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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

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Page 1: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 2: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

STUDY AIM AND PRIMARY

OBJECTIVE

Page 3: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 4: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

INTRODUCTION TO DESIGN

RESEARCH APPROACH

Page 5: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 6: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Assessment

Prototype design and

development

• Cyclical character8

Educational Problem

Analysis

Refinement

needed?

NO

Introduction to Design Research Approach

Page 7: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Design Research Outputs

Theory advancement3,9

Generation of characteristics

and design principles3,9

Page 8: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

RESULTS

Page 9: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 10: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

RESULTS

DESIGN PRINCIPLES FOR AN EFFECTIVE PRECEPTOR-

BASED PROGRAMME IN A SOUTH AFRICAN CONTEXT

Page 11: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

General Design Guiding

Tools

Content

Guidance

and Support

Motivation and

Commitment

Overview of Presentation of Design Principles

Page 12: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

• 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

Page 13: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 14: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 15: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Preceptor

Faculty

Student

Design Principles:

Guidance and Support

Page 16: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Preceptor

Preceptor Guidance and Support:

Preparing for the Preceptor Role

Page 17: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Preparing the

Preceptor

Contact preceptors in advance

Training materials

Criteria for excellence

Practical education tips

Preceptor Guidance and Support

Page 18: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 19: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Preparing the

Preceptor

Assessment training

Module objectives and expectations well- articulated

Step-wise student remediation plan

Student feedback

Preceptor Guidance and Support

Page 20: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Design Principles: Motivation and Commitment

Preceptor

Student

Page 21: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 22: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Design Principles: Preceptor Motivation and Commitment

Other factors

Guidance and

Support

Satisfaction

Student recruitment opportunity Free

access to online

resources

Personal decision

Page 23: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

CONCLUDING REMARKS

Page 24: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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

Page 25: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

Thank you!

Page 26: Design principles for a preceptor-based experiential ... · 10. Bates I, Bruno A. 2012 FIP global pharmacy workforce report: Global pharmacy workforce description. The Hague, Netherlands:

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