community settings. Results: To date 14 students have taken part in the YAP. Nine students have graduated from high school. Eight of these have gone on to higher education programs with 4 students in prepharmacy programs (3 Georgia, 1 Out-of-State). One student is enrolled in the pharmacy program at Georgia. Eight students have been or are employed in community pharmacy settings (CVS (7) or another pharmacy chain (1)). Implications: Evidence to date suggests that a partnership between programs that reside in high schools, a college of pharmacy, and pharmacy employers can provide a mechanism to interest minority students in pharmacy careers.

Student/Faculty Retreat Focused on Interactions. Melissa S. Medina, Leslie Roth, Keith A. Swanson, University of Oklahoma. Objectives: The University of Oklahoma College of Pharmacy hosted its bi-annual student/faculty retreat in January 2003. The retreat was designed to increase student and faculty interactions and due to a recent program expansion (curricular delivery between two campuses) this goal assumed greater importance. Since retention in a program has been linked to individual’s feelings of connectedness to that program, the college welcomed this opportunity to unite students and faculty from both on-site and distant campuses. The theme of the retreat focused on personal and group interaction styles to further stress the importance of connectedness, which is directly related to quality and quantity of interactions. Methods: The interactive program consisted of one morning session and four afternoon sessions designed to encourage reflection. The morning session included individual assessment of interaction styles using the “UZoo” inventory and concluded with group activities and discussions pertaining to the interaction styles. The afternoon sessions included activities that focused on team concepts, knowing the “rules” when playing a “game”, offering and receiving constructive criticism; and handling conflict. A one-month follow-up is planned to reinforce the importance of effective interactions. Surveys designed to assess outcomes such as impact and satisfaction will be distributed to all retreat participants. Implications: A retreat designed to foster group interactions may be one way to promote connectedness and ultimately influence retention rates.

A Student-directed Enhanced Orientation Program for Incoming Pharmacy Students. Dana P. Hammer, Katherine S. Hale, University of Washington. Objective: Develop a student-led series of activities to enhance the current UWSOP first year pharmacy student orientation program. An enhanced program should better prepare students for integration into the PharmD curriculum and the profession. Methods: The current orientation includes presentations on logistical, registration, and programmatic information. Additionally, students take two baseline knowledge exams, have their immunizations updated, and are encouraged to attend a two-hour interprofessional symposium for first year students in all health professions schools. Students also discuss professionalism, write their own class ‘pledge of professionalism’ and participate in a “Welcome to the Profession” ceremony with family and friends. Students also may attend an overnight retreat hosted by upperclassmen to introduce them to extracurricular. The student-directed activities proposed to be added to this year’s orientation will include workshops in communication skills, time management, study skills, computer training, teamwork, and leadership. Interactive activities with faculty are also planned. Two evaluations will be conducted to determine the impact of the new activities: satisfaction of students in this program compared to prior years, and feedback from upperclassmen and faculty compared to prior years. Further details will be provided via a poster presentation. Implications: Including activities to foster professional and foundational behaviors, incoming students should be better prepared for the PharmD program and socialization into the profession. Additionally, having upperclass students create, implement and evaluate programs of this nature may help the programs to be better received by incoming students and develop the upperclassmen’s’ interest in certain academic careers.

Foundation and Conceptual Framework for a Teaching Certificate Program for Professional and Graduate Students, Residents, Fellows, and Practitioners. Dana P. Hammer, Karan Dawson, Nanci Murphy, Terri O’Sullivan, University of Washington. Objectives: Design a teaching certificate program to prepare pharmacy educators for the rigors of academic teaching, and to help inspire others to consider academic careers. Methods: Teaching certificate programs are becoming more common in academic pharmacy to better train pharmacy educators. Most pharmacy faculty have not been trained for the teaching aspects of their careers, and the shortage of pharmacy faculty continues to worsen. Recognizing the need and interest of numerous populations in gaining more teaching skills, several UWSOP faculty created and piloted a teaching certificate program for professional and graduate students, residents, fellows, and practitioners. The University’s Graduate School requires certificate programs to include an advisory board, admissions process, 15-credit course minimum, and a capstone project. Required courses in our program include: Introduction to College Teaching and Pharmacy Education, Teaching Methods in Medical Education, Evaluation of Learning in Health Sciences Education, Research in Medical Education, and Seminar in Pharmacy Education. Electives are offered from Schools of Pharmacy, Medicine, Public Health, and Education. Participants are required to complete several teaching/learning workshops, a 4-credit teaching practicum and an educational research project. Participants document achievement of certificate outcomes through a portfolio. Results: A pilot program included one professional student who completed required courses, several teaching/learning workshops, teaching practicum, and is completing a capstone educational research project. The advisory board is pursuing formal University approval this summer for official implementation Fall quarter. Implications: This program could serve as a model for other schools with interest in pharmacy education.

Best Evidence Pharmacy Education: A New and Imperative Initiative for the Pharmacy Academy. Dana P. Hammer, David Fielding, Karen Sauer, Kenneth Skau, University of Washington. Objectives: In 2001-02, AACP Council of Faculties Chair Diane Beck established a task force on Best Evidence Pharmacy Education (BEPE). The charge of this task force was two-fold: scan the external environment and introduce how evidence-based methodologies are being used by other educators to make curriculum and instructional decisions, and recommend whether AACP and/or COF would benefit from involvement with the Best Evidence Medical Education group. Methods: After an initial presentation at the 2002 AACP Annual Meeting, the task force has continued its work into 2002-03 academic year and is preparing a white paper on BEPE. This paper includes background on evidence-based education, pros and cons of BEPE for academic pharmacy, and recommendations to the academy for further progress in this area. Results: Information from the White Paper described above, as well as future directions for the task force, will be presented in a poster. Implications: BEPE is a rational approach to examination of curricular and programmatic decisions as well as a means to enhance collaborations of academic pharmacy with the educational goals of the other health care professions.

CONTINUING PROFESSIONAL EDUCATION

Exploring Pharmacist’s Affective Metacognitive Skills and Empathic Behaviors Using a Critical Incident Questionnaire. John Lonie, Donna Dolinsky, Long Island University. Objectives: The objectives of this pilot study are (i) explore if pharmacists are able to identify, label, reflect upon their own feelings toward a simulated patient care situation; (ii) to determine if pharmacists can behave empathically to a written patient care scenario. Methods: As part of a pharmacy continuing education program focusing on communication skills, pharmacists will be asked to complete a critical incident questionnaire (CIQ). A CIQ is an assessment instrument used to qualitatively identify behaviors, attitudes, and beliefs using participant written narratives. Data for the CIQ will be analyzed through content analysis using EZ-Text software. The CIQ in this study will involve a patient care situation intended to evoke an empathic response from the pharmacist. Major themes and categories of behaviors, attitudes, beliefs, as well as levels of metacognitive capacity will be explored and discussed. Results: Work in progress, results will be reported at the AACP Annual Meeting, July 2003. Implications: The ability to behave empathically is essential if pharmacists are to practice effective patient-centered pharmaceutical care. Research has shown that the ability to identify, label, reflect on, and take action upon one’s feelings is a metacognitive skill that is a precursor to effective empathic behaviors. By identifying factors that promote or inhibit pharmacist’s ability to behave empathically, pharmacy educators can begin to develop effective educational programs and curriculums that address the developmental aspects of empathic learning.

Evaluation of the Impact a Diabetes Disease Management Certificate Program Has on Pharmacy Practice. Marvin D. Shepherd, Radhika Arantharaman, Homa B. Dastani, Quynh Chau D. Doan, University of Texas at Austin. Objectives: The purpose of this study was to evaluate the impact of an educational Diabetes Disease State Management (DDSM) Certificate Program on the delivery of pharmacy services. Methods: The study was a cross-sectional mail survey design. Questionnaires and cover letters were mailed to 226 pharmacists who had successfully completed the DSSM program (2.6 CEUs-26 contact hours). Reminder postcards were mailed two weeks after the questionnaires were mailed. The questionnaire consisted of 33 items and collected information on demographics and changes in the frequency of various diabetic services provided before and after completion of the program. Responses were measured on a 5-point Likert scale ranging from “never” to “always.” Examples of diabetic services evaluated were: counseling patients on medication compliance, blood glucose monitoring, insulin injections, diet and exercise, diabetic foot care, diabetes-related complications, hypoglycemia, and gestational diabetes. Barriers that hindered the performance of these activities were also assessed. Results: A response rate of 27.4 percent (N=62) was obtained. Participants reported significant improvements (p<0.05) in frequency of counseling on medication compliance, hypoglycemia, blood glucose monitoring, and diabetic complications. Some other common services provided before the program such as pharmacotherapy evaluation, education on insulin injections and physical exercise showed modest improvements. The program had the greatest impact on increasing satisfaction with pharmacy practice and improving rapport with diabetic patients. Implications: The results of this study support the notion that the DSSM Certificate Program not only improves pharmacists’ behaviors, but also most likely will enhance patient outcomes.

The University of Texas Diabetes Disease State Management Certificate Program. Kristin Weatherspoon, Jill L. Williams, University of Texas at Austin. Objectives: The objective of developing the Diabetes Disease State Management (DDSM) Certificate Program was to provide pharmacists with an ACPE approved certificate program that would provide pharmacists with a hands-on, skill based learning experience structured to prepare them to: provide basic physical assessment services; gain comprehensive knowledge of popular glucose meters; gain practical understanding of proper insulin injection techniques, needle selection, and insulin handling and storage; as well as experience writing SOAP notes. Methods: The program which includes both home study and live components has been offered ten times to 226 pharmacists who have all successfully completed the DDSM Certificate Program earning 2.6 CEUs (26 contact hours) of ACPE approved pharmacy continuing education. The program is continually evaluated and adjusted to meet the educational needs of pharmacists such that they are well prepared to provide services to their diabetic customers. Results: Participants continually report improvements in frequency of counseling on medication compliance, hypoglycemia, blood glucose monitoring, and diabetic complications. Other common services such as pharmacotherapy evaluation, education on insulin injections, and physical assessment exercises are more frequently offered as a result of participation in the DDSM Certificate Program. The program has had the greatest impact on increasing satisfaction with pharmacy practice and improving rapport with diabetic patients. Additionally, five pharmacists went on to earn their Certified Diabetes Educator status. Implications: Participation in and successful completion of this continuing education offering increases job satisfaction, increases pharmacists’ participation in the care of diabetic patients and most likely enhances patient outcomes.

Comparison of Two Methods of Distance Learning for Continuing Pharmaceutical Education: Audio Teleconferencing and CD-ROMs. James E. De Muth and Ruth H. Bruskiewitz, University of Wisconsin-Madison, Objectives: To study pharmacists’ evaluations for the same continuing education program presented using CD-ROM technology as compared to annual statewide audio teleconference broadcasts. Methods: Course evaluations for pharmacists participating in a traditional audio teleconference program (n = 240) were compared with pharmacists completing the same course materials via CD-ROM (n = 44). The latter method was created for Wisconsin pharmacists unable to attend the 2002 fall teleconference because their county listening sites were not available. For both groups, the average response rate was 82%. Outcomes: Teleconferencing and CD-ROM technologies were rated the same on the majority of the evaluation questions. Differences identified were: (1) the audio quality was better using CD-ROMs compared to teleconferencing which involved telephone line transmission (p<0.05); (2) the lecturers were rated as more effective using CD-ROMs (p<0.005); and (3) the content value of the CR-ROM technology was more beneficial (p<0.005). In addition, the use of two-way audio telelecturing for question and answer sessions to clarify points of the lecture (not available to CD-ROM learners) was of uncertain value to the pharmacists. Additional findings will also be presented. Implications: Results will impact future distance learning activities in Wisconsin. Other continuing education providers should consider the merits of providing CD-ROM to learners over the more restrictive audio teleconferencing.

Survey of Health Professionals on Complementary and Alternative Medicine (CAM). Therese I. Poirier, Irv Freeman, Duquesne University. Background: In l998, more money was spent on CAM therapies on traditional therapies and as many as 43% of Americans used CAMs. These statistics highlight the need to ensure that there is rational, scientific, economical and ethical use of these therapies. Objectives: To determine what CAMs are incorporated into teaching, research and practice by health professionals at Duquesne University (DU) and Pittsburgh Mercy Health System (PMHS) and to identify needs for education, research, and information on CAMs. Methods: A total of 1717 and 298 surveys respectively were mailed to health professionals affiliated with PMHS and DU’s Schools of Pharmacy, Nursing, and Health Sciences. Results: Response rates were14.7% (253) at PMHS and 51.7% (154) at DU. Nearly 80% of the combined group agreed or strongly agreed that: (1) need for sources of information on safety and effectiveness of CAM therapies; (2) CAM therapies should be scientifically evaluated; (3) proven safe and effective CAM therapies should be integrated into clinical practice; and (4) would use accessible, centralized source of information about CAM therapies. 64.9% indicated interest in attending programs to learn more about CAM. 23.1% utilize peer-reviewed journals as their primary source of CAM information. A similar proportion relies on mass media such as television (9.1%) or the Internet (14.0%). Professional conferences and colleagues were each used most frequently as source of CAM information by approximately 10% of respondents.Conclusion: The data supports a need for enhanced access to reliable and scientifically based information and education on CAMs.

A Study to Evaluate the Availability and Acceptability of Various Distance Learning Delivery Systems for Continuing Pharmaceutical Education. Ruth H. Bruskiewitz, James E. De Muth, University of Wisconsin-Madison. Objectives: To identify the best replacement for the Educational Teleconference Network (ETN) and Wisline distance education delivery systems; to evaluate the availability of computer technology for Wisconsin pharmacists as a means of receiving distance education; and to determine the learners’ acceptability of different distance learning delivery systems and techniques. Methods: A survey was mailed to over 5000 pharmacists registered in the state of Wisconsin. Information on the availability of computer and Internet connection technologies, the acceptability of different continuing education (CE) delivery formats, and pharmacist demographics will be gathered and analyzed. A second detailed questionnaire will be sent to pharmacists recruited from the first survey, to include detailed demographics, preferred learning styles, preferred methods of CE delivery, and attitudes toward mandatory CE. Survey results will be evaluated based on selected demographic variables, and findings will be compared to research on a similar population, conducted in the early 1990s. Implications: With the loss of ETN, a method of distance learning that has been used for over 30 years, pharmacist responses will give direction to the selection of future distance education technologies.

The Differences in the Continuing Education Needs of Community and Health Systems Pharmacists in Northeastern Pennsylvania. David F. Maize, Wilkes University. Objective: The purpose of this study was to measure the continuing education needs of the pharmacists in Northeastern Pennsylvania. Methods: A survey was sent to the members of the local community and health systems pharmacists’ associations. The results were combined and analyzed as a group where appropriate. The data, analyzed by SPSS, were considered significant if P < 0.05. Results: The two groups ranked their preferences for continuing education topics. Both groups preferred the same five disease state or product related topics. The groups had little desire for programs that increased their clinical skills or promoted pharmacy profession. The only statistical difference between the groups showed that community pharmacists were more interested in dermatological topics than health systems pharmacists. Both groups preferred live presentations to any other form of presentation. They also preferred presentations made by pharmacists than by physicians but the difference was very small among community pharmacists. The groups preferred to meet between 5PM and 11PM during the week. Implications: This study is important in the planning for future continuing education programs at the Nesbitt School of Pharmacy. The results indicate: (1) Area pharmacists prefer live presentations in the evening hours during the weekdays. (2) Resources do not need to be directed toward computer-assisted programs due to the lack of interest. (3) Since little interest was identified in improving their practice skills, future continuing education efforts should be directed to demonstrating the benefits of clinical skills programs to their practices.

Marketing and Web Initiatives to Promote Online Continuing Education Courses. Kristin K. Janke, Priya Bardal, University of Minnesota. Objectives: To conduct a financial analysis of several key online programs. To increase the effectiveness of marketing efforts and implement mechanisms for tracking the success of these efforts. Methods: The financial status of several programs was assessed. A formal marketing plan and a schedule for marketing initiatives was created. Enrollment goals were determined for each course. Marketing initiatives were developed. In addition, methods for tracking the effectiveness of each initiative were implemented. Results: In response to the financial analysis, three corrective actions were taken: (1) tuition was raised, (2) the number of offerings/year was reduced (to control per offering costs), (3) marketing efforts were improved. Overall, 13 marketing efforts were implemented and assessed for effectiveness. While direct mail to hospital pharmacy directors provided a positive return on investment, participation in exhibit halls at national meetings did not. In addition, ads in national publications were determined to be cost-neutral, however, banner ads did not provide a satisfactory return on investment. For web-based initiatives, online practice quizzes demonstrating course content were well received, with an average of 21 participants/month. In addition, over nine months, 251 pharmacists have requested to be added to a listserv to learn of new programs, and 40 pharmacists have requested to be “reminded” of future course offerings. Implications: In order for online programs to be financially viable, careful planning and consistent monitoring is required. With tight budgets, it is important to assess the return on investment of marketing initiatives, in addition to the effectiveness.

Leadership and Teaching Skills for Successful Pharmacists. Lynn R. Patton, Nancy Fjortoft, Midwestern University-Chicago. Objectives: To develop, implement, and evaluate a continuing education series on “Leadership and Teaching Skills for Successful Pharmacists” for pharmacy residents and other pharmacists in a major metropolitan area. Methods: Recruitment and retention of pharmacists and pharmacy faculty has been identified as a serious issue facing health care institutions and colleges of pharmacy. A continuing education program was developed to inculcate academic values and to enable pharmacists to be more skillful preceptors. The program provided both theory and active learning exercises. Early input on both content and format was sought, received, and incorporated from local pharmacy and residency directors. The program consisted of a series of nine interactive sessions on a total of five days from September to February. Leaders in the pharmacy profession and pharmacy educators and evaluators presented the topics of communication, presentation skills, leadership, didactic and rotation teaching, assessment and evaluation. Participants in the program were asked to complete both a mid-program and a final evaluation. Results: Overall evaluation of the course was positive with topics receiving a mean score of 4.36 (range = 4.12 to 4.82) on a 5-point scale and presenters receiving 4.50 (range = 4.22 to 4.76). Implications: This course was well received by the participants. Further follow up will be done to assess use of skills gained from the program during the next year and to determine the number of program graduates who pursued academic careers.

Pharmacist Preparedness for the Lakeshore Project: A Diabetes Health Management Model. Denise L. Walbrandt Pigarelli, Ruth H. Bruskiewitz, University of Wisconsin. Objective: Pharmacists in the “Lakeshore Project,” modeled after the “Asheville Project,” must complete an ACPE approved Diabetes Certificate Training Program in order to co-manage patients with diabetes. A program, developed by the American Pharmaceutical Association (APhA), was adapted to meet the educational needs of pharmacists in the Manitowoc, Wisconsin area. Methods: Pharmacists participating in the “Lakeshore Project” were selected to provide education and monitoring services to patients with diabetes. The pharmacist’s role will include ensuring patient competence to achieve a diabetes self-care credential. To meet the pharmacists’ educational needs, the original 12-hour live workshop was compressed into a nine-hour segment on day one, with an additional four-hour segment held one month later. Results: The home study component and live training workshops for the “Lakeshore Project” were provided to pharmacists by the University of Wisconsin, under a licensing agreement with APhA. The first day of the live program consisted of review and discussion of didactic topics with a hands-on/skill building session. Modifications of the APhA workshop agenda consisted of restructuring lecture/discussion topics with the addition of presentations by Manitowoc area diabetes care providers. Day two encompassed business and computer/internet training specific to the “Lakeshore Project.” Fourteen pharmacists participated in this training. Implications: This training program provides the necessary elements to support the tenets of the “Lakeshore Project,” and may serve as a template for future project expansion.

EDUCATIONAL STRATEGIES

Education of Community Track PharmD Students Through Interacting with “Virtual Patients.” Katherine K. Orr, Brett M. Feret, Anne L. Hume, University of Rhode Island. Objectives: To develop, implement, and evaluate the use of virtual patients as a teaching tool for 5th year PharmD students within an advanced elective self care course. Methods: The self-care course is offered to 5th year PharmD students as an elective to expand upon non-prescription and complementary therapies. A “virtual patient” is defined as a fictional person created to correspond via e-mail with pharmacy students regarding a variety of health concerns. Eleven virtual patients were developed to accommodate student groups in a self-care course. Groups consisted of 4-5 students. Each virtual patient was linked to a major disease state as an initial identifier such as “Rash Diva”, though all other information including demographics, concomitant diseases, and medications or alternative therapies were not disclosed without student questioning. Community pharmacists, faculty, and pharmacy residents with alias emails portray the virtual patients, therefore students could not identify them. Throughout the semester ten in-depth questions primarily focusing on self-care topics are e-mailed out on a weekly basis with correspondence over the week and responses due by each Friday. All responses are forwarded to the course coordinator for evaluation and future review and discussion in class. A survey assessing the value of virtual patients as a learning activity will be administered prior to course completion. Implications: This teaching tool is designed to enhance student’s assessment and counseling skills when interacting with patients in challenging situations.

Revealing How to Change Unsuccessful Academic Behaviors. Melissa S. Medina, University of Oklahoma. Objectives: Successful students understand how they learn best. In contrast, unsuccessful students lack this awareness and instead repeat ineffective studying strategies. These ineffective strategies, such as memorizing discrete facts for a test, interfere with student progression in a professional program where they are required to connect concepts and apply their knowledge. What methods are available to help poor students understand how they learn and how to develop successful strategies? To facilitate students’ reflection of their current study strategies, a three-part study skills seminar was created to discuss the skills/strategies/methods necessary to achieve academic success. Methods: Three one-hour seminars were developed by the college’s educational specialist and were focused on the topics: staying motivated, study skills, and time management/goal setting. The seminars were delivered during the middle of the fall semester to all students in the academic program. Surveys were distributed to ascertain how well the seminars met students’ needs. Results: Survey results indicated three main findings. First, prior to the seminars, students were unsure of how to change unsuccessful academic strategies. Second, the seminars increased students’ awareness of new and realistic strategies that they could apply to their coursework. Third, students perceived the seminars as beneficial to their academic success. Implications: Helping students understand how they learn is important for future success in a professional program that requires retention and transfer of knowledge. Identifying at-risk students earlier in the semester and providing them with individualized discussion about the seminar topics may provide additional benefit.

Health-Promotion Activities in the Community Setting. Susan M Paulsen and Christopher J. Turner, University of Colorado Health Sciences Center. Objective: Develop health-promotion and disease-prevention patient interview tools for use by P2 students in their community pharmacy based experiential course. Methods: P4 students on an elective education rotation were asked to create health-promotion/disease-prevention tools for use by P2 students in their community pharmacy-based introductory experiential course. These tools serve as a resource guide for conducting interviews with patients in the community pharmacy setting. Each P4 student was allowed to choose a topic and given a template. One course director of the introductory pharmacy practice experiential courses reviewed the tools for content, accuracy and utility. Clinical Pharmacy faculty chosen for their areas of expertise conducted the final review. These interview resource guides now reside on the School of Pharmacy website for use by students and preceptors. Monographs on colorectal cancer screening, breast cancer screening, hypertension, hypothyroidism, depression, and gastroesophageal reflux disease were created in the Fall 2002 semester by five P4 students and one pharmacy practice resident, and are in use by P2 students in the Spring 2003 semester. Use of these tools by P2 students will be assessed at the end of the Spring 2003 semester. Implications: The utility of this project is two-fold (1) It mentors P4 students into leadership roles for promoting effective patient communication in the community pharmacy setting, and (2) promotion of pharmacy practice in supporting accessible promotion of public health.

Objective Structured Drug information Exam (OSDIE) as a Terminal Assessment of Skills in a Drug Information Course. Tracy M. Hagemann, University of Oklahoma. Objective: To objectively assess student’s ability to locate answers to typical drug information questions using tertiary, secondary and primary literature sources. The student will demonstrate ability to perform focused searches for drug information answers to a given question. Methods: Drug Information Systems is offered Fall semester of the second professional year and has evolved into a strong skills-based course. Because multiple choice exams did not fully assess student skills in conducting a drug information search, an objective structured exam was developed. A two-station, individual, skills-based exam was performed in the presence of an instructor. Each clinical question was similar to those in a typical pharmacy setting. References were available at each station. Once entering the room, the student was given two written questions, five minutes to plan their search strategy, and 10 minutes to answer both questions. The OSDIE administrator concurrently evaluated the student’s search technique. Evaluation was based on written response to the questions and technique. The OSDIE comprised 40% of the overall grade for the course. Feedback was given immediately afterward. Results: All students successfully completed the OSDIE. The average score was 138/150 points (92%). Students felt well prepared for this exam. A follow-up exam is planned for Spring 2003. Implications: This type of terminal course exam is a practical method of assessing drug information skills and may be useful in other skills-based courses. The OSDIE allows weaknesses in drug information skills to be more accurately identified and may allow for more effective remediation.

Including Taste Preference Data in a Compounding Activity to Demonstrate Patient Compliance Issues. Susan M. Jay, University of Kentucky. Objectives: To use students’ own taste preference to demonstrate the impact that flavor selection in a compounded medicinal has on patient compliance; to determine if pre-selected taste preference overrides actual success of a flavor’s impact on masking taste in products that are unpalatable. Methods: PY1 students (n = 100) completed a survey prior to a compounding activity indicating their taste preference for 1 of 4 flavors: orange, orange-cherry, maple and lemon. Each student was then assigned to a group to prepare and taste 4 potassium chloride solutions, each containing one of the listed flavors. After preparing and tasting the solutions, students were again surveyed to indicate flavor preference. Students also identified the preparation with which they would likely be compliant based on flavoring. Results: 58% of the students chose a flavor different from their pre-selected flavor after tasting the compounded product. Only 25% of the students indicated that they would be completely compliant with the potassium chloride preparation that they preferred based on taste while 68% would be partially compliant and 7% would be non-compliant. Implications: Addition of a survey instrument to a compounding activity resulted in students having quantitative information that could be used to modify a flavored preparation to improve palatability and impact on compliance. The exercise also helped the students develop an appreciation for patient feedback when compounding a product to meet the needs of an individual patient.

A Novel Approach to Developing Problem-Solving Skills in Pharmacy Students. Toni L. Ripley, University of Oklahoma. Objectives: To develop, implement, and evaluate a strategy to teach pharmacy students therapeutic problem solving skills. Rationale: Many faculty report that when students enter their clinical rotations they appear to lack therapeutic problem solving skills. To address this problem, students were taught a seven-step problem solving method (problem identification; define goals; assessment; list options; evaluate options; select, implement, and justify a plan; and follow up) that was developed by a faculty member. Early exposure should allow for development and maturation of this thought process for use in clinical settings. Methods: The problem solving teaching was placed in the first integrated therapeutic module in the first semester of the second professional year in a 2+4 curriculum. Five didactic hours were allotted to teach the skills. The first two hours were dedicated to a description and example of each step, supplemented with videos that displayed problem-solving processes. The remaining three hours used guided design to assist the students in practicing each problem-solving step. Therapeutic cases were used to assess students’ ability to utilize the problem solving strategy. Additional evaluation of the delivery of the material as well as the skills the students were given is ongoing. Implications: This approach to teaching problem solving skills provides students with a guideline to approaching therapeutic problems early in their curriculum. This process may help to externalize an intuitive thought process that may be refined during therapeutic modules and potentially augment students’ performance on clinical rotations.

Comparing Academic Performance of Nontraditional PharmD Students to Campus-Based PharmD Students: Raw Course Scores as an Outcome Measure. Robert M. Breslow, James E. De Muth, University of Wisconsin-Madison. Objectives: To demonstrate that there was no measurable difference in course performance between Nontraditional PharmD students and campus-based Post-baccalaureate PharmD students. Methods: This retrospective analysis compared the academic performance of Nontraditional PharmD students to Post-baccalaureate PharmD students using raw course scores. Course scores for Post-baccalaureate and Nontraditional PharmD students for academic years 1997-98 and 1998-99 were collected from course coordinators. For each of the courses that could be compared, the NTPD performance data was aggregated when possible for multiple years. Data for the Post-baccalaureate group was handled in the same manner. To corroborate the study hypothesis that there was no significant difference in performance between the groups, actual grade data was collected and analyzed. Furthermore, two elective courses were selected for comparison. These courses included students in the BS Pharm and entry level PharmD programs. Results: Performance scores were analyzed using a number of statistical methods; the Student t-Test, ANOVA, and Kruskal-Wallis. By and large, there was no difference between the two groups. For courses or years where a significant difference was noted, the difference generally favored a more positive performance for the Nontraditional Doctor of Pharmacy students. Implications: While these findings cannot be generalized to every Nontraditional Doctor of Pharmacy Program and all formats for course delivery, the results do provide some level of confidence that off-campus students enrolled in a distance education course can perform at least as well as on campus students enrolled in courses of the same design with comparable course material.

Written Knowledge Assessment as a Determining Factor for Didactic and Experiential Curricular Change. Frank K. Sanacore, Julie A. Hixson-Wallace, Mercer University Southern School of Pharmacy. Objectives: To determine: (1) areas in the didactic curriculum needing additional emphasis; (2) topic areas requiring more emphasis during a required medicine advanced practice experience (APE). Methods: Data from students completing a required medicine APE at two community hospital sites with either of two faculty members are included in this project. Twenty-eight sets of data are anticipated. A written knowledge assessment is administered at the beginning of the APE to determine the students’ baseline knowledge level. The assessment is repeated at the conclusion of the APE. Results of the “post-test” are compared to those of the “pre-test” to objectively determine improvement. All assessments are evaluated by one faculty member to insure consistency in assignment of scores. Items for which only one answer is acceptable are assessed as either “correct” or “incorrect.” Items requiring a short answer/essay response are assessed on a five-point scale: zero points if unanswered, one point if < 30% correctly answered, two points if 30% to 69% correctly answered, three points if 70% to 89% correctly answered, and four points if 90% to 100% correctly answered. Pre- and post-test scores will be compared utilizing a paired student t test. Implications: “Pre-test” analyses may identify areas within the didactic curriculum needing additional emphasis. “Post-test” analyses may indicate topics requiring additional emphasis in future APE rotations.

Providing PDA Classroom Demonstration Using Handheld Screen Display Software With an Expansion Device in a Professional Practice Development Course. Mary F. Powers, Laurie S. Mauro, The University of Toledo. Objective: The objective is to increase student exposure to handheld devices by offering classroom demonstration of some basic applications for Personal Digital Assistants (PDAs). The project also provides a classroom introduction to a general drug information program that is available for PDAs, as well as classroom use of presentation software available for handheld devices. Additionally, the project attempts to assess the impact of this classroom experience on the likelihood of students acquiring PDAs. Methods: Design: Handheld screen display software is used to demonstrate basic PDA applications for the Palm™OS. Assessment: Course assessment and evaluation surveys. Participants: Pharmacy students in their second professional year. Results: Students were given a classroom presentation using a PDA. The presentation included a demonstration of some PDA applications. Students were surveyed for likelihood of acquiring PDAs before and after classroom exposure. Implications: PDAs are playing an increasingly important role in the daily activities of pharmacists and other healthcare providers. By exposing students to these devices as part of their professional development, students may be better equipped to understand and appreciate the usefulness of the devices in their practices. Furthermore, specific aspects of software applications that pertain to medications and their proper use may be shown in a classroom setting using handheld screen display software with an expansion device.

Timed Quizzes: A New Way for Old Methods. Sujit S. Sansgiry, Monali J. Bhosle, Amit S. Kulkarni, University of Houston. Objectives: To evaluate the perception of PharmD students towards the use of timed quizzes delivered using Microsoft PowerPoint software. Methods: Timed quizzes were delivered to Doctor of Pharmacy students using Microsoft PowerPoint Software. First year students had a single exposure with this method, whereas second year students were exposed to the quizzes twice in their academic career. Their perception was measured on a 15-item, five-point semantic differential scale. Data were coded and analyzed using the SAS statistical package at a set priori significance level of 0.05. Descriptive statistics and t-test were conducted to compare the two groups. Results: Analysis was carried out on 167 usable surveys (P1=85, P2=82). The students found the new technique exciting (3.22 + 0.94) and interesting (3.33 + 1.02). They believed that it saved resources (4.28 + 1.11). First year students believed that it increased their chances of committing an error (3.69 + 1.14) as compared to second year students (3.06 + 1.22) (P=0.0007). Second year students felt that the quizzes were better than paper based (3.21 + 1.41) as compared to first year students (2.64 + 1.31) (P=0.0076). Implications: Second year students were found to be more favorable towards the new technique. Like any new system being implemented, the amount of experience with the system does affect perceptions. The most important aspect of the timed quizzes was that it saved resources, saved time, and increased student’s ability to analyze information. This system can be used in any course to help improve efficiency.

Incorporating Domestic Violence Education Into the Pharmacy Curriculum. Melody Ryan, Eleanora Bird, Holly Pursley, Ann Amerson, University of Kentucky. Objective: To develop and implement learning experiences on domestic violence for third professional year students. Process: A didactic lecture and a structured clinical instructional module (SCIM) were composed around the topic of domestic violence. The didactic lecture served to introduce the topic. A task force, composed of faculty, a graduate student, a pharmacy resident, and a professional student, developed the SCIM. The SCIM included objectives, student instructions, a standardized patient script, a checklist grading sheet, case support materials, and follow-up student work. Standardized patients were trained to portray the case. The SCIM was piloted with 10 students. Feedback was solicited immediately from both students and standardized patients and provided to the task force. The SCIM was further modified and a materials checklist was developed. The final version of the SCIM is used in the third professional year curriculum and results from two years are presented. Student feedback was solicited following SCIM participation through surveys and focus groups and will be summarized. Data from the survey conducted after the first presentation of the SCIM showed 88% of students agreed or strongly agreed that the SCIM was realistic; 77% agreed or strongly agreed that the SCIM increased their knowledge of domestic violence. Resources to obtain information and reasons pharmacists should be trained to recognize domestic violence will be presented. Implications: The combination of a didactic lecture and a SCIM to provide instruction on domestic violence appears effective. The SCIM will be presented and is available for dissemination to other colleges of pharmacy.

An Innovative Interdisciplinary Approach To Teaching Professionalism. Andrea L. Wall, University of Cincinnati. Teaching students to develop the attitudes and behaviors that encompass professionalism can be a difficult task. Faculty members from the Colleges of Pharmacy, Allied Health Sciences, and Nursing planned and implemented a two-year interdisciplinary project to develop professionalism in health professions students. Objectives: (1) emphasize the importance of professionalism in clinical experiences, and (2) increase awareness of the roles of other allied health professionals. Methods: The project included two components: a half-day orientation and a two-hour clinical placement. The orientation addressed the topic of professionalism through role-plays, case studies, and interdisciplinary small group discussions. In small groups, students identified ten characteristics of professionalism common to all disciplines. After attending the orientation, students were placed in clinical or community sites with a health professional from a discipline other than their own. During this experience, students observed the role of the health professional; furthermore, they became aware of how their own profession might contribute to that setting. Over 300 students from a variety of health-related disciplines (including 120 Pharmacy students) participated in the project over a two-year period. Results: According to student evaluations, over 90% of the participants felt that it is important to discuss professionalism with students. Evaluation results indicated that students’ awareness of professionalism increased; furthermore, their perceived ability to interact with other professionals increased. Implications: Educational experiences that focus on professional attitudes and behaviors will increase students’ awareness of the value of professionalism in health care settings.

Implementation and Evaluation of “The Age Game”: An Interactive Tool to Increase Pharmacy Student Awareness of Geriatric Pharmacotherapy. Kirsten D. Fanning, Deborah H. Kennedy, Phillip L. Thornton, Auburn University. Objectives: To implement and evaluate an interactive student-directed learning method used to facilitate students’ knowledge of health-related needs of older patients, enhance their communication techniques, and stimulate thought and discussion regarding the multiple factors that can complicate drug therapy in the senior population. Methods: A set of highly interactive scenarios were used to stimulate discussion regarding age-related pharmacodynamic and pharmacokinetic changes, geriatric disease related changes, geriatric pharmacotherapy, physical assessment of the older patient, and communication skills necessary to assist in the counseling of older patients. These scenarios were used in a board game format in which the student “ages” as they progress around the board experiencing decline in vision, hearing and dexterity. A survey assessing the game was administered upon completion. Results: The Age Game was implemented in geriatrics elective courses offered on two different campuses in which 47 students participated. Overall evaluation of the Age Game as a useful learning tool was positive (mean score: 4.38/5). Implications: Results indicate the Age Game was a successful strategy to introduce students to the complex needs of the geriatric patient. Further implementation and integration of the Age Game should be considered to expose a greater number of students to their unique role in caring for older patients and recognizing the limitations and challenges the senior population faces.

The Geriatric Medication Game: An Educational Experience of Older Persons and the Social Environment of Their Medications. Myra T. Belgeri, Stephanie L. Evans, Patrick E. Fontane, Tricia M. Berry, St. Louis College of Pharmacy. Objectives: To revise and update an existing version of the Geriatric Medication Game. The game was developed to improve understanding of obstacles confronting older persons and their use of medications through role-playing. Players are provided with everyday situations that elderly persons in our health care system encounter as they acquire and use medications. Methods: We collaborated to revise, expand, and update the original version of the Geriatric Medication Game. The target audience of the original game was pharmacy students and the revision has been broadened to include other health care professionals in training. Results: The revised Geriatric Medication GameÓ involves 3 phases. In Phase I (Identity), players learn their patient characteristics (financial resources, physical handicaps, and personal attributes). In Phase II (Encounters and Challenges), players attempt to pass health care related challenges at stations (physician’s office, pharmacy, health care provider, transportation, home, and tests and benefits) within the game. During this phase, players encounter medication related problems by drawing from a deck of game cards. Through these challenges and medication cards, players are charged fees and lose financial resources, may develop more physical handicaps, or may lose personal attributes. In Phase III (Reflection), the players and facilitators discuss their experiences and subjective perspectives of the game. Implications: The Geriatric Medication Game will enhance the players’ understanding and empathy of the challenges that older persons encounter in their daily lives. This understanding should in turn improve the medical care that we provide to elderly patients.

Facilitation of Critical Thinking in Pharm. D. Students Via Use of Contemporary Healthcare Topics in a Project-Based Research Methodology Course. Vimal Kishore, Xavier University. Objective: Since a significant number of students in Research Methodology course continued to demonstrate a gap in critical thinking, my objective was to transform the course in a manner that would address this concern without diluting the academic rigor of the course. Methods: The most important change consisted of teaching the course less through the medium of lectures but more through practical assignments. Group assignments were made to enhance collaborative learning while individual assignments were given to promote independent learning. All assignments involved performing a critical evaluation of a contemporary issue in healthcare. Attempts were made to choose a topic of high relevance to a practicing pharmacist. In order to allow more time for reflection, trial-and-error, and critical evaluation, the course offering was changed from a 2-hour spring semester course to 1-hour two-semester long course spanning the entire third year. Results: The modified course has now been taught for the past one year. To promote critical thinking, students evaluated the merits/demerits of “Dr. Atkin’s High Fat Diet”. They collected literature from all three kinds of sources (primary, secondary, and tertiary) and made attempts to distinguish scientific claims from pseudoscientific and non-scientific claims using concepts taught in the class. Results of assessment indicate much greater appreciation for the relevance of critical thinking and research methods to pharmacy education. Implications: Transformation of a research methodology course from a lecture-based course to a project-based course has the potential of facilitating critical thinking in pharmacy students.

Organization of a Geriatrics Elective Using Traditional and Student-Directed Instructional Methods. Phillip L. Thornton, Kirsten L. Fanning, Amy R. Donaldson, Kirsten L. Helms, Auburn University. Objectives: To develop, implement and evaluate a geriatrics elective course that provides students the opportunity to improve long-term knowledge of complications in geriatric pharmacotherapy. To increase interest in senior care pharmacy. Methods: A geriatrics elective was introduced in Fall 2002 with students ranging from professional year 1.5 to 3. Students’ geriatric knowledge base was assessed at the beginning of the course using a pre-course evaluation. Teaching methods included discussion of scientific, clinical, and popular literature, utilizing “The Age Game”, reflective journal writings, and traditional didactic lectures. To enhance learning, students visited and performed a drug regimen review of residents in an area nursing home and the recommendations were presented in person to the physician of record. Course evaluations were conducted at the end to gather student perceptions. A post-course evaluation will be conducted three months after conclusion of the course to evaluate long-term benefits of instructional methods used. Results: Preliminary results indicate that students had moderate knowledge of aging and geriatric pharmacotherapy prior to the course. Presentation of drug regimen reviews to physician suggests significant improvement in knowledge and application of the principles delineated in the course. Course evaluations show that the course was a valuable experience but did not stimulate interest in a career in senior care pharmacy. Data will be collected to examine 3-month retention of learning issues and results will be presented. Implications: A geriatrics course that utilizes student-centered learning methods can improve knowledge and application of complexities that are common in the geriatric population.

Integration of Research Methodology in Clinical Experiential Training of Senior Entry-Level PharmD Students: An Innovative Approach. Susan Hinton, Brooke Pillifant, Tammy Hart, Janelle Bailey, Vimal Kishore, Xavier University. Objective: To develop an innovative experiential rotation for PharmD students whereby practical aspects of research involving human subjects are seamlessly integrated into a traditional clinical experiential rotation. Methods: The rotation was developed using research objectives from an NIH-funded longitudinal experimental study to test the effectiveness of pharmacist delivered alcohol intervention. During each 4-week long rotation, two to three students are made an integral part of the research team. Students not only “shadow” the research team, they also actively participate in various aspects of the study such as subject recruitment; data collection, entry, and management using ACCESS and SPSS; and follow up. They also complete a certification on protection of human subjects and a mock Institutional Review Board application; and make a 50-minute oral presentation on latest developments in alcohol use prevention. Finally, they also master various drugs used in the treatment and rehabilitation of alcoholism. Results: The new rotation was begun in April 2002 and so far 17 students have participated in it. Feedback from the students indicates high enthusiasm both for the hybrid format and the learning outcomes. Most favored learning activities cited are the ACCESS Project, and interaction with the subjects in the health care centers. Least favored activity was reading assignments which were deemed to be extensive. Implications: Our innovative approach affords senior PharmD students an opportunity for learning practical aspects of research involving human subjects, an opportunity that is not available through other more traditional experiential rotations.

Assessing the Effectiveness of Web-based Experiments Within a General Chemistry Laboratory. Leon E. Cosler, David Clarke, Janice Jarvis, Albany College of Pharmacy. Objectives: To assess the educational effectiveness of web-based virtual labs within a general chemistry course compared to traditional labs and to identify student characteristics related to differences in performance. Methods: We created three types of laboratory experiment experiences for use in the second semester of a general chemistry course: (1) traditional “in-lab” experiments; (2) web-based “virtual” experiments with supervision immediately available; and (3) web-based “virtual” experiments without any supervision. We designed a single blind, crossover study which randomly assigned students to each of these three types of experiments, to be completed in different sequences. Our design allows for each type of experiment to be assessed without the confounding of the order in which they were completed. Students will be given a pre-test and post-test quiz surrounding each laboratory. To assess student characteristics which may be related to web-based learning abilities, all students completed a preferred learning style instrument (VARK), and a computer familiarity survey prior to randomization. Students who elected to participate gave permission to access their existing GPA, SAT scores, and General Chemistry grades for additional measures of students’ abilities. Outcomes will be measured by using the changes between pre-lab and post-lab quiz scores, and will be related to: gender, prior student academic success, computer familiarity, and learning styles. Implications: Replacement of traditional laboratory experiments with web-based “virtual” experiments has important implications for student learning, resources, and distance-based learning. This research uses a rigorous design to assess this new modality and will provide valuable information for future curricular development.

Implementation and Usefulness of an Internet Web Site to Support Provision of a Large On-Campus Therapeutics Course. Gary N. Elsasser, Michael S. Monaghan, Creighton University Medical Center. Objectives: Develop, implement and assess an Internet web site to support a large on-campus team-taught therapeutics course. Methods: A web site was developed to facilitate the delivery of a 7 credit-hour team-taught therapeutics course. The web site was used to facilitate communication between instructors and students. Example uses include the distribution of lecture material and posting sample essay examinations. Students were administered a survey upon completion of the semester to assess their utilization of the site and its perceived usefulness. Results: Ninety-nine students (98%) returned surveys. Seventy-two respondents accessed the site an average of 40 times during the 16-week semester or 2.5 times per week, while the remaining 27 respondents either provided a narrative estimate, ie “many” or no estimate. The most frequent reasons identified for site utilization were for access to instructors’ PowerPoint® slides (96%), grades (93%), case studies (84%), schedule (63%) and instructors’ outline (61%). When asked to categorize the site as very useful, useful, and not useful or no opinion, 97% of respondents described the site as either very useful (61%) or useful (36%). Implications: An Internet web site is a useful support for students enrolled in a large on-campus therapeutics course. The size of the course (7 credit hours) and amount of material provided to students may be particularly benefited by a supplemental web site.

Cooperative Education as an Educational Strategy to Provide Up to 12 Months of Full-time Introductory Pharmacy Practice Experiences in a Trimester Calendar. Mark Yorra, Robert J. Blaser, Northeastern University. Objective: To provide a structured program for Introductory Pharmacy Practice Experience (IPPE), that includes 12 months of full-time paid pharmacy experience utilizing the Cooperative Education learning model. Methods: Northeastern is moving to a trimester system, which required a redesign of the PharmD curriculum and calendar. Prior to the first co-op experience, students participate in the “Introduction to the Pharmacy Profession” and “Pharmacy Co-op Seminar” courses to provide students with an understanding of the profession, and basic pharmacy workplace skills. Students apply for positions the same way they apply for real jobs, which are set up by the Co-op faculty. A reflection with the co-op faculty member occurs after each co-op, which helps students explore their personal and career goals, and the learning that occurred on the job. Results: In the 0 – 6 entry level PharmD program, all students obtain three four-month co-op experiences in a pharmacy or related setting unless they are transfers into the P1 year, where they receive two four-month experiences. Implications: Students are exposed to both institutional and community practice settings, as well as the opportunity to explore research, industry, government and other non-traditional jobs. The trimester calendar allows for three full-time four-month opportunities. Students receive a position related to their interests, meet IPPE requirements, and explore career options. Students in this model are more mature in the workplace during co-op and upon graduation, have a network of professional colleagues, and have a clear picture of their role in the pharmacy profession and the health care system.

Developing and Delivering On-Line Compliance Training. William K. Fant, Ralph Brueggemann, Jack Kues, Judy Jarrell, University of Cincinnati. Objectives: Develop a web-based compliance training and tracking system capable of delivering compliance training programs to faculty, students and staff with management tools to record and report on progress toward and completion of training requirements. Methods: An interdisciplinary team, representing the colleges of medicine, nursing, pharmacy and allied health, and administrative and library organizations, identified bloodborne pathogens and HIPAA training as targets for on-line course development. Using standard web tools and SQL databases, a web-based training tracking system was developed to deliver and track compliance with standards for training. Courses on bloodborne pathogens, immunization training for pharmacists and HIPAA were developed and delivered using this system, beginning in July of 2001. Results: Over 2300 individuals have received training on-line. On-line reporting and tracking systems have improved compliance by over 200% during this period. Departmental representatives receive compliance variance reports and individuals receive advance notices when additional training is due. Evaluations by participants indicate a preference for on-demand, on-line training versus scheduled classroom training. Requests for assistance for computer problems associated with the training have been recorded. These requests have been limited to 33 individuals, most of whom required the installation of browser plug-ins. Implications: An interdisciplinary approach to developing and delivering on-line training resulted in a cost effective delivery and tracking system for compliance training. Experiments are underway to share training between institutions through the AAMC and to expand the number and types of course offerings. The new modules will include additional training on HIPAA and Human Subjects research.

Poison Prevention Education Through a Partnership Between the University of Tennessee College of Pharmacy and Extension Service. Eugene B. Smith, Dick R. Gourley, Barbara Clarke, Peter Chyka, University of Tennessee. Objective: Reaching rural and urban areas with a poison prevention program often overwhelms the resources of a Poison Control Center. The University of Tennessee (UT) Center for Community-based Health Initiatives, a partnership between the UT College of Pharmacy and the UT Extension Service, designed and implemented a technology infrastructure to link the Poison Control Center with county Extension educators to promote the services of the Poison Control Center and to teach the public about poison safety. Methods: Through a telehealth grant, a competency-based model was developed for a three-phase training program for twenty-seven participating counties. The goal of the training was to empower county Extension educators to develop and conduct PowerPoint presentations, access dedicated web site for additional resources and materials, and use web-based communication. Results: Technology equipment was placed in the county Extension offices and a high-speed internet-based communications network for linking the Poison Control Center with the county Extension educators was established. Thirty-eight participants rated the training program a 4.8, with a 5 representing excellent. Participants’ self-efficacy scores increased following each training phase and across all three phases. A second USDA grant has been awarded to train additional county Extension educators. Implications: The training model has effectively trained county Extension educators to use technology to reach their communities with research-based poison prevention education and to link with the resources of the Poison Control Center.

Utilizing a Residency Forum to Help Pharmacy Students Choose Post Graduate Training. Arjun P. Dutta, Monika N. Daftary, Hyon Kang, Howard University, School of Pharmacy. Objectives: Exposing students to post graduate training/education options in pharmacy utilizing a residency forum for all fourth year students. The purpose of the forum was to introduce students to the concept of pharmacy residencies, how to apply for a residency, the interview process, and organizations that support residency programs. Methods: An annual residency forum was conducted in October 2002, which included speakers from ASHP, APhA, local residents and fellows from area programs, and faculty members. The forum introduced students to the necessity of postgraduate education, preparing an application, and the process involved with special emphasis on the Annual Midyear Clinical meeting. A questionnaire was developed and administered to these students to elicit information regarding their current knowledge and experience in selecting residency programs and whether they considered such a forum to be important. A follow up survey will be conducted in April to identify whether the residency forum actually helped students in selecting an appropriate residency. Results: Data analysis is currently being conducted. Conclusions: The results of this study will highlight the importance of conducting residency forums for pharmacy students that would ultimately help them in their preparation for selecting the residency program of their choice.

Evaluation of the Impact of Visual Learning Aids on Student Interest and Learning in Pharmaceutics. Laura M. Fox, University of South Carolina. Objectives: To evaluate the impact of visual learning aids on student interest and learning in pharmaceutics. Methods: In response to student evaluation comments the previous year, visual learning aids were incorporated into the first-semester pharmaceutics course. Visual learning aids such as videos, examples, demonstrations, and experiments were incorporated during lectures on pharmaceutics theory (eg thermodynamics, surface tension, rheology, dissolution, etc), compounding (eg methods for preparing emulsions, suspensions, etc), excipients (eg sweeteners, thickening agents), and administration of dosage forms (eg pediatric solutions, ophthalmics). Students voluntarily completed a mid-term evaluation of the course and a separate end-term evaluation of the use of learning aids in the course. The evaluations included both open-ended and close-ended items. Results: Students indicated that the demonstrations conducted in class and the use of video presentations in lecture increased their understanding and interest in pharmaceutics. Over 79% of the students enrolled in the course completed the end-term evaluation of the use of learning aids in Pharmaceutics I. Of the respondents, 90% indicated that the demonstrations conducted in class helped them understand pharmaceutics concepts. Additionally, 79% of the responding students indicated that the use of video presentations increased their understanding of related concepts and/or procedures. Implications: Introductory pharmaceutics courses are often considered uninteresting or dry by students. Incorporation of visual learning aids provides a mechanism for engaging students during lecture, capturing students’ attention, and enhancing student understanding of more difficult pharmaceutics concepts.

Designing a Web-Based Immunization Training Program for Incorporation Into a Pharmacy Practice Skills Lab. Michael B. Doherty, William K. Fant, Shauna M. Buring, University of Cincinnati. Objective: To develop and implement a web-based immunization training program that meets requirement for certification and minimizes class time utilization and faculty contact time in a Pharmacy Practice Skills Lab. Methods: The Skills Lab emphasized skill instruction in infectious disease and endocrine disorder disease management. Small groups of six students rotated through ten, 3-hour modules to address these skills during the 10-week quarter. A single faculty member facilitated each module. One module pertained to immunization administration training. A 5-hour immunization course needed to be reformatted so that a portion of the material could be completed prior to class using a web-based format. The remainder of the material would be conveyed and demonstrated in lab. It was necessary to continue satisfying the requirements for certification while maintaining consistency of content between multiple faculty. Results: Prior to participating in the module, students were instructed to complete the required readings and online material for immunizations. The online program was comprised of a 90-minute lecture synced to slides and incorporated into a web based tutorial program. Students would view one segment of the program and then complete a quiz that covered the previously viewed material. Students could not continue with the program until they correctly completed the quiz. In lab, the students viewed previously recorded lecture videos on immunization protocols, procedures, and administration and then demonstrated intramuscular and subcutaneous administration technique. Implications: The web-based immunization course allowed for multiple offerings of the course while maintaining consistency and reducing faculty contact time and responsibility.

Comparing Health-Related News Publications to the Original Research: A Writing Assignment in a Drug Information and Literature Evaluation Course. Samantha F. Eichner, Susannah E. Motl, Erin M. Timpe, University of Tennessee. Objectives: An educational strategy was developed to provide students with experience evaluating drug information published in the news in comparison to the content of the original research article. The goal of this assignment was to stimulate thought and heighten awareness of the presence, accuracy, and quality of health information published in the news media. Methods: Each student was assigned one of six health related news publications. Students were instructed to search for and retrieve the original research article; to critically evaluate the original research; and to evaluate the quality and accuracy of the news publication’s representation of the original research. A checklist for evaluating and comparing the articles was provided. The assignment required students to construct a professionally written critique of the news publication discussing the quality, accuracy, and potential responses the lay public may have to the article. Results: One hundred students completed the assignment; the average grade was 91 with a SD of 7.65. A pre and post survey revealed that 84% of students agreed that the writing assignment reinforced critical literature evaluation skills, while 90% agreed the assignment contributed to completion of course objectives. Student self-rated ability and confidence in evaluating the news publication and identifying potential responses of readers improved following the assignment. Implications: This strategy demonstrated that a writing assignment requiring comparison of a news publication to the original research reinforced critical literature evaluation and communication skills and stimulated thought about health information published in the news and potential public responses to this information.

The Socratic Dialogue as a Methodology to Develop the Critical Thinking Ability. Wanda T. Maldonado, University of Puerto Rico. Objective: Critical thinking is clearly delineated as an outcome ability of our curriculum. With the purpose of systematizing the teaching of the critical thinking ability, a model for incorporating the Socratic Discussion in a course was developed. Methods: The Socratic Discussion is integrated mainly as a teaching methodology in the Seminar on Pharmaceutical Care, offered to second year Doctor of Pharmacy students. Through this model, the thought process is structured in four directions (origin or source of the statement, evidence and assumptions, conflicting views, implications or consequences). The model emerges from a theoretical framework in which critical thinking is conceptualized as a thought process that examines itself from different dimensions (logical, contextual, dialogical, substantive, pragmatic), in order to judge its accuracy, validity or worth. The Socratic Discussion is aimed to generate the questions that would also be asked in order to address the dimensions of the critical thinking process. Results: The Socratic Discussion allows the students to utilize a structured process that helps them establish the relationship between the kinds of questions they should be making in order to address the critical thinking ability. Implications: This model is an effective way to facilitate the development of the critical thinking ability, and it also helps students to generate their own knowledge and draw their own conclusions. It can be incorporated into diverse learning scenarios in a structured and deliberate manner, as it allows the student to think with an effective, self-monitoring awareness of the thought process and its product.

Development of a Capstone Examination to Assess Educational Outcomes. Graciela M. Armayor, Lisa Deziel-Evans, Carla A. Luque, Jolanta M. Czerwinska, Nova Southeastern University. Objective: Development of a multiple-choice capstone examination used as a programmatic assessment tool to measure student attainment of educational outcomes at the end of the didactic portion of the PharmD curriculum. Methods: The College of Pharmacy’s Educational Assessment Committee (EAC) developed policies and procedures for the development, administration, and evaluation of the capstone examination. The College’s twelve Educational Outcomes provided the framework for the examination. To begin this process, faculty identified the outcomes met by each course in an Educational Outcomes Grid. Course coordinators were then asked to provide questions for each outcome designated as being met in their courses. To ensure question uniformity and to help facilitate item writing, a Question Writing Guidelines booklet was developed and an item-writing workshop conducted. Emphasis was placed on the development of application of knowledge questions rather than recall items. Questions, identified by outcome and objective, were submitted by course coordinators, reviewed by the EAC, and revised if needed. Approved questions are stored in an online database that is available to faculty for future question submission and revision. This database will maintain the question pool and facilitate management of the exam. Questions for the 100-item online examination will be selected from this pool and the first administration (pilot test) of the examination will take place in April of 2003. Implications: The results will serve to identify areas of programmatic deficiencies that will be addressed through curricular revision. Results will also serve as a formative instrument for student self-assessment.

Student Satisfaction With the Use of WebCT to Enhance a Disease Management Course Taught Through Distance Education. Graciela M. Armayor, Carla A. Luque, Ceressa T. Ward, Nova Southeastern University. Objective: Evaluation of Post Baccalaureate PharmD student satisfaction with the use of WebCT in providing course material and assessment in a Disease Management course taught through distance education. Method: A 60-item survey was administered at the end of the Disease Management course to students at the six sites where the course was transmitted. The survey assessed the perceived benefits, drawbacks, and the overall rating of using WebCT. Results were analyzed, problems were identified, and changes were instituted to enhance student use of WebCT. The survey was re-administered the subsequent semester to determine if the corrective actions implemented improved student satisfaction. Results: A total of forty students completed the initial survey (100% response). Overall, students were satisfied with the use of WebCT. Ninety percent of students found WebCT easy to use, and 92% would recommend that it continue to be used in the course. Only 12% would choose a traditional method of course material delivery over WebCT. The most important benefit reported was accessibility to course information (grades, handouts, Web links, examinations). Although specific problems with online examinations were identified as being the major drawbacks of using WebCT, 87% of students preferred or have no objections to this method of assessment. The follow-up survey showed that 72% of students believed that the changes implemented had significantly improved online examinations compared to the previous semester. Implications: Results of the survey were used to improve the method of course delivery and assessment in order to increase student satisfaction with the course.

Use of an Interactive Case Presentation to Teach Problem Solving in an Ambulatory Care Elective. Stephanie D. Melnyk, Philip T. Rodgers, Pamela U. Joyner, University of North Carolina. Objectives: Problem-solving and critical thinking skills are essential to student performance on clinical clerkships. Interactive case presentations serve as a means of teaching these skills in the classroom setting. The purpose of this study is to determine if this strategy used in our ambulatory care pharmacy elective class is effective in regards to improving student performance on future ambulatory care clinical clerkships. Methods: Third-year pharmacy students may enroll in this elective, the year before they go on clerkships. One or two students in the class are assigned to one of eleven therapeutic topics. Students evaluate an actual patient with the assigned disease at a real clinic. The students then lead an interactive presentation of their patient with the class, encouraging comments and questions to facilitate the work-up, including assessment and plan of the problem. The students present primary literature to support their recommendations and rigorously critique the studies’ with the class. To determine the effects on their ambulatory care clerkships, the ambulatory care rotation grades of students who have taken the class are compared to a separate group of pharmacy students who have not taken the elective. Results: One hundred third-year pharmacy students have completed the elective from Spring 2000 to Spring 2002, and will have ambulatory care clerkship grades available for evaluation. Data collection is ongoing. Implications: Evaluating student performance on ambulatory care rotations following participation in the ambulatory care elective will provide insight into the application of an interactive case presentation as a learning strategy.

Integration of Pharmaceutical Care Into Gastrointestinal Therapeutics. Janet R. Fischer, South Dakota State University. Objectives: To implement and evaluate a case-based teaching method for gastrointestinal (GI) therapeutics that integrates the practice of pharmaceutical care and facilitates the review of previously taught topics. Methods: The teaching method for each of 5 GI topics included a 1-hour overview of the GI topic, followed by a 2-hour period in which students worked in small groups to evaluate a complex case. The cases were designed to resemble “real life” cases, to illustrate important concepts of GI therapeutics, and to review previously taught therapeutics topics. The groups were required to answer questions about each case and prepare a list of drug related problems with recommendations for each problem. Answers were submitted at the end of class and graded by each instructor. Results: Student surveys were administered to determine satisfaction with the teaching method and achievement of outcomes. Results from 2000-2002 indicated moderate satisfaction with teaching method and excellent achievement of outcomes: “I like this class format better than typical lecture”: 3.12/5, SD 0.92, “This was a good way to review previous material”: 4.37/5, SD 0.7, “I have a better understanding of the pharmaceutical care process”: 3.95/5, SD 0.73, “I have a better understanding of the complexity of real patients”: 4.29/5, SD 0.62. Comments indicated dissatisfaction with the scheduling of topics and need for quicker feedback from faculty. Implications: Use of complex cases enhanced students’ skills in pharmaceutical care and provided effective review of previous material. The 2003 course was modified to improve student satisfaction.

Teaching Telemonitoring and the Use of High Tech Tools for Disease Management in Pharmacy Practice. Melanie Provost, Matthew Perri III, Robert Galen, University of Georgia. Objectives: To develop, implement and evaluate a course introducing telemedicine technology through role-learning approaches and project development. The goal is twofold: (1) Introduce students to the type of technological tools they are likely to have available as future disease managers. (2) Expand patient contact beyond the physical encounters presently available, by using home telemonitoring to facilitate remote patient monitoring by students. Methods: Course objectives were designed to enhance the critical appraisal of quality of Internet content and to provide students a hands-on learning approach using telemonitoring instruments for pharmacy-based disease management projects. A variety of home telemonitoring devices are being presented to the students, including HealthBuddy and Health Sentry devices, connected via PC, Web-TV, Kiosk and telephone to Internet based management programs and databases. Role-learning methods are being used by students going home with a device and monitoring from home as either a patient or pharmacist. Privacy implications are being presented to students. Teams are developing a kiosk interface as a final course project and each student is creating a business plan introducing one selected technology into pharmacy practice. Course evaluation will include closed and open-ended questions to assess course content and standardized teaching evaluation instrument. Implications: Home telemonitoring devices will become a part of clinical disease management teaching in the pharmacy curriculum. The practical approach of role-learning is a viable teaching method which helps integrate technology in pharmacy practice with patient care activities. This can contribute to the transformation of the pharmacy practice though the use of Internet technology.

Utilizing Student Leadership for Assessing Online Education. Barbara G. Zirkin, Cynthia J. Boyle, Mary C. Brace, Adams O. Solola, University of Maryland. Objectives: The project objectives are to: (a) compare the results of the 3 survey instruments that assessed students’ use of and attitudes toward the implementation of Blackboard; (b) detail changes in students’ use and attitude over time; and (c) set Blackboard use standards for faculty, students, and staff based upon survey results. Methods: In spring 2001, University of Maryland School of Pharmacy initiated use of Blackboard™, a course management system. In fall 2002, student government leaders conducted an assessment that measured student use of and attitudes toward Blackboard™. Previous evaluations of computer use and Blackboard™ had been conducted during spring 2001 and 2002. Questions ranged from the use of Blackboard as an educational tool to computer use in general within the school. Students were given the opportunity to complete open-ended comments as well. The results of all 3 survey instruments are analyzed and compared. Results: Student government leaders presented the results of their fall 2002 survey at a school Computer Users Group meeting. The results indicated a need to make several changes in the way Blackboard materials are uploaded and accessed. While students generally liked to single point of access for materials, disparities in the ways in which materials were prepared and the timing of document posting were considered downsides of the use of the system. These and other results will lead to recommendations to faculty, students, and staff for improvements in Blackboard use to be implemented fall 2003.

Designing a Strategy for The Development of Social and Professional Responsibility Through International Medical Missions. Keri A. Mattes, Jennifer B. Kasiar, Thomas D. Zlatic, Shelly Enders, St. Louis College of Pharmacy. Objectives: Our Pharmacy Practice division has begun systematically to teach and assess social and professional responsibility across its courses. The desired ability is for students to exercise responsibility for the profession within a multi-cultural society through service, citizenship and leadership. We explored the efficacy of medical missions as a practice opportunity for this outcome. Methods: Under the supervision of the organization “The Servant’s Heart,” two practice faculty traveled to Guatemala City’s garbage dump to provide food, medical care and spiritual counseling to an entire population that lives and works there. We identified specific practice opportunities that would aid in the development of social and professional responsibility amongst pharmacy students. Upon returning, we presented our experiences to students in an Introductory Practice Experience (IPE) course. They completed evaluations that gauged their interest in medical missions. Results: An international medical mission appears to be an effective strategy for instilling social and professional responsibility through specific practice opportunities, including the recruitment of medication donations from local representatives prior to travel; communicating with and providing care to culturally diverse patients; participating in a multidisciplinary team and reflecting on the entire experience. Sixty-four students completed the IPE course last fall. Forty-eight percent offered positive, un-solicited comments about their interest in medical missions. There were no negative comments. Implications: In the summer of 2003, we will take two pharmacy students on a medical mission, and assess their internalization of this ability outcome by their involvement in key teaching and scholarly projects.

An Innovative Educational Methodology Using Patient Simulations in a Women’s Health Course. Deborah A. Sturpe, Stuart A. Haines, Michelle M. Chapman, University of Maryland. Objectives: Women’s health has been identified as a priority area for research and education. We developed a problem-focused, highly interactive patient simulation learning model in a women’s health elective course for pharmacy students. Methods: Working in groups of 5-7, students are held accountable for the lifelong care of a female patient in a simulated healthcare system. One week prior to class, students are given the chief complaint of the simulated patient. During class, students have 20 minutes to obtain information in response to the chief complaint by querying and examining the patient, ordering laboratory or diagnostic tests, prescribing formulary medications, and referring to outside providers. Each group must define the problem(s) and submit a written plan on a standardized form within the first 90 minutes of class. The plan must contain an assessment of the problem(s), a list of therapeutic alternatives, patient- and agent-related variables that impact drug treatment selection, drug therapy monitoring parameters, and patient education. The final therapeutic recommendation(s) must result in desirable health outcomes while minimizing the use of resources. Each group defends their therapeutic recommendations for the defined problem(s) to the entire the class. Student performance will be assessed using a structured instrument and validated by external reviewers. Course methodology will be evaluated by assessing learner reaction as well as student performance during clinical rotations and in practice. Implications: This model may enable students to master high level clinical problem solving abilities typically developed only in an experiential learning environment.

Immersion in Geriatrics: A New Clerkship Experience. Bradley R. Williams, Robert P. Albertson, University of Southern California. Objectives: To develop, implement, and evaluate an innovative geriatrics clerkship experience in an assisted living facility. Methods: A clerkship site based at the Anchorage Pioneers’ Home (APH), an assisted living facility operated by the state of Alaska, was identified. Two Level IV (senior) student pharmacists live and interact with the residents at APH during the six-week clerkship. The students participate in all aspects of pharmacy services, including drug regimen review, consultations with prescribers, resident education programs, staff inservice programs, and Pharmacy and Therapeutics Committee. They also are exposed to the unique drug distribution system, which serves five other Pioneers’ Homes throughout the state. Students are evaluated based on meeting the clerkship goals and objectives, formal and informal presentations, professional interactions, clinical interventions, and examinations. Results: Eight students participated in the clerkship during its first two years, beginning in 1999. Students evaluated the clerkship very highly, with an average composite score of 4.65+0.26 (5 point scale) on 17 items. Students noted the ability to live at the facility and participate in many diverse clinical activities were valuable parts of the experience. Implications: Student evaluations indicate that this is a unique and valuable clerkship that allows them to interact directly with older adults and to understand their unique health care needs. Students had positive interactions with the older adults living in the facility.

Integrating General and Professional Outcomes in the Pharmacy Curriculum. Sara L. Lanfear, Jennifer B. Kasiar, Thomas D. Zlatic, Michael S. Maddux, St. Louis College of Pharmacy. Objectives: Integrating general and professional ability outcomes (AOs) within a professional program provides students opportunities to practice such abilities as problem-solving, social and professional responsibility, and ethical decision making within professional contexts. Accordingly, the Division of Pharmacy Practice faculty (1) redefined AOs by integrating general and professional outcomes, (2) created levels within each outcome, and (3) developed opportunities to teach and assess the AOs across the curriculum. Methods: Since 1995, Division faculty have received extensive training in Ability-Based Education, enabling them to develop definitions and levels of each AO, and opportunities to practice each AO. In the summer of 2002, all Division faculty in ability-specific work groups finalized AO definitions, levels, and practice opportunities. A Didactic Task Force prioritized the abilities/levels and positioned them across Division courses for the 2002-2003 academic year. Results: General AOs not previously taught or assessed formally in required Pharmacy Practice courses were integrated with professional outcomes in years 2-5. For example, social and professional responsibility was practiced in Introductory Practice Experiences; self-learning was included in two Therapeutics courses and Drug Information; thinking and decision making, valuing & ethical decision making, and self-learning were added to Introduction to Pharmaceutical Care; and social interaction was included in an early Therapeutics course. Implications: A systematic, iterative process can be used to integrate general and professional outcomes within a professional program, an essential integration if students are to adapt to changing roles within the profession.

Future Pharmacists’ Intentions to Help Their Patients Quit Smoking. Sujit S. Sansgiry, Kimberly Pounds, Hilda Boye-Doe, Alfred McAlister, University of Houston. Objectives: To describe pharmacy students’ behavioral intent and attitudes toward tobacco cessation counseling. Methods: A survey was administered to 138 students in the first and second year of their PharmD program at the University of Houston College of Pharmacy. A seven-point Likert scale measured how often students intended to ask, advise, and assist patients with tobacco cessation. A five-point Likert scale measured students’ attitude toward the role of pharmacists in tobacco cessation. Data was analyzed using chi-square analyses to evaluate frequency distributions using the SPSS version 11.0 for Windows. Results: Only 25 percent of students would often ask patients whether they smoked. Nearly fifty percent (49%) of students intended to often advise their patients to quit tobacco use. Only nineteen percent of students intended to often assist their patients by referring them to tobacco cessation services in the community. However, most of the students (77%) felt that patients would not follow through with their recommendations to quit tobacco use and nearly 85% of the students felt that it is not the pharmacist’s responsibility to convince patients to quit tobacco use. Implications: Given the busy environment in the pharmacies, pharmacists are often unable to provide counseling to patients. However, consistent referral of patients to community resources is still a valuable means of assisting patients with tobacco cessation. Further research is needed to understand how pharmacy curriculum changes can improve pharmacists-patient interaction, especially to enhance information and improve attitude of students toward tobacco cessation programs.

Using Peer Assessment to Develop Ability Outcomes. Jennifer B. Kasiar, Sara L. Lanfear, St. Louis College of Pharmacy. Background: Assessment-as-learning is a valuable and well-documented teaching tool. Many learning strategies use assessment-as-learning, including peer assessment. To develop ability outcomes such as thinking and communication, peer assessment was incorporated into therapeutics case discussions to: teach students to assess performance of other students during case presentations; teach students to provide constructive feedback; and help student assessors better achieve the ability outcomes when practiced. Methods: A peer assessment form, which included performance criteria, a Likert scale, and space for written evidence to support the assessments, was created. Each student was required to complete peer assessments on two occasions throughout the semester. To teach the principles of peer assessment, discussion leaders presented a scripted case and key containing correct and incorrect data. An example assessment was then reviewed. Throughout the semester, discussion leaders provided feedback on student assessments. At the end of the semester, discussion leaders were asked about the quality of peer assessments and its impact on student performance. Students were also surveyed regarding improved understanding of criteria and performance on cases. Results: Seventy-percent of student responders stated peer assessment improved their understanding of the criteria and performance on case presentations. Discussion leaders were impressed with peer assessments, but were unable to determine if the exercise had a positive impact on student performance. Conclusions: Although we were unable to objectively determine if peer assessment improved performance, students rated the exercise as beneficial. Therefore, we believe peer assessment can be used as an assessment-as-learning technique to help students achieve the ability outcomes.

Introductory Experiential Courses in an Entry-Level PharmD Program. Christopher J. Turner, Ralph Altiere, Catherine Jarvis, Joel Giles, Carrie Maffeo, Larry Clark, The University of Colorado. Objective: design and integrate introductory experiential courses in a new entry-level PharmD program. Methods: internal and external working groups advised the school on the philosophy and practical aspects of introductory pharmacy practice experiential training. A philosophy was established that students should be required to demonstrate increasing mastery of the general and professional competencies required to practice pharmacy, and to contribute to patient care. Six courses were designed in keeping with that philosophy and with the practical aspects of operating half-day per week experiential courses in the metropolitan Denver area. Results: one course per semester for the first six semesters (3-years) of the program was created. The first was designed to introduce students to the professional and general competencies required for pharmacy practice. Subsequent courses were designed to allow students to show increasing mastery of these competencies. The assessment of students in all courses was ability-based: students were required to demonstrate levels of competency appropriate to each course and year of the program. The courses employed community and hospital pharmacies, elementary schools and physician and nurse practitioner offices. Conclusions: six introductory experiential courses that require students to demonstrate increasing mastery of the professional and general pharmacy practice competencies, and to contribute to patient care, have been designed and successfully implemented.

Value of a Yearly Student Assessment Exam. Seena L. Zierler-Brown, Allana Panzarella, Palm Beach Atlantic University. Objectives: To develop, implement, and evaluate the validity of a yearly student assessment exam to measure ability-based and knowledge-based outcomes. Methods: Faculty members of the School of Pharmacy identified professional practice-based and general-based global outcomes. Objectives were then created from these global outcomes and condensed into four categories: Pharmacodynamics, Biochemistry, Anatomy and Physiology, and Microbiology (category 1), Pharmaceutics and Experiential (category 2), Drug Information and Experiential (category 3), and Health Care Delivery and Experiential (category 4). The first year assessment exam consisted of 53 multiple choice and case-based questions. Each exam question was correlated to an objective from a didactic course to assist in identifying any deficiencies in knowledge of course material. Results: Data collected from the first year assessment exam has been analyzed to identify deficiencies in knowledge of material from the first year classes. Identified deficiencies have resulted in personal tutoring, repetition of key concepts in second year classes, and the development of web-based summer courses. Implications: A yearly assessment exam can serve as a tool for assessing a school’s curriculum, including the efficacy of course objectives and student’s retention of knowledge at the completion of each school year. Evaluation of student performance can be used to add or change an entire course, improve styles of teaching, or assist in developing course objectives. Findings from a yearly assessment exam may lead to the development of an exam given to fourth year students as a tool to predict performance on state licensure examinations.

Dynamic Web Pages in an Internet-based Charting System for Documentation and Evaluation of Simulated Patient Care Activities. Michael C. Brown, University of Minnesota. Objective: Managing, evaluating, and tracking students’ documentation of simulated patient care activities can be a logistically difficult task. Creation and use of dynamic web pages and a server-side database to record documentation and feedback may minimize administrative workload and efficiently track student and class performance. Methods: Dynamic web pages were developed in Macromedia® Dreamweaver MX® to create a simulated patient charting system. This system was placed on a server running Macromedia® Cold Fusion MX®, along with a database designed to hold (1) instructors’ simulated patient scenarios, (2) students’ SOAP note entries of simulated patient care activities, (3) instructors’ evaluations of students’ entries, and (4) students’ revisions to their documentation. From any computer with an Internet connection, the dynamic web pages allow students controlled access to document simulated patient encounters in the database and view both their previous work and other notes in the scenario. Instructors evaluate students’ work using an Internet-based evaluation template. Scores and feedback are saved in the database and emailed to the instructor, student, and course director. Students can open a copy of their previous entries to make revisions when required. These revisions are saved to the database separately and the original work retained for comparison. Implications: At the end of the Spring 2003 semester, student and class performance will be examined, along with the technology’s ease of use and ability to lower administrative workload. Education in future semesters will focus on areas shown to be most problematic through the evaluation of student and class performance.

Educating Pharmacists as First Receivers in Disaster Preparedness/Bioterrorism. Catherine A. White, Cham Dallas, Edward Rollor, Gloria Nichols-English, University of Georgia. Objective: To develop, implement and evaluate a disaster/bioterrorism preparedness course for PharmD students. Methods: Course objectives were designed to enhance student learning in domestic preparedness using traditional lecture format coupled with active learning exercises. Scientific information regarding biological and chemical agents was presented in didactic lecture format by professionals with expertise in these areas. Active learning exercises included first aid training, emergency communications, personal safety devices, triage, tabletop exercises (pharmacy based) and a live exercise. In addition, pharmacists working with Disaster Medical Assistance teams and the American Red Cross were invited to lecture about their experiences in the field. Students completed a course evaluation which included closed and open ended questions. Results: This course was first offered as an elective in Spring 2002 for 52 students and currently 21 students are enrolled. Students appreciated the active learning sessions (mean score 4.2/5.0) and the lectures on biological/chemical agents (mean score 4.5/5.0). Open-ended comments suggested the utility of more triage, tabletop and live exercises. Students perceived this course as very important to their pharmacy careers and 16 opted for the 4th year bioterrorism rotation. Implications: The need for pharmacists to respond to natural or man-made disasters as first receivers will only increase in the future and they will be expected to perform both traditional (dispensing) and nontraditional (triage) roles. Expansion of this program is essential and desirable to the emergency medical community to prepare pharmacists for the new roles as first receivers in mass casualty disasters.

Mentoring Pharmacy Students in the Design and Development of Educational Materials for Online Self-Study Courses for Non-pharmacy Students. Heather D. Bislew, Kristin K. Janke, University of Minnesota. Objectives: To provide opportunities for students to participate in the development of a new course, thereby building instructional skills and developing an understanding of educational design/development processes. Methods: Honors projects and clerkships were used to assist in developing Phar 1003: Self Care: A Guide to Today’s Nonprescription Pharmacy, a two credit online, self-study elective for University students. E-mail solicitations were sent to all pharmacy students and non-traditional PharmD Clerkship students. After orientation to the syllabus, students worked on assigned topic areas, submitting materials, receiving comments and re-drafting according to mutually determined timelines. To assist in student learning, a number of online instructional resources were provided, such as information on how to write multiple-choice questions. Results: Two honors students and four clerkship students developed educational materials, which included instructional objectives, educational handouts, self-test questions, and audio-narrated PowerPoint presentations. To support a quality educational experience, it is necessary to orient the students to the “audience” of the course, convey clear expectations, properly equip the students with resources, and emphasize the importance of meeting deadlines. Participants reported enjoying this unique educational opportunity and valuing the feedback. With improvements based on this initial experience, this student-involvement model will be used in preparing a Rehabilitation Pharmacotherapy course. Implications: When developing a course, students at a variety of levels can play an important role, gaining instructional skills as they assist in creating educational materials. These experiences provide confidence, appreciation for the educational process, and may encourage participants to consider future involvement in instruction.

The Great Debate: An Effective Method of Teaching Contraception. Karen P. Daniel, Nova Southeastern University. Objective: To utilize and assess the effectiveness of a debate format as a method for teaching new concepts in contraception. Methods: One week prior to class, students in the Women’s Health Issues elective were instructed to research one of four new contraceptive products. During the next class session, students were assigned to one of four groups based on the product they had been designated to research. Each group was instructed to debate one of the other groups in an attempt to demonstrate that their particular product was superior to the other. Students had no prior knowledge that they would be expected to debate their respective topics; however, they were allowed time in class to prepare debate strategies. At the conclusion of the debate series, the instructor summarized pertinent learning points. One week following the debate sessions, a survey was administered to the students to assess their attitudes regarding the effectiveness of the debate format. Results: All thirty-one students in the Women’s Health Issues elective participated in the debate sessions and the follow-up survey. Twenty-seven students (87 percent) felt that the debate format held their attention more than the traditional lecture format. Twenty-two students (71 percent) thought that they retained more material as a result of the debate format, and twenty-eight students (90 percent) agreed that they would recommend this format for use in future classes. Implications: Results indicate that the debate format was an effective and enjoyable method of learning for the majority of students.

Analysis of Educational Outcomes Using Online Grading of Student Competencies with Groups of Preceptors. George C. Wood, Greta Gourley, Stephanie Phelps, Richard Helms, University of Tennessee. Objectives: 1. Determine feasibility of grading rotations online using educational outcomes (Tennessee 21 Competencies). 2. Determine significant geographical, employment status or required/elective course differences in preceptor grading. Methods: An online survey containing demographic information and 24 educational outcomes was constructed so that preceptors could weigh and grade rotation performance. To evaluate the system for feasibility, the descriptive statistics for weights, grades, and percent each ability was selected was calculated for 488 fourth year rotation grade sets. An univariate ANOVA with Tukey and Dunnett C tests was run to determine groups that showed statistically significant grade differences. Results and Discussion: The online rotation grading instrument proved to be feasible and had good internal reliability (alpha = 0.98). 22/24 abilities and 19/21 educational outcomes were chosen frequently by the preceptors suggesting that preceptors evaluated many competencies while grading. Overall mean grade was 3.55/4, SD: 0.44. There was a statistically significant difference between Middle (n=53) and West Tennessee grades (n = 353, sig. < .05). However, there is probably no practical implication to a quarter point grade difference. There were no significant grade differences between full time vs. part time preceptors or required vs. elective course status. Implications: Evaluation of educational outcomes online from rotations proved to be feasible as a grading tool. Preceptors distributed their grade weights widely among the educational outcomes suggesting they believe that 22/24 grading categories and 19/21 competencies were important. Beliefs that faculty in various rotations grade differently were unfounded.

An Evaluation of the Use of Two-Way Internet-Based Audio for Online Journal Club Discussions. Priya Bardal, Kristin K. Janke, University of Minnesota. Objective: To evaluate the use of a two-way Internet-based audio streaming service, OfficeHoursLive (OHL), which replaced text-based chat for online journal club discussions in an online Drug Literature Evaluation course and the Residency Program. Methods: An invitation to participate in an online survey was emailed to all non-traditional PharmD students and residents that had participated in an OHL session at least three times. The survey evaluated: (1) helpfulness of the participant tutorial, (2) ease of computer set-up, (3) satisfaction with technical support services, and (4) the value of OHL in the learning experience. Results: The response rate was 24 (69%) for the Drug Literature Evaluation course and 8 (100%) for the Residency Program. The majority felt the tutorial provided all or most of the information needed to begin using OHL (88%) and that it was easy or very easy to set up their computer (56%). Although a tech support system was in place, trial and error (47%) was the most frequently used method to resolve tech problems. Overall, 26 (81%) reported OHL to be a valuable learning experience. Of the 23 students (72%) that had experience with text-based chat, 18 (78%) preferred OHL. Participants commented OHL resulted in a more “normal discussion”, allowing learners to express themselves better, and enabling more content coverage during a discussion. Participants also requested that educational features, such as the white board and polling, be used more frequently to enhance the discussion. Implications: Real-time, Internet-based audio is a satisfactory alternative to text based chat.

Evaluating PBL Case Tasks for Adherence to Bloom’s Higher Order Skills. Clarence E. Curry, Valerie W. Hogue, Howard University. Objective: Effective PBL problems must prove to be interesting, true-to-life and stimulate students toward deeper understanding regarding essential concepts. They should also move students to employ judgment or decision-making using logic and/or rationalization based on the presence or absence of information. This project assesses the cognitive domain adherence of cases prepared for Pharmaceutical Dispensing (PD) small groups using Bloom’s higher levels. Methods: PBL cases for Pharmaceutical Dispensing were developed by identifying specific course objectives, which serve as the basis for design. Objective-driven tasks were identified for each case which serve as the stimulators of student discussion and research toward development of an appropriate case solution. Based on Bloom’s Taxonomy, which organizes cognitive learning along levels that progress from less sophisticated to more sophisticated learning, a ratings instrument was developed and applied to all of the previously developed cases used in PD during the past three years. The ratings of the course faculty (two persons) will be compared for agreement with two faculty not involved with the course. In addition, a second ratings instrument will rate each task in a given case to determine if the assigned Bloom’s category appropriately fits the course objective upon which the task is based. Implications: Knowledge of the degree of adherence to Bloom’s cognitive domain provides course faculty with a substantial basis for modification or redesign of complete cases or case tasks to establish a more trustworthy vehicle to prepare students for critical thinking and problem-solving in the practice environment.

Fostering Development and Assessment of Patient Care Skills Using Streaming Media Technology. Patricia R. Lind, Michael C. Brown, Kristin K. Janke, Todd D. Sorensen, University of Minnesota. Objectives: To better develop pharmacy students’ patient care skills by creating deliberate, targeted opportunities to address known areas of learning difficulty and regular opportunities for instructor, peer and self assessment by using streaming video technology. Methods: Sample patient care vignettes were developed for playback via the web. These vignettes, used both in lectures and in prelab activities, purposely exposed students to both optimal and poor skill performance. In addition, streaming video technology is used to record and archive student performance of patient care scenarios, allowing self, peer and instructor assessment of the performance. A standard evaluation tool is being used and a central database is in development to “profile” class abilities in key skill areas and track individual student performance. The five sequential courses of the patient care skills learning center are involved to enhance student and class tracking and build learning materials of increasing complexity. Results: Following the first semester of this technology’s use, 92% of the students reported it was easy to use. The ‘optimal’ and ‘poor’ vignettes were reported educationally beneficial by 85% and 80% of students, respectively. Self and peer assessment of students’ recordings were reported as educationally beneficial by 76% and 79% of students, respectively. Implications: Use of the streaming technology has been well accepted and beneficial to students. Multiple semesters of data will be necessary to build student and class skill development profiles. Because of the success of this project, additional uses for digital video technology are being explored throughout the College.

Developing Student Abilities to Advocate Within a State Legislature. Jennifer A James, University of Connecticut. Objectives: To evaluate an educational unit designed (1) to teach contemporary public policy issues facing pharmacy, and (2) to teach the process of legislative advocacy. Methods: All third year pharmacy students enrolled in PHRM 212 Pharmacy Practice Laboratory course are required to attend Pharmacy Day at the Capitol. Prior to the event students attend a lecture about the state legislature and research their local legislators. During Pharmacy Day at the Capitol students mingle with legislators during breakfast and attend a continuing education program on contemporary practice issues. Students plan and provide health promotion activities for legislators, their staffs and the public. Pharmacists will also offer students the opportunity to shadow their lobbying efforts. Results: A pre-test/post-test comparison assesses student knowledge of legislative issues and processes. It is hypothesized that this educational program significantly enhances knowledge. Results of pre and post-tests of these hypotheses are reported. Implications: Political involvement by pharmacists is an important way to improve health care policy and facilitate the contributions of pharmacists in direct patient care. Many agree pharmacists should increase their involvement in the development of public policy. The evaluation of Pharmacy Day at the Capitol in Connecticut tests whether students can begin to learn how to be effective participants in a state legislative process.

Implementation of a Pharmaceutical Care Course Series Structure Based on Levels of Learning. Leigh A. Ramsey, Gary D. Theilman, Rachel C. Robinson, Brian L. Crabtree, University of Mississippi. Objectives: To reorganize the structure of the fifth year of a 6-year doctor of pharmacy program based on assessment of competencies as categorized by Bloom’s taxonomy. Methods: The fifth year of a 6-year doctor of pharmacy program utilizes a problem-based learning format for required courses. The academic calendar consists of four 8-week blocks. Each of the four blocks has three courses: Knowledge and Comprehension, Problem-Solving, Group. Knowledge and Comprehension examinations assess the students’ ability to recall and grasp the meaning of material. This is accomplished through multiple choice, short answer and true/false type questions. The Problem-Solving Course is structured to assess the higher levels of Bloom’s taxonomy, progressing each block from application to analysis to synthesis to evaluation. The assessment tool utilized in the Problem-Solving Course is an open book examination in which students are provided references from which to formulate answers. This limits the knowledge necessary to answer questions and focuses on the problem-solving ability being evaluated. Results: The course directors and faculty involved in construction of the examinations are more confident that all levels of learning necessary for the desired educational outcomes are being addressed. Implications: Pharmacy education must ensure that, upon graduation, students possess the knowledge and critical thinking skills necessary to provide optimal drug therapy outcomes. This course structure offers a strategy for improved abilities-based assessment through measurement of all levels of learning in a developmental process.

LIBRARIES / EDUCATIONAL RESOURCES

Historical Overview of the Organizational Structure of AACP’s Library/Educational Resources Section and the Electronic Resources SIG to Determine Whether the Current Structure Meets the Needs of the Association. Elizabeth C. Jackson, Diane R. Johnson, Mercer University. Objectives: To present an historical review of the AACP’s support for librarians, educational technologists, information technologists, and media specialists. To lay a foundation for further study to determine whether the current organizational structure is effective for promoting the AACP’s support for teaching and learning. Method: An historical case study will be presented as an annotated chronology. The study will begin with the AACP Committee on Libraries and conclude with the Section of Libraries/Educational Resources and the Special Interest Group for Electronic-Based Instructional Resources. It will include such project examples as Basic Resources for Pharmaceutical Education and the AACP-funded 1977 monograph on the use of instructional design by pharmacy educators. Results: The AACP has provided numerous organizational mechanisms where librarians, educational technologists, information technologists, and media specialists could effectively complete projects in support of pharmacy education. Implications: The Section of Libraries/Educational Resources has unsuccessfully tried to reach out to beyond librarians to others who are serving the “educational resources” component of its name. Should this Section continue this effort? This historical review is a contribution to begin a dialogue on this question.

Utilization of Pharmacy Students for Evaluation of On-Line Health Information. Clinton O. Chicester, Celia P. MacDonnell, Roberta S. King, Thomas E. Needham, University of Rhode Island. Objective: Introduce students to the process of evaluating medical information websites with the intended audience being underserved populations. Methods: A multidisciplinary team within the College was awarded a grant through the NIH’s National Library of Medicine, to improve the dissemination of healthcare information to an underserved community through technology. Website evaluation was the first step in constructing a homepage, which will house medical and drug-information consumer-focused Internet links. This process was begun in the Third Year (1P) Interactive Learning course, where students are first introduced to retrieval of web-based drug information. A tool that rated medical content, ease of navigation, search mechanisms, and website distractions, by assigning a numerical rating, was developed to assist them in the evaluation of the appropriateness of each website for our target population. The students were then tasked with finding and evaluating five consumer-oriented medical websites. Then each student was randomly assigned five of the 42 newly evaluated sites to review. Results: The websites received a rating of Very Good (>75% of the maximum achievable number of points) to Poor (<50%). The evaluations ranged from 88.4% to 54.8% of maximum achievable points with an average of 75.1%. Implications: The evaluation of consumer-oriented medical websites by pharmacy students assists them in developing skills necessary to assess consumer-focused medical information, while establishing the critical thinking skills essential for health care professionals. Utilizing P1 students allows for a fresh yet reasonably skilled interpretation of medical information that will ultimately be used by an untrained public.

Development of a Pharmacy Informatics Course for the University of California, San Diego (UCSD) School of Pharmacy and Pharmaceutical Sciences (SPPS). Sue M. McGuinness, Mary Linn Bergstrom, University of California-San Diego. Objectives: Plan and implement a pharmacy informatics course for the newly established UCSD SPPS. Methods: The SPPS assembled a subcommittee of their Educational Policy and Academic Oversight committee (EPOAC) to develop a pharmacy informatics course for Spring 2003. The pharmacy librarian worked with the EPOAC informatics course planning subcommittee to create the syllabus, define learning objectives and grading criteria, and enlist topic experts as guest speakers. Lectures and computer laboratory exercises were designed to provide fundamental information skills as well as introduce students to new information technologies, and high end computing and molecular visualization tools used in pharmacy, pharmacogenomics and pharmacokinetics. Topics included database concepts, evidence based medicine, pharmacy and hospital information systems, patient safety, privacy and security, pharmacokinetics modeling tools, and the bases of bioinformatics and genomics in drug discovery and drug efficacy. The pharmacy librarian contributed her expertise in the development of lectures on effective database searching strategies, MeSH and other controlled vocabularies, and obtaining information for patients. She created laboratory exercises on bibliographic databases, the Cochrane Library, Micromedex and Clinical Pharmacology, and evaluating information on the Internet. She created a course web page, using WebCT, for the purpose of delivering lecture notes and reading materials online. Results, in terms of learning outcomes and student course evaluations, will be discussed. Implications: The collaboration of the pharmacy librarian with SPPS educators facilitated integration of library resources in the course and ensured that information competencies were built into course learning objectives.

The Dynamics of Faculty Web Use. Geraldine Wanserski, Allan R. Barclay, Daniel Barkey, University of Wisconsin-Madison. Objectives: A future Health Sciences Libraries Web site will allow faculty to create personalized Web pages by selecting from “starter resources”. This research seeks to identify resources of primary interest to School of Pharmacy faculty, and the information categories or organizational schemes that make sense to them. Methods: Individual interviews are conducted with participants from the UW-Madison School of Pharmacy. Each participant is given a standardized form and asked to list Web resources they regularly use, eg, electronic journals, proprietary databases, Web pages of professional societies, etc. Participants are asked what major category names they would use to arrange the Web resources on their page, and to identify unmet needs or ideas for advanced features they would desire in a Web page. A personal Web page is then prepared, organized by the participant’s preferred categories with links to listed resources. As faculty use their page, further information is gathered. Additional resources are added at the request of faculty. Trends in resource use are observed using direct methods (discussion and email) as well as indirect methods (analysis of web page activity, etc). Implications: The creation of customized faculty Web pages that include their personal bookmarks allows librarians to gather more accurate data than would be possible through surveys. Librarians are able to monitor whether the quality of library resources meets faculty needs. The arrangement and content of a future Library Web site will be useful to faculty since it won’t be based purely on librarians’ ideas.

A Model for Electronic Reserves: Providing a Dynamic Service for Faculty and Students. Geraldine Wanserski, Kate Anderson, Michael Pitterle, University of Wisconsin-Madison. Objectives: In order to provide efficient processing of reserve materials and ready access to many students simultaneously, we have developed an Electronic Reserves service that continues to grow based on student and faculty demand and changes in technology. Methods: Instructors submit items to be placed on course reserves. Library staff scan or convert items to pdf format, then post to course Web pages. Items posted include: readings; syllabi; exams; quizzes; problem sets; lecture material; and PowerPoint presentations. In Spring 2002, an email account was established to allow electronic submission of E-Reserves. In Fall 2002, the Library, in collaboration with the School of Pharmacy’s Instructional and Informational Technology department and the Health Sciences Libraries System staff, provided access to audio files of lectures. Results: Instructors from all divisions participate. While the number of courses has remained fairly constant, the number of unique items processed each semester has increased from 148 to 573 since Spring 2000. We have seen a dramatic decrease in the use of print course reserve materials. We no longer need to maintain multiple copies of print materials or fragile audiotapes. Implications: An efficient E-Reserves service enhances communication between instructor and student. Student expectations put more demands on professors (eg, students want lecture notes in advance). Students bear cost and responsibility of printing course materials. Materials are available even when the library is closed. As student and faculty demand for items in color increases, the library must find a way to provide access to color printing.

PHARMACEUTICS

Development of a Flowchart to Facilitate Student Drug-Ointment Base Compatibility Decision Making. Karen Nagel, Midwestern University-Chicago. Objective: Development of an instrument to simplify the decision-making process for first year pharmaceutics students with regards to drug-ointment base compatibility. Methods: Student knowledge on incorporation of drug into ointment bases was first assessed via an in-class open-note quiz (of the 202 students registered for class, N = 143 completed the quiz). As they were not able to adequately apply the material they had learned to the task, a flowchart was designed to determine if a visual approach would simplify the process. Use of the flowchart was briefly explained during class. A homework assignment was given in order to allow the students adequate time to utilize the flowchart, and scores were compared with those of the quiz (N = 198 students completed the homework). Both quiz and homework were short answer in nature, with the student being required to state if a levigating agent was needed, and if so, which one was most appropriate. Each assignment was worth a possible five points, and partial credit was given. Scores improved from 4.27 to 4.47. A survey question assessing students’ perceived benefit from the flowchart was also administered (N = 202). Implications: Preliminary results indicate improved understanding of drug/ointment base compatibility issues, as well as student satisfaction with the flowchart. Flowchart modification will be considered for subsequent offerings of this course, in order to increase comprehensiveness of the instrument. Development of similar instruments for other sections of the course will also be employed based on these results.

Do No Harm: Evaluation of Basic Compounding Skills of Pharmacy Students. Donna L. Francioni-Proffitt, Adnan A. Kadi, William H. Soine, Virginia Commonwealth University. Objectives: This study was to evaluate the accuracy of a student compounded prescription using a quick and inexpensive analytical assay. Methods: The students were required to prepare a 1:5000 KMnO4 Aqueous Solution in which they were expected to calculate a ratio strength, identify least amount weighable (LAW) on a torsion balance, accurately prepare and transfer an aliquot and ultimately dispense a preparation that is appropriately labeled. A colorometric assay using a Spectronic 20 instrument was developed that could accurately measure the amount of KMnO4 in the final preparation during the laboratory session. An acceptable formulation had to be within ±10% of a standard preparation. Results: A first year pharmacy class (n=109) prepared the KMnO4 solution. Two students incorrectly calculated the amount of KMnO4 needed for the solution. There were 64 students (59%) that prepared a solution that was within ±10% after the first attempt. A “Not Pass” was received by 45 students with their errors ranging from –75% to >200%. Additional guidance was provided by the laboratory instructor to these students on how to accurately prepare an aqueous solution. Three students were required to prepare the solution 6 times before it was acceptable. Implications: These results are disquieting and indicate the need to quantitatively evaluate the compounding skills of students in pharmacy schools. More analytical procedures that are quick and inexpensive are needed so that pharmacy programs have available methods for quantitatively evaluating the compounding skills of their students.

Superiority of Electronic Single-Pan Versus Torsion Balances in Compounding: Myth or Reality in the Hands of Pharmacy Students. Adnan A. Kadi, Donna L. Francioni-Proffitt, Michael Hindle, William H. Soine, Virginia Commonwealth University. Objective: To determine if pharmacy students could prepare a superior formulation using an electronic single pan (ESP) balance instead of a torsion balance. Methods: The students prepared a 1% w/v Citrated Caffeine Syrup (preservative-free) that is often used by neonatal patients. Approximately half the class used torsion balances and the remainder ESP balances. The laboratory experience required the student to critique the USP-DI formulation, prepare a preservative-free syrup containing a substance with limited water solubility, then dispense a pharmaceutically acceptable product. A validated HPLC method was employed for the quantification of caffeine. An acceptable formulation had to be within ±10% of the nominal concentration. Results: A pharmacy class (n=109) prepared the syrups (torsion balance, n= 53, ESP balance, n=56). There were 87 students (78%) that prepared a syrup that was within ±10% in the first attempt. A “Not Pass” was received by 24 students (22%) and 5 students prepared a syrup that contained no caffeine. There was no significant difference in the error rates between the types of balance used (p>0.05). The errors in the rejected samples ranged from –73% to +60% and within this group 9 students used the torsion balance and 10 students used the ESP balance. Implications: ESP balances did not improve the students compounding accuracy. A quantitative evaluation of a student’s compounded product is needed in the training of a pharmacist.

Spinal Pharmacokinetic/Dynamic Studies of a Novel Neuroprotective Agent: Decarboxylated Arginine (Agmatine). Lori L. Kaminski, John C. Roberts, Brent M. Grocholski, Carolyn A. Fairbanks, University of Minnesota. Objectives: Spinally delivered decarboxylated arginine (agmatine) is neuroprotective in rodents (Fairbanks et al, PNAS, 2000; Yu-CG, Neuroreport 2000). However, the pharmacokinetic profile of exogenous agmatine and role of endogenous agmatine remain undescribed. Consequently, we determined the pharmacokinetic/dynamic profile intrathecally delivered agmatine. We also immunoneutralized endogenous agmatine to assess its role in the CNS. Methods: HPLC analysis was conducted on mouse spinal cord and serum extracted at following intrathecal delivery of agmatine. We determined a concentration time profile and the duration of AG-mediated inhibition of nociceptive behaviors. Anti-agmatine antisera was intrathecally injected to immunoneutralize exogenous and endogenous agmatine. Induction of opioid analgesic tolerance was compared in animals intrathecally injected with anti-agmatine or control antisera to determine the role of endogenous agmatine. Results: After intrathecal delivery, AG was detected in spinal cord at an apparent steady state between 1-360 minutes. The elimination phase was evident between 24 -72 hours. AG inhibition between of nociceptive behavior was maximal at co-injection. A five-minute AG pretreatment was ineffective. Pretreatment with anti-AG antisera (but not control) enhances the development of opioid tolerance. Implications: These results suggest that exogenously applied AG persists in spinal cord tissue for hours to days beyond the first injection though it is likely unavailable for activity at the synapse by five minutes post-injection, suggesting cellular reuptake and storage. The immunoneutralization results suggest that endogenous agmatinergic tone may reduce development of opioid tolerance and perhaps other processes underlying behavioral plasticity.

PHARMACY PRACTICE

Implementation of an Immunization Certificate Training Program for Pharmacy Students and Practitioners. Therese I. Poirier, Robert Laux, Hildegarde Berdine, Duquesne University. Objectives: To develop knowledge and skills for immunization services; to prepare students and practitioners for new roles as delineated in revised Pharmacy Practice Acts; and to evaluate success of the training program. Methods: A contract with APhA was signed to adapt their training materials. In August 2000, 12 faculty facilitators trained. A program developed and taught by a team of faculty was offered 6 times since the fall of 2000 to fall 2002. The educational format included didactic lectures, case studies, and practical experiences with injection administration. Students are required to complete a self-study, final exam, and demonstrate competency in injection techniques. Students can earn one credit independent study. Practitioners can earn 20 CE credits. The didactic lectures were repurposed for online delivery using streaming audio technology. Self-study questions, final exams and evaluations are completed online using WebCT. Results: 145 students and 12 practitioners completed program over 6 offerings. Mean scores on self-study and final exam were excellent. Overall opinion of the program was excellent. Participants have suggested need for more injection training. Difficult for practitioners to complete program that requires two full days of onsite training. Use of online technology will allow for practitioners to enroll. Implications: Provides an opportunity to advance pharmaceutical care in practice. With the new PA Pharmacy Practice Act, could incorporate a practicum that provides more injection administration experiences. Future follow up of trainees to determine whether services implemented in practice is planned.

Education of PharmD Students Through Community-Based Blood Pressure Clinics. Katherine K. Orr, Yvonne Boadih, Janelle Karbowski, University of Rhode Island. Objectives: To evaluate types of pharmaceutical care interventions preformed by two sixth year PharmD candidates through longitudinal service learning blood pressure clinics in community pharmacies. Methods: Three community sites, local pharmacist preceptors, and a preceptor from the college were utilized to accommodate each longitudinal rotation. The settings include a rural independent store and two regional chain stores in suburban areas. Each site has participated in the blood pressure clinic for 4 years or more. Students conducted community blood pressure clinics in three-hour blocks weekly from August 2002 to May 2003. At the first visit, brief patient interviews were initially conducted regarding risk factors for cardiovascular disease and current medications. Information was updated as needed at subsequent visits. Subject’s blood pressure and pulse were recorded each time they presented to clinic; students counseled on modification of lifestyle habits, medications, and interpretation of blood pressure readings. The project was submitted to an investigational review board (IRB) for approval prior to obtaining any participant’s information. All interventions, demographics, and blood pressure measurements were recorded into a database after obtaining patient consent. The students provided qualitative assessment of the rotation once completed with an open-ended question survey. Implications: This community pharmacy-based practice model facilitates student learning through interaction with diverse patient populations. Student directed service-learning programs may have a positive impact on patients and the community through individualized and group education and monitoring. Introduction to IRB process also enhanced the students’ awareness regarding the protection of human subjects.

A Campus-Community Pharmacy Partnership to Foster Awareness and Utilization of the National Library of Medicine Databases – A Pilot Study. Bisrat Hailemeskel, Patricia B. Ayu-Egbe, Monica Daftary, Oluwaranti Akiyode, Howard University. Objectives: Determining the impact of a campus-community pharmacy partnership to foster awareness and improve utilization of the National Library of Medicine (NLM) databases. Methods: A proposed partnership is developed between the Howard University School of Pharmacy, Louise Stokes Health Sciences Library, a church, and two community pharmacies located in the inner city of Washington, DC. A certificate program to train pharmacy residents and students will be developed. A sticker with NLM name will be developed to post on all prescription bags. A computer terminal will be set up at each study site to provide access/training to the NLM databases. Two hundred participants will be recruited on voluntary basis and will be given a one-on-one medication counseling and training on how to navigate the NLM database. Training will be reinforced using pocket cards and pamphlets that list search tips and the phone numbers of the area public libraries. A monthly newsletter will also be published and mailed out to participants. Pre and post-survey instruments along with telephone interviews will be conducted to determine the impact of the proposed project. The barriers for low utilization will be determined using the Health Belief Model (HBM) Scale. Implications: If the proposed project shown to improve utilization and translate into a format that can be adaptable by other pharmacies, the authors believe that it would be one of the best methods to reach millions of people.

An Application of Educational Theory and Principles to Effective Methods of Documenting Direct Observation of Pharmacy Students During Experiential Rotations. Andrea J. Cameron, Lesley A. Lavack, University of Toronto. Objectives: To review educational principles, theory and research that support direct observation, feedback and documentation in experiential practice. To articulate techniques to improve preceptor (P) effectiveness, efficiency and commitment. Background: Assessment includes daily P observation and feedback, using an Observation Record (OBS), bi-weekly assessment by P and student (S), and end of rotation evaluation by P. In 5 years of use the OBS has captured regular feedback and grade-related evidence. To enhance P commitment, efficiency and effectiveness in using the OBS, we explored research and ideas related to learning that occur through direct observation and feedback. Analysis: Documented observations, rather than memory, provide accurate information; a structured form increases accuracy. No citations about observation forms in pharmacy teaching were found. Beck provides an overview of the rationale for records, from non-pharmacy literature. The OBS tool supports characteristics of constructive feedback. A ‘framework for clinical assessment’ suggests experiential rotations need assessment methods that can infer whether the S ‘does’ and can ‘show how’. Observation-based ratings are used to capture what the S ‘does’; these can infer how the S will perform in the practice setting. To improve accuracy, the Cognitive Processing Model was applied. A preceptor education program was provided in Fall 2002 and included methods to increase efficiency. Implications: P education sessions/feedback and review of similar forms lead to modifications for the current year. Future plans include: adaptation of the OBS to PDA, continued education of P and S about tool, continued evaluation to increase effectiveness and efficiency.

Creation, Implementation and Assessment of a Weight Management Elective Course in a Pharmacy Curriculum. Renee A. Ahrens, Lynne M. Ciardulli, Shenandoah University. Objective: To develop, implement, and evaluate an interactive and interdisciplinary weight management course. Methods: Course objectives were designed to give students a background in weight management issues and to develop skills needed to assess and manage the overweight/obese patient. These skills were taught in a classroom and field exercise format. Students actively participated in applying skills taught through the use of diet/exercise histories and weekly health goals. As an interdisciplinary approach to learning, a dietitian and an athletic trainer were invited to share their ideas on lifestyle modifications. Field exercises included a grocery store and fitness center informational tour. Students were evaluated by presentations and the development of portfolios. Knowledge tests and physical assessments (cholesterol panel, weight, body fat percentage, waist circumference, blood pressure, and blood glucose) were administered prior to and upon course completion. The formal course evaluation included open-ended and close-ended assessments. Results: Course was initially offered in Fall 2002 as a one-hour elective with an enrollment of sixteen. Students were actively involved in the course format with open discussions of weight management issues on an individual and global level. Overall evaluations of the course were strongly positive. Open-ended comments were also positive and indicated a growth in knowledge of health issues and awareness of obesity as an epidemic. In addition, class participants indicated they would recommend the course to other students. Implications: Results indicate satisfaction with course design and content. Further expansion of course topics within the school’s curriculum will be explored.

Evolution of Doctor of Pharmacy Students’ Clinical Interventions During APPE. Michael J. Gonyeau, Margarita V. DiVall, Northeastern University. Objectives: Document and quantify clinical and economic impact of pharmacy students throughout eight consecutive advanced pharmacy practice experiences (APPEs). Observe an increase in students’ abilities to identify drug related problems and contribute to patient care throughout the APPE year. Methods: A palm pilot database (HandBase 3.0 software) was developed to track daily activities and clinical interventions of pharmacy students on general medicine rotations in two urban teaching hospitals. Interventions were classified by type, their acceptance by physician, preceptor contribution, and clinical and economic outcomes. Components of cost-savings assessed were drug acquisition and lab-monitoring costs (available from the hospital), as well as cost savings associated with the prevention of potential adverse drug reactions and medication errors (published average costs were multiplied by the probability of the event occurring). Clinical impact was categorized as minor, moderate, or major. Interventions collected during this period will be analyzed for patterns of increased clinical impact of students’ participation in-patient care activities, as demonstrated by increase in number and complexity of interventions throughout the year. Percent of preceptor contribution to individual interventions throughout the year will also be assessed. Implications: This method of documentation will allow the School of Pharmacy to demonstrate the value of pharmacy students during APPE. In addition, when widely utilized by all full-time and adjunct faculty, this documentation system can be utilized to monitor the progress in the abilities of each student to identify drug related problems and contribute to patient care throughout the year.

Use of Pre/Post Tests to Aide in Evaluation of Pharmacy Students During APPE. Michael J. Gonyeau, Northeastern University. Objectives: Evaluate the utility of pre/post testing of doctor of pharmacy students during APPE. Specific objectives included: comparisons of knowledge at rotation onset versus completion in content areas commonly encountered on an internal medicine APPE rotation, and student perception of knowledge and confidence in content areas. Methods: All 6th year doctor of pharmacy students completing an internal medicine APPE at St. Elizabeth’s Medical Center were assessed. A short answer, case based examination was administered on the first and last days of the rotation covering the following topics: hypertension, hyperlipidemia, heart failure, diabetes, asthma, anticoagulation, pneumonia, infectious disease and renal disease. Pre vs. post-tests were not identical, but each asked similar questions on the aforementioned topics. The post-test placed more emphasis on identification of landmark trials pertinent to students’ rationale for recommendations made. A comparison of overall scores, as well as scores in each specific content area is being conducted to give students specific feedback about strengths and areas to focus on in successive rotations. A survey will be conducted to analyze student perceptions on the impact of the pre/post test to address issues of confidence and relevance to pharmacy practice. A longitudinal assessment of students will also be conducted to observe changes in pre-test scores as students complete consecutive APPE rotations. Implications: This method of assessment of pharmacy students’ content mastery, critical thinking and problem-solving skills will allow the school of pharmacy to demonstrate the achievement of a core set of content based competencies during APPE.

Using Student and Faculty Surveys to Redesign a Therapeutics Course Series. Michael J. Gonyeau, Jennifer Trujillo, Northeastern University. Objectives: We evaluated the effectiveness of a Therapeutics course series during transition into modular format amidst quarter to semester conversion. Assessment included time allocation and practice relevance of lecture topics, effectiveness of case conference, and identification of content gaps. Methods: Sixth year students (n=77) and pharmacy practice faculty (n=18) were surveyed regarding appropriateness of time devoted to specific topics and assessment of perceived value. Open-ended questions were included for more specific feedback. A focus group evaluated survey results and developed a proposal for course revision. Results: Forty-five (47%) questionnaires were returned (34 students, 11 faculty). Seventy-eight topics were assessed. Over half of students and faculty responded that the time devoted to most topics (83% and 86% respectively) was “just right”. Topics identified as having “not enough” time included stroke, HIV, and STDs. Topics identified as having “too much” time included oncology and gout. Fifty-two (67%) topics were perceived as highly valuable by the majority of students and faculty. Nutrition was the only topic the majority of responders considered of “low value”. Gaps identified included drug interactions, glaucoma and dermatology. Multiple comments were made regarding the need for broader range of case conference activities. Implications: Our results indicate high student and faculty approval of the time allocation of lecture topics. Course revisions were made to address content areas identified as having not enough or too much time, content gaps, and case conference activities. Alterations will be re-evaluated in the next academic year through similar techniques.

Advanced Pharmacy Practice Experience + Service Learning: A Winning Combination. Jennifer Kirwin, Jenny Van Amburgh, Gina Bencivenga, Paulette Polk,