International Pharmacy Graduate
Program (IPG)

Canadian Pharmacy Skills 2 - Toronto (CPS 2)

Building upon material that was taught in CPS I, CPS 2 modules include the following;

Successful completion of CPS 1 is required inorder for students to register for CPS 2.


Module 1: Pharmaceutical Care - Applied Therapeutics Lecture Series

Therapeutics in CPS 2 continues with the previous structure and objectives as CPS 1. This module 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.

Each student will be required to apply recently acquired knowledge to a problem-solving framework in order to create care plans for the patient scenarios. Students will be required to explain and justify any proposed intervention in their care plans in a concise and comprehensive manner – verbally or in written form. Upon completion of this module, students should be able to assume responsibility for the common issues arising in the management of a patient's drug therapy.

Topics:

Adverse Drug Reactions Part 2
Anticoagulation
Community Acquired Pneumonia
Congestive Heart Failure
Dementia/Alzheimer's Disease
Diabetes - Type II
Diabetes Type II Case Study Seminar
Inflammatory Bowel Disease
Osteoporosis
Pain Management 
Parkinson's Disease
Post Myocardial Infarction
Pre Menstrual Syndrome 
Schizophrenia
Seizure disorders


Module 2:  Clinical Skills in Medication Management

Clinical Skills in Medication Management II (CSMM) focuses on the provision of comprehensive patient care, and is founded on the philosophy of pharmaceutical care. CSMM provides learning opportunities to apply and integrate material learned from all courses in Canadian Pharmacy Skills (CPS) to date, using simulated practice-based interactions with Standardized Patients and Clinical Instructors to enhance their patient-care, decision-making, and documentation skills. Lectures will provide foundational material and skills which will be applied in the simulated interactions and workshops. Simulated interactions will focus on developing effective patient-centered management of multidimensional drug-therapy problems anchored in a professional context.

Topics:

Adapting and Renewing Prescriptions
Asthma/COPD
Best Possible Medication History (BPMH)
Clinical Queries
Diabetes
Discharge Counselling
Dyslipidemia
Hypertension
Medication Reconciliation
Motivational Interviewing
Osteoarthritis


Module 3: Professional Practice & Pharmacy Management II

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, practice management issues, pharmacy calculations and selected pharmacy topics encompass this course. Workplace Success is defined as the ability to competently function in a professional practice setting, knowledgeable and cognizant of both the structural and behavioural parameters that define contemporary pharmacy practice. This module is linked to Advanced Professional Practice Labs, where learners are expected to apply lecture theory in a laboratory setting.

Course content is divided into three integrated sections:

1) Professional Practice

Jurisprudence Lecture Series
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

Topics:
JP #6 - Ontario Drug Benefit Act
JP #7 - Controlled Drugs and Substances Act
JP #8 - Manufacturing and Compounding
JP #9 - Structured Practical Training
JP #11 - Current Topics

Pharmacy calculations:
Completing the pharmaceutical calculations on the milestone with 100% accuracy is an exit requirement for the Pharmacy Practice and Pharmacy Management course.

2) Practice Management Topics:

Managed Care and Cognitive Services
Third Party Drug Plans
Human Resources: Interviewing Skills and Careers in the Pharmacy Industry
Community Pharmacy Practice Management
Hospital Pharmacy Management

3) Current Pharmacy Practice Issues:

New Drug Development Process & ADR Reporting
Contraception
Emergency Contraception
Exploring Culture and Organization part II
Opioids & Methadone Maintenance

This lecture series exposes students to current trends and issues in the Canadian health care system, with a focus on pharmacy practice and management issues, in both community and hospital settings.


Module 4: Ambulatory Conditions: A Practical, Evidence-Informed Approach to Minor Ailments

This module is designed to provide students with an opportunity to develop and integrate skills of problem solving, self-directed learning and delivering oral presentations in order to acquire and apply knowledge of selected self-care topics.  Criteria for appropriate selection of non-prescription treatment options vs. physician referral and fundamental principles of self-care as well as a pharmacist’s moral, ethical and legal responsibilities will be explored. Learning will be achieved primarily through pharmacist presentations, a patient case work up and role-plays.

In small groups, learners will be responsible for presenting a patient case work up, highlighting drug and non drug options to treat a patient’s self-care condition. A facilitated question and answer period will follow in which the presenting team must field questions from their peers. Participation is required and will be graded in this portion.

The week following the presentations students will participate in role-plays hi-lighting a differential diagnoses and appropriate therapeutic options to treat the self-care conditions discussed previously. Each student will have the opportunity to role-play the pharmacist in these scenarios and to assess their peers' performance.

Topics:

GI Series: motion sickness, nausea in pregnancy, traveler’s diarrhea, gastroenteritis, constipation, hemorrhoids

Dermatology Series: head Lice, seborrhea, athlete's foot, plantar warts, dermatitis

Respiratory Series: cough, common cold, fever, smoking cessation, allergies and headache


Module 5: Advanced Professional Practice Labs

Advanced labs provide an opportunity to consolidate jurisprudence, drug information and prescription processing skills in preparation for independent practice e.g. transferring and copying prescriptions, receiving verbal orders for narcotic and controlled drugs and explaining drug plans to patients. Drug information requests will be researched and documented. Compounding calculations, techniques and preparations will be completed. Patient charts will require the preparation of care plans. Prescriptions will be checked for accuracy for release to patients. Workshops on devices (blood glucose monitoring devices) will provide learners with practical, hands-on experience. Tutorials on third-party management issues and payment will prepare learners with practical solutions to common practice problems. Telephone skills will be further developed and applied in the Professional Practice Labs.

Format:  4.5 hour laboratories including small group and individual activities with teaching assistants

Lab #1 - Orientation and Practice Lab
Labs #2, 3, 4 - Advanced Labs
Lab #5 - Compounding
Milestone - Will take place in lab

Telephone Skills 5: Transfers/Copies
Telephone Skills 6: Calling Physicians' Offices