Background and purpose

This article describes the clinical and educational impact resulting from interprofessional (IP) collaboration between fourth-year advanced pharmacy practice experience (APPE) pharmacy students and community paramedics within a community paramedicine (CP) program.

Educational activity and setting

The Manatee County, Florida CP program partnered with Lake Erie College of Osteopathic Medicine School of Pharmacy faculty to reduce 911 calls, emergency room visits, and hospital readmissions for underserved populations. The CP-pharmacist partnership optimized medication therapy, chronic disease management, and access to care through scheduled in-home visits with an IP team. With guidance from the pharmacist, APPE student responsibilities included comprehensive medication review, medication action plan development, communication with providers, and patient counseling to resolve medication issues.

Findings

Survey data demonstrated this approach to APPEs increased student confidence in optimizing care plans (100%), assessing vitals (76%), identifying medical emergencies (84%), and communicating with patients (96%). Student incorporation into a CP program augmented the pharmacist's ability to successfully correct medication use errors and improve nonadherence through patient counseling. Medication interventions were successful in 693 of 799 scenarios, for a success rate of 86.7%.

Summary

Results from this analysis reinforced prior research indicating pharmacy students can be successfully incorporated into a CP program, with resulting improvement in student clinical skills, communication strategies, and successful medication intervention outcomes.

中文翻译：

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社区辅助医疗计划对 APPE 学生技能集的影响

背景和目的

本文描述了社区护理人员 (CP) 计划中四年级高级药学实践经验 (APPE) 药学学生和社区护理人员之间的跨专业 (IP) 合作所产生的临床和教育影响。

教育活动和环境

佛罗里达州海牛县 CP 计划与伊利湖骨科医学院药学院的教职员工合作，减少了服务不足人群的 911 电话、急诊室就诊和再入院次数。CP 与药剂师的合作伙伴关系通过与 IP 团队的预定家访优化了药物治疗、慢性病管理和获得护理的机会。在药剂师的指导下，APPE 学生的职责包括全面的药物审查、药物行动计划的制定、与提供者的沟通以及解决药物问题的患者咨询。

发现

调查数据表明，这种 APPE 方法提高了学生在优化护理计划 (100%)、评估生命体征 (76%)、识别医疗紧急情况 (84%) 和与患者沟通 (96%) 方面的信心。学生加入 CP 计划增强了药剂师成功纠正药物使用错误和通过患者咨询改善不依从性的能力。药物干预在 799 个场景中的 693 个中成功，成功率为 86.7%。

概括

该分析的结果强化了先前的研究，表明药学学生可以成功地纳入 CP 计划，从而提高学生的临床技能、沟通策略和成功的药物干预结果。