Special patient groups

PHAR44200 Special patient groups 30 Full year Undergraduate Level 7 1 FHEQ level (Framework for Higher Education Qualifications) ' Masters/Integrated Masters P4 ' European Credit Transfer & Accumulation System Rating : 15.0 This unit builds on skills and knowledge gained in the previous 3 years of the MPharm curriculum. The unit is designed to prepare the student for the practice of pharmacy in their foundation year and beyond.  During the course unit, the student will gain new knowledge in pharmaceutical care, pharmacogenetics, pharmacoepidemiology, patient care, and management of special patient groups (i.e. complex patients with multimorbidities).  EBL and skills workshops will allow the student to develop competencies and skills in communication, team work, clinical decision making, prescribing and care planning in a safe environment.  This is the top of the spiral curriculum where the knowledge and concepts learned in the previous years of study are put into practice so that the student will leave the MPharm programme competent to begin practice as a foundation pharmacist in the community, primary care or hospital setting. This unit builds on skills and knowledge gained in the previous 3 years of the MPharm curriculum. The unit is designed to prepare the student for the practice of pharmacy in their foundation year and beyond.  During the course unit, the student will gain new knowledge in pharmaceutical care, pharmacogenetics, pharmacoepidemiology, patient care, and management of special patient groups (i.e. complex patients with multimorbidities).  EBL and skills workshops will allow the student to develop competencies and skills in communication, team work, clinical decision making, prescribing and care planning in a safe environment.  This is the top of the spiral curriculum where the knowledge and concepts learned in the previous years of study are put into practice so that the student will leave the MPharm programme competent to begin practice as a foundation pharmacist in the community, primary care or hospital setting. The unit aims to: Develop students’ advanced knowledge and problem solving skills to deal with increasingly complex presentations of patients with special pharmaceutical needs. In preparation for their foundation year, students will build skills and confidence in making and justifying decisions where there is conflicting or missing information, as part of the multidisciplinary team.    The students will be able to:<ul><li>Understand and apply knowledge about advanced formulation, such as therodots, microneedles, floating tablets, ATMP, taste masking, specialist packaging for dementia patients or child-safe packaging</li><li>Describe how drug handling and ADME differs in special patient groups (neonates, children, pregnant women, elderly, renal and liver impairment, the critically ill patient)</li><li>Discuss the key considerations for managing drug therapy in special patient groups and use a range of evidence-based resources to support decision-making</li><li>Discuss the problem of adverse drug reactions in special patient groups</li><li>Discuss the impact of genomics and personalised medicines on paediatric disease, using a named condition as an exemplar</li><li>Use a systematic approach to problem solving within pharmaceutical care for special patient groups.  </li></ul> The students will be able to:<ul><li>Apply and integrate learning from previous MPharm units to deepen understanding of new materials encountered in this unit</li><li>Access, use and critically evaluate evidence to support safe, rational and cost effective use of medicines in special patient groups</li><li>Recommend, monitor and modify prescribed treatment to  optimise health outcomes, in collaboration with the prescriber and patient (and carers where relevant)</li><li>Apply principles of evidence-based practice to address actual and potential problems with individual patients’ therapy and advise on appropriate drug therapy in special patient groups</li><li>Utilise a STOPP-START tool to aid decision making as part of a frailty review</li><li>Synthesise medicines optimisation to conduct multi-morbidity review based on all steps of the process, comprising: gathering information from history and examination/investigations, forming a diagnosis/assessing severity considering priorities and options, supporting shared decision-making, management planning, documentation and prescribing, transfer of care and safety netting</li><li>Formulate an appropriate management plan in uncertainty (e.g. person does have current diagnosis, diagnosis is uncertain/inaccurate/incomplete/incorrectly communicated, dilemma on devising a management plan based on conflicting evidences/influences)</li><li>Interpret correspondence when persons transfer between care providers to keep them safe, demonstrating how to formulate and implement relevant action plans included shared care arrangements</li><li>Evaluate own decision making and that of others in order to improve practice</li><li>Apply patient safety tools and understanding of safe clinical systems to monitor and improve the safe use of medicines</li><li>Apply learning on capacity and consent to the care of special patient groups</li><li>Apply learning on clinical negligence to describe how evidence-based practice is used and evolves where there is a need to use unlicensed/off-license medicines.  </li></ul> The students will be able to:<ul><li>Instruct patients, carers and other healthcare professionals in the safe and effective use of medicines and devices </li><li>Document accurate, concise, legible and contemporaneous clinical records (i.e. prescribing decisions, history, diagnosis, clinical indications, discussions, advice given, examinations, findings, interventions, action plans, safety-netting, referrals, monitoring and follow ups) </li><li>Use digital resources (e.g. decision aids) to facilitate evidence-based clinical decision-making, referral and signposting</li><li>Work with patients, prescribers and other members of the healthcare team in a professional manner to negotiate safe and effective resolution of problems when dealing with conflict, critical incidents and complaints </li><li>Mentor or coach other student healthcare professionals.  </li></ul> The students will be able to:<ul><li>Work effectively within multiprofessional teams, demonstrating key skills and attributes associated with leadership (communicating with influence; negotiation skills; using integrity, networking and advocacy; coaching; situational judgement)</li><li>Engage in inter-professional and clinical simulations to further develop team-working and communication skills.  </li></ul> The teaching and learning philosophy for the MPharm places an emphasis on learner-centred rather than teacher-centred approaches. Learning is therefore structured to maximise guided self-directed learning, with enquiry driven project work and EBL workshops provided to support greater conceptual understanding of the material and deep, rather than superficial learning. This helps students prepare for their future careers by helping them to develop independence, confidence and resilience. A wide range of teaching and learning activity is included to meet the learning needs of a diverse range of students:<ul><li>Core concepts lectures: A very small number of didactic lectures are included to provide a step-by-step guide to the threshold concepts in pharmacy </li><li>Online learning: A small amount of guided self-directed learning in year 4 is provided via Canvas. This consists of videos, bespoke elearning packages, NHS elearning (e.g. Skills for health), factsheets and directed reading (which can be downloaded). In year 4, students are expected to supplement guided self-directed learning with extensive use of high-quality resources that they have identified themselves</li><li>EBL workshops: All learning is brought together and consolidated in a series of multidisciplinary integrated sessions. Workshops are led by a team of staff who act as specialist facilitators, directing student learning via discussion of case studies and project work.</li><li>Professional skills classes: These span the full 4 years of the MPharm to ensure students are prepared to become prescribers after their foundation year. Classes focus on further developing advanced consultation skills, assessment and examination skills and clinical decision-making. Regular role play and interaction with medical actors is used to increase confidence and to ensure students receive tailored feedback.</li><li>MyDispense: This is an online platform utilising real-world cases to recreate prescription processing and to apply pharmacy law. It is used with increasing complexity in all four years of the MPharm course to develop skills in clinical checking, dispensing and accuracy checking.</li><li>Placements: Compulsory workplace placements are provided in hospital and community pharmacy and GP practice settings in year 4, to gain practical experience in providing pharmacy services and to apply learning in order to prepare for their foundation training year.</li><li>Academic adviser meetings: Students meet with their named academic adviser twice per semester in formal timetabled meetings. Academic advisers support students with their personal and professional development throughout the MPharm course.  </li></ul> 0 Other 100% <figure class="table"><table><tbody><tr><td style="border:1px solid hsl(0, 0%, 0%);">Assessment task</td><td style="border:1px solid hsl(0, 0%, 0%);">Length</td><td style="border:1px solid hsl(0, 0%, 0%);">How and when feedback is provided</td><td style="border:1px solid hsl(0, 0%, 0%);">Weighting within unit (if relevant)</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);" colspan="4">Formative</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);">EBL case-based class work</td><td style="border:1px solid hsl(0, 0%, 0%);">4 hours prep for each class</td><td style="border:1px solid hsl(0, 0%, 0%);">Feedback provided</td><td style="border:1px solid hsl(0, 0%, 0%);">N/A</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);">Mock pharmacy progress MCP test</td><td style="border:1px solid hsl(0, 0%, 0%);">Online, 2 hours</td><td style="border:1px solid hsl(0, 0%, 0%);">Auto-marked with pre-populated feedback </td><td style="border:1px solid hsl(0, 0%, 0%);">N/A</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);" colspan="4">Summative</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);">OSCE (2 credits)</td><td style="border:1px solid hsl(0, 0%, 0%);">1.5 hours</td><td style="border:1px solid hsl(0, 0%, 0%);">Written feedback provided within 15 days</td><td style="border:1px solid hsl(0, 0%, 0%);">Pass/ Fail</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);">Placements eportfolio (2 credits)</td><td style="border:1px solid hsl(0, 0%, 0%);">Variable</td><td style="border:1px solid hsl(0, 0%, 0%);">Feedback provided on placement </td><td style="border:1px solid hsl(0, 0%, 0%);">Pass/ Fail</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);">Pharmacy progress MCQ test (4 credits)</td><td style="border:1px solid hsl(0, 0%, 0%);">2 hours</td><td style="border:1px solid hsl(0, 0%, 0%);">Feedback on performance after February exam board</td><td style="border:1px solid hsl(0, 0%, 0%);">14%</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);">2 x integrated case-based examination (9 credits each – joint exams with Advanced therapies units)</td><td style="border:1px solid hsl(0, 0%, 0%);">3 hours (split into 2 x 1.5 hours)</td><td style="border:1px solid hsl(0, 0%, 0%);">EBL session devoted to self and peer evaluation of exam performance</td><td style="border:1px solid hsl(0, 0%, 0%);">65%</td></tr><tr><td style="border:1px solid hsl(0, 0%, 0%);">Coursework case-based complex patient presentation (6 credits)</td><td style="border:1px solid hsl(0, 0%, 0%);">15 minutes</td><td style="border:1px solid hsl(0, 0%, 0%);">Written feedback provided within 15 days</td><td style="border:1px solid hsl(0, 0%, 0%);">21%</td></tr></tbody></table></figure> Please see the above assessment methods. PHAR11001 Foundations of Pharmacy Pre-Requisite Compulsory PHAR11002 Gastrointestinal system, liver and kidneys Pre-Requisite Compulsory PHAR22001 Immunity, Infection and Respiratory system Pre-Requisite Compulsory PHAR22002 Cardiovascular system Pre-Requisite Compulsory PHAR33001 Endocrine and musculoskeletal systems Pre-Requisite Compulsory PHAR33002 Brain and neurotransmission Pre-Requisite Compulsory MPharm(Hons) MPharm(Hons) Fourth Year Mandatory N Directed reading consists of a small number of papers from journals, clinical guidance or policy documents (e.g. NICE). As clinical practice and cutting edge medicines discovery and development is constantly changing, this material will be reviewed before each session is delivered to ensure it remains relevant. As part of EBL, students have developed sound literature searching skills in order to identify their own individualised reading lists to address their learning objectives.   Lectures 10 Practical classes & workshops 42 0 248 Other Scheduled teaching and learning activities:<ul><li>Placements: 10 days (dependent upon HEE commission)</li><li>MyDispense online learning: 10 hours</li><li>Online drop-ins (CPD, calculations, EBL support):1 hour per week</li><li>Academic adviser meetings: 2 times  </li></ul>