Canadian Pharmacy Skills 1 - Toronto (CPS 1)
CPS I modules include the following:
Therapeutics is designed to enhance pharmacists' basic knowledge of pharmacotherapy and integrate it with acquired problem solving skills. Didactic sessions, accompanied by discussion of patient scenarios, will give the learner the opportunity to gain an understanding of specific chronic disease states and the management of drug-related problems commonly encountered in pharmacy practice.
The module consists of interactive lectures that use a case-based approach to learning. Various pharmacists who have clinical experience in managing the disease state of interest are invited as guest lecturers. They teach and facilitate a discussion of the relevant issues and the management of drug-related problems using patient cases. The therapeutic thought process (TTP) will be used as a problem-solving framework for drug-related problems whenever possible.
Adverse Drug Reactions Part 1
Diabetes - Type 1
Drug Use in the Elderly and Constipation
Hypertension Case Study Seminar
Infectious Disease Overview and Urinary Tract Infections
Introduction to the Therapeutic Thought Process
This integrated module provides learners with the opportunity to develop patient counselling skills, while identifying, preventing and resolving drug-related problems. Fulfilling these outcomes will require assimilating material from other CPS modules including Therapeutics, Drug Information, and Communication Skills. It is meant to integrate many aspects of these modules.
This module is comprised of three distinct, yet linked, sections: seven Language of Patient Counselling Sessions (LPC), seven Patient Counselling Role-Play Sessions and 12 lectures on communication skills (see module 4 for more details). The module is designed to allow learners to integrate developing language skills within the context of pharmacy practice.
Language of Patient Counselling Sessions
Through spoken practice and conversational activities, learners will integrate targeted syntax and vocabulary into pharmacy discourse models. Accepted standards and conventions of pharmacy communication will be reviewed, followed by opportunities to role-play skills in pharmacy practice simulations. Learners will be expected to participate actively in order to develop their language skills.
LPC Session 1: Course Introduction, Setting the Context for the Patient Counselling Interview and Establishing Rapport
LPC Session 2: The Patient Counselling Interview: Opening Discussion and Introduction to Information Gathering (Part 1) – Asking the Right Questions
LPC Session 3: The Patient Counselling Interview – Information Gathering (Part 2), Creating a Patient Profile and Assessing Patients' Understanding of Medication
LPC Session 4, 5 + 6: The Patient Counselling Interview: Information Providing: Developing a Counselling Language focusing on Purpose, Benefits, Instructions of Medication Use, Discussion of Side Effects and Management, Storage. Addressing a patient's concerns regarding their prescriptions and concluding the interview will also be explored.
LPC Session 7: The Patient Counselling Interview: Patient Interviewing Techniques Using Empathy, Active Listening and Alternate Responses.
Patient Counselling Role Plays
In these 7 sessions, learners will have the opportunity to integrate and refine previously developed language, communication and therapeutics skills.
The first two sessions are “practice” role-plays. Many learners feel anxious about being observed and assessed by peers and instructors. In these initial sessions, you will become familiar with the interview structure and develop your level of comfort in the role play and assessment process.
The next two role-play sessions (Role Plays 1 and 2) will allow you to further develop your interviewing skills. Adhering to the basic interview structure will be an expectation. However, no drug-related problems will emerge.
Role-play three will be another “practice” role-play but now with a DRP included in the case. In this session you will use the same interview structure from the previous role-plays as well as identify, manage and discuss the DRP with the “patient” and the pharmacist assessor.
The final two role-play sessions (Role Plays 3 and 4) will include a drug-related problem, which you will be required to identify, prevent and/or resolve.
Throughout the sessions, you will be expected to establish rapport, respond to patient cues, and maintain a professional relationship with your patient.
This series of lectures, tutorials, seminars and self-study will provide learners with exposure to professional practice theory in Ontario. Federal and provincial pharmacy legislation, drug information, Canadian drug names and the Canadian health care system are among topics encompassed by this course. Completion of this module will enable learners to practice legally, ethically and professionally, using developed critical thinking and problem-solving skills. This course is linked to Basic Professional Practice Labs, where learners are expected to apply lecture theory in a laboratory setting and Canadian Practical Experience (CPE) workbook exercises.
Module content is divided into three integrated sections:
1) Professional Practice:
Delivered by staff members from the Ontario College of Pharmacists, lecture topics encompass federal and provincial legislation with respect to pharmacy practice in Ontario.
Format: three-hour large group lectures
JP #1 Structure and Function of OCP
JP #2 Drug and Pharmacies Regulation Act
JP #3 Food and Drugs Act and Ontario Drug Schedules
JP #4 Drug Interchangeability and Dispensing Fee Act
Drug Information – Aspects and Application
Principles of drug information are reviewed. Learners will have "hands-on" opportunities in interactive tutorials to apply drug information theory using tertiary and Internet -based resources.
Professional Practice lectures/tutorials:
Using the Ontario Drug Benefit Formulary/ Comparative Drug Index and CPS
Prescription label conventions, interpretation of Latin abbreviations, Canadian drug name recognition and pronunciation, medical terminology and various dosage forms provide a sub-text for the language of pharmacy practice. Through self-study and interactive lectures, participants will develop their skills to enhance their communicative competence in the specialized vocabulary of pharmacy practice.
2) Practice Management
Canadian Employment Law
Culture and Organization (Part I)
3) Selected Pharmacy Topics
Canadian Health Care System
Community Practice – From Theory to Practice
This lecture series exposes students to current trends and issues in the Canadian health care system, with a focus on pharmacy practice issues, in both community and hospital settings. Learners will also be responsible for an essay based on health care in the media.
This module is based on the elements of interpersonal and professional communication that pharmacists require to communicate proficiently, addressing and promoting the public's health care needs. A series of class seminars will utilize interactive discussions and role-playing scenarios to teach and develop effective oral, interpersonal, written and presentation skills for the purpose of professional pharmacy practice.
Session 1: Introduction to Communication Skills in Pharmacy Practice
Session 2: Interpersonal Communication
Session 3: Non-Verbal Communication
Session 4: Communication Behaviour Styles
Session 5: Assertive Communication Skills
Session 6: Barriers to Communication
Session 7: Effective Listening and Empathy
Session 8: Empathic Responding
Session 9: Alternate Listening Responses and the Levelling Skill
Session 10: Effective Dialogue to Ensure Better Patient Outcomes
Session 11: Developing Patient Relations
Session 12: Communication in Unique Situations
Writing workshops may be arranged to assist students in developing their written language skills. These sessions are optional and will be scheduled when the instructor is available and scheduling allows.
Working in a dispensary setting, learners will demonstrate the application of knowledge, skills and values discussed in the classroom setting. Fulfilling the module outcomes will require assimilating material from other pharmacy modules, particularly Jurisprudence, Drug Information, Therapeutics and Communication Skills. Participants will be expected to prepare prescriptions efficiently and accurately, maintain patient profiles and perform legally required documentation activities, while demonstrating organizational skills. Telephone simulations will provide an opportunity for communication skills to develop. Participants will be trained on a pharmacy computer software system. Working with a team of pharmacists, pharmacy technicians and Faculty of Pharmacy undergraduate students, learners are expected to integrate all their skills, while receiving positive and constructive feedback. Completing documentation in the Professional Practice Labs (drug information requests, verbal prescription records, prescription requirements to meet Standards of Practice) will provide focused writing opportunities.
Practice Lab – Lab Orientation and Practice Lab.
Labs 1, 2, 3 – Process written prescriptions from prescribers, accept a verbal prescription from a prescriber or request for refill from a patient, receive a Drug Information request, research and document search process and answer and complete pharmacy calculations and basic prescription checking.
Milestone exam - Will take place in the lab.
Included in this module is a Telephone Skills workshop which includes: Basic Telephone Skills, Receiving Requests from Patients for Refills, Receiving Verbal Prescriptions from Physicians