design principles for a preceptor-based experiential ... · 10. bates i, bruno a. 2012 fip global...
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Design principles for a preceptor-based
experiential learning programme and
preparing for the preceptor role
Lia Kritiotis
Pharmacy Department
Nelson Mandela University
BPharm, MSc, PhD
STUDY AIM AND PRIMARY
OBJECTIVE
Study Aim and Primary Objective
Design research approach to:
• Determine characteristics of an effective
preceptor-based experiential learning programme
in community pharmacy
• Generate design principles
Preceptor important role model
in programme delivery1-2
INTRODUCTION TO DESIGN
RESEARCH APPROACH
Introduction to Design Research Approach
Relatively new research approach3-4
Appropriate when there are no well-defined guidelines5
Programme design based on:
• Literature and similar available programmes3,6
Involves “evolutionary prototyping”7 by a research team7
• Perpetual improvement of successive prototypes
• Allows for programme optimisation
Assessment
Prototype design and
development
• Cyclical character8
Educational Problem
Analysis
Refinement
needed?
NO
Introduction to Design Research Approach
Design Research Outputs
Theory advancement3,9
Generation of characteristics
and design principles3,9
RESULTS
Design Research Outputs
Theory advancement
Generation of characteristics
and design principles
Solving problem of no formal
preceptor-based programmes
Effective programme and understanding
preceptor motives
RESULTS
DESIGN PRINCIPLES FOR AN EFFECTIVE PRECEPTOR-
BASED PROGRAMME IN A SOUTH AFRICAN CONTEXT
General Design Guiding
Tools
Content
Guidance
and Support
Motivation and
Commitment
Overview of Presentation of Design Principles
• SAPC practice and education standards
• Faculty-practitioner interactions begin
Consult literature and alike
programmes
• Competency-based educational programmes encouraged internationally
Professional competencies to
guide design
• Perpetual involvement
• May include an expert panel
• Student post-placement feedback
Encourage practitioner and
student participation
Design Principles: General Guiding Tools
Design Principles: General Guiding Tools
• Memoranda of understanding Draw up formalised written agreements
• Administration, planning, development, execution and refinement
Ensure that experiential education office has
enough staff
• Aim for reserve sites (12% - 20% excess)22
• Encourage students to seek sites in other regions
Secure adequate number of placement
sites
• Practicality and effectiveness
• Actual outcomes = intended outcomes? Evaluate attained
prototype
Base student tasks on previously acquired
theory
Strive for structure-autonomy balance
(Vygotsky and Kolb theories23-24)
Create opportunities for multidisciplinary
engagement
Refer to Regulation 8 of the Pharmacy Act, 53 of 1974 –
full scope of practice
Content
Design Principles: Content
Preceptor
Faculty
Student
Design Principles:
Guidance and Support
Preceptor
Preceptor Guidance and Support:
Preparing for the Preceptor Role
Preparing the
Preceptor
Contact preceptors in advance
Training materials
Criteria for excellence
Practical education tips
Preceptor Guidance and Support
Decide on learning approach on day one
Apply a team approach to training
Reserve quieter times for module tasks
Initially, select “appropriate” patients
Strategies to overcome time
constraints
Examples of Practical Education Tips
Preparing the
Preceptor
Assessment training
Module objectives and expectations well- articulated
Step-wise student remediation plan
Student feedback
Preceptor Guidance and Support
Design Principles: Motivation and Commitment
Preceptor
Student
Other Factors
Understanding
Values
Design Principles: Preceptor Motivation and Commitment
• Give back
• Acknowledge importance of preceptor role
• Strong ethical responsibility
• Revise and develop existing knowledge
Design Principles: Preceptor Motivation and Commitment
Other factors
Guidance and
Support
Satisfaction
Student recruitment opportunity Free
access to online
resources
Personal decision
CONCLUDING REMARKS
Concluding Remarks
Unique contributions to global pharmacy
• Application of design research approach
• Adaptation of Volunteer Functions Inventory (preceptor
motives)
New theory generated for the South African context
• Experiential learning programmes
• Preceptor and student motivation
Thus, may provide guiding tools for other faculties
Thank you!
References 1. Chaar B, Brien B, Hanrahan J, McLachlan A, Penm J, Pont L. Experimental education in Australian pharmacy:
Preceptors’ perspectives. Pharmacy Education. 2011;11(1):166-71.
2. Young S, Vos SS, Cantrell M, Shaw R. Factors associated with students' perception of preceptor excellence. American
Journal of Pharmaceutical Education. 2014;78(3):53.
3. Anderson T, Shattuck J. Design-based research: A decade of progress in education research? Educational Researcher.
2012;41(1):16-25.
4. McKenney S, Reeves T. Educational Design Research. 2013. In: Handbook of Research on Educational
Communications Technolog [Internet]. Springer; [131-40].
5. Van Den Akker J, Bannan B, Plomp T, Nieveen N, editors. An introduction to educational design research. Educational
Design Research Seminar; 2009; East China Normal University, Shangai (PR China).
6. McKenney S, Nieveen N, Van Den Akker J. Design research from a curriculum perspective. In: Van den Akker J,
Gravemeijer K, McKenney S, Nieveen N, editors. Educational Design Research. London: Routledge; 2006. p. 62-90.
7. Nieveen N, Folmer E. Formative evaluation in educational design research. 2013. In: Educational Design Research Part
A: An Introduction [Internet]. Enschede (Netherlands): Netherlands Institute for Curriculum Development (SLO); [153-67].
8. Plomp T. Educational design research: An introduction. 2013. In: Educational Design Research [Internet]. Enschede:
Netherlands Institute for Curriculum Development (SLO); [11-51].
9. Wang F, Hannafin M. Design-based research and technology-enhanced learning environments. Educational Technology
Research and Development. 2005;53(4):5-23.
10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague,
Netherlands: International Pharmaceutical Federation; 2012.
11. Centre for Workforce Intelligence. A strategic review of the future pharmacist workforce: Informing pharmacist student
intakes. In: Health Do, editor. Great Britain: Crown copyright.; 2013. p. 1-57.
12. Fejzic J, Henderson A, Smith M, Mey A. Community pharmacy experiential placement: Comparison of preceptor and
student perspectives in an Australian postgraduate pharmacy programme. Pharmacy Education. 2013;13(1):15-21.
13. Foote EF, Roland BE, Gionfriddo MR, Holt-Macey S. Differences between residency- and non-residency-trained
preceptors on student perceptions and activities of community practice advanced pharmacy practice experiences
(APPEs). Currents in Pharmacy Teaching and Learning. 2014;6(2):259-64.
14. South African Pharmacy Council (SAPC). Statistics for registered persons and organisations 2017 [Available from:
http://www.pharmcouncil.co.za/B_StatsUnivBYOstudy.asp.
15. Cerulli J. Experiential education in community pharmacy. American Journal of Pharmaceutical Education. 2006;70(1):1.
16. Diack L, Gibson K, Munro K, Strath A. Experiences of supervision at practice placement sites. Education Research
International. 2014;2014:1-6.
17. Kassam R. Evaluation of pharmaceutical care opportunities within an advanced pharmacy practice experience.
American Journal of Pharmaceutical Education. 2006;70(3):49.
18. Zeitoun AA, El Zein HL, Zeineddine MM. Effect of pharmacy practice programme on pharmacy student learning,
satisfaction, and efficiency: Assessment of introductory pharmacy practice course. Journal of Pharmacy Practice.
2014;27(1):89-100.
References
19. Brownfield A, Garavalia L, Gubbins P, Ruehter V. Exploration of methods used by pharmacy professional programmes
to contract with experiential practice sites. American Journal of Pharmaceutical Education. 2016;80(2):1-7.
20. Devine P, Darbishire P. National trends in IPPE programmes at US schools of pharmacy from 2008 - 2013. American
Journal of Pharmaceutical Education. 2015;79(3):1-9.
21. Skrabal M, Jones R, Nemire R, Boyle C, Assemi M, Kahaleh A, et al. National Survey of volunteer pharmacy
preceptors. American Journal of Pharmacy Education. 2008;72(5):1-8.
22. Brown RO, Spivey CA, Chisholm-Burns MA, Byrd DC. Three-year assessment of advanced pharmacy practice
experience student and faculty change requests at a college of pharmacy. Currents in Pharmacy Teaching and
Learning. 2014;6(6):767-72.
23. Vygotsky L. Mind in society: The development of higher psychological processes. Cambridge, Mass: Harvard University
Press; 1978.
24. Kolb D. Experiential Learning: Experience as the source of learning and development. Englewood Cliffs, New Jersey:
Prentice-Hall; 1984.
References