pharmacy skills laboratory iumanitoba.ca/faculties/health_sciences/pharmacy/media/... · 2019. 2....

PHRM 2100 Course Outline 2018R of 13

Pharmacy Skills Laboratory II

PHRM 2100

Academic Year 2017-2018

Credit hours: 3 (For lecture and laboratory times please see course schedule)

Course Coordinator: Ms. Sheila Ng, B. Sc. Pharm,

Room 115 Apotex Centre

Phone (204) 975-7763; [email protected]

Office hours: After each lecture and by appointment.

Other Instructors: Jill Hardy, B.Sc.Pharm

Assistant Registrar Field Operations

College of Pharmacists of Manitoba

[email protected]

Ms. Drena Dunford, B. Sc. (Hon.), B. Sc. Pharm, CDE

Room 119, Apotex Centre

Phone: (204) 474-6989; [email protected]

Ms. Nancy Kleiman, BSP, MBA


Phone: (204) 474-6692; Nancy.Kleiman@ umanitoba.ca

Ms. Sonal Purohit, B. Sc. Pharm,


Phone: (204) 272-3170; [email protected]

mailto:[email protected]



mailto:Nancy.Kleiman@%20umanitoba.ca



Course objectives & AFPC Educational Outcomes:

Course Objectives

At the completion of this course, the student should be able to:

AFPC

Outcome

Achieved

NAPRA

Competency

Achieved

Learning Level

(ICE – ideas,

connections,

extensions)

Performance

Level

(Novice,

Functional,

Competent)

1. Practice effective communication and interpersonal skills during self-

care counseling and prescription counseling including attentive

listening, open-ended inquiry, empathy and clarification to ensure

understanding.

CM 1.2

CM 1.5

CM 1.7

CM 2.1

CL 1.1

PR 1.1

2.1

7.1

7.3

8.1

Connections Competent

Competent

Competent

Functional

Competent

Competent

2. Illustrate the ability to deal with difficult patients and situations. CM 1.5 Connections Competent

3. Develop efficient techniques to effectively communicate, both

verbally and in writing, with patients and other health care

professionals.

CP 2.3

CM 1.1

CM 1.7

7.2

6.2

Connections Functional

Competent

Competent

4. Examine information regarding a patient medical history prior to

filling a prescription

CP 2.1 2.2 Connections Functional

5. Practice information-gathering skills to obtain information from a

patient about his/her medical history and self-care condition prior to

making a recommendation

CP 2.1

CM 1.4

2.2 Connections Competent

Competent

6. Formulate information clearly for the patient regarding their diagnosis

and self-care treatment options.

CP 1.4

CP 2.2

CM 1.3

HA 1.2

HA 1.3

SC 4.1

2.5

5.1

6.2

7.3

Extensions Competent

Novice

Competent

Functional

Functional

Competent

7. Plan using problem-solving skills to develop and implement an CP 1.5 Extensions Novice


appropriate therapeutic plan for a patient with a self-care condition. CP 2.1

CP 2.3

CP 2.4

CP 2.5

CL 1.3

CL 2.1

SC 1.1

SC 1.3

SC 2.4

2.3

2.4

2.5

2.6

2.8

6.1

Competent

Functional

Novice

Functional

Functional

Functional

Functional

Functional

Novice

8. Employ communication skills and knowledge in the process of

counseling patients on prescription and non-prescription medications.

CM 1.1

CM 1.3

CM 1.7

7.3 Connections Competent

Competent

Competent

9. Interpret the laws of the Federal and Provincial Acts as well as the

ethical and professional standards that govern the profession of

pharmacy and apply this knowledge to practice.

PR 2.3

PR 2.4

1.1

1.2

1.4

1.5

Connections Competent

Competent

Competent

Functional

10. Employ the steps of the prescription filling process to dispense a

prescription medication.

CP 2.4

CP 3.1

CP 3.2

LM 1.2

LM 1.3

4.1

3.1

9.3

Connections Novice

Novice

Novice

Novice

Functional

Functional

11. Practice efficient and effective retrieval of drug information from

commonly used tertiary resources.

SC 2.1

SC 2.4

6.3 Connections Novice

Novice


Learning goals for the course:

Pharmacy Skills Lab II has been designed to allow pharmacy students to learn and practice the

essential skills needed to become a successful pharmacist. Students will utilize effective

communication skills while applying their knowledge of pharmacy to provide patient care.

Students will have an opportunity to practice the role of a community pharmacist using the

“pharmaceutical care” model in a safe and controlled environment. They will perform a wide

range of functions and tasks such as counseling patients on both nonprescription and prescription

products, dispensing prescription drugs using a pharmacy software program, utilizing tertiary

resources to find drug information, communicating with other healthcare professionals and

patients, and practicing pharmacy in a professional manner. Lastly, students will also have an

opportunity to learn about the code of ethics that govern the profession of pharmacy as well as

practice pharmacy taking into account the pharmacist’s obligations under the federal and

provincial regulatory framework.

Level and sequence of the course:

Students will incorporate and build on knowledge and skills learned in Pharmacy Skills Lab-1

(PHRM 1100). Students will practice effective communication skills and integrate these skills

with clinical knowledge learned from Clinical Pharmacy-1 (PHRM 2320). Students will also

utilize knowledge learned from Fundamentals of Pharmaceutics (PHRM 1300).

Teaching and learning methods:

Students are expected to learn independently as well as collaboratively. Collaborative learning

provides opportunities for feedback and clarification of material by peers and instructors.

Collaborative learning, through stimulating open discussion, encourages creative and innovative

ideas/thoughts/strategies that can be applied to general problems or issues. In order for students

to be prepared for effective collaborative learning, the student should read assigned materials,

listen, participate in class discussions and have an enthusiastic attitude. The purpose of the

assigned readings is to provide knowledge as well as a foundation for application of the material

within collaborative learning discussions. Students are encouraged to draw on past or current

work or school experiences as well as their own reactions to their experience with discussion

partners or a group to make the course content relevant to their professional and personal

learning goals and needs.

Course Attendance:

Regular attendance is required for this course. Please review the Attendance Policy in the

College of Pharmacy Student Handbook, available within the Academic Section, namely, 5.1:

Attendance at Class.


Participation:

PSL-2 is designed to be interactive and all students are expected to participate in both class

discussions as well as during lab activities.

Expectations with respect to participation in labs:

1. Constructive Feedback:

Students are expected to provide useful & constructive feedback to each other

Students are expected to show respect to each other

2. Role playing:

When acting as a “patient” the student is expected to:

Treat the interaction as if it were real

Portray the demeanor of the patient in the case

Deliver information accurately as provided by the script without “leading or giving

information away” information to the pharmacist

Improvise when needed to add depth to the interaction

When acting as a “pharmacist” the student is expected to:

Treat the interaction as if it were real

Respond to the patient’s questions and concerns

Act professionally

Course Technology:

It is the general University of Manitoba policy that all technology resources are to be used in a

responsible, efficient, ethical and legal manner. Students can use all technology in classroom

settings only for educational purposes approved by the instructor and/or the University of

Manitoba Disability Services. Students should not participate in personal direct electronic

messaging / posting activities (e-mail, texting, video or voice chat, wikis, blogs, social

networking (e.g. Facebook) online and offline “gaming” during scheduled class time. Course

materials are provided on UM Learn and can be accessed electronically at

https://universityofmanitoba.desire2learn.com/d2l/login

Academic Integrity:

Please review the Academic Honesty policy in the College of Pharmacy Student Handbook,

available within the Academic Section, namely, 5.4: Academic Honesty (plagiarism & cheating).

The coordinator and instructors of this course and the University of Manitoba hold copyright

over the course materials, presentations and lectures which form part of this course. No audio or

video recording of lectures or presentations is allowed in any format, openly or surreptitiously, in

whole or in part without permission of the course coordinator. Course materials (both paper and

digital) are for the participant’s private study and research.

https://universityofmanitoba.desire2learn.com/d2l/login


Assessment Policies:

The regulations and requirements concerning scholastic progress, attendance at class, deferred

examinations, incompletes, academic honesty, and professional unsuitability are outlined in the

College of Pharmacy chapter of the University of Manitoba General Calendar and the College of

Pharmacy Student Handbook. All such policies apply to this course.

Students are required to attend all seminars, lectures and PBA’s. Failure to attend labs and/or

Performance Based Program activities will result in a grade of zero unless the absence was

approved by the instructor. A make-up lab or assignment will be offered to those students whose

absence was approved by the instructor.

Note: Only selected lab activities will count towards the student’s final grade. All students must

participate and hand in their lab work EACH and EVERY week. Failure to participate in a lab

activity or submit lab work during ANY week will result in a loss of 4% (for each lab missed)

towards the student’s final mark in the course.

Harming the Patient: If a student harms the patient or puts the patient at risk of harm at any

time while providing patient care, the student will automatically receive a D or F for the activity

in which the patient was harmed or at risk of harm (depending on the severity of harm).

Assessment Process:

There will be two forms of assessment provided to students throughout the course. The first

form of assessment will be the evaluation of written work via one written exam (Jurisprudence).

The second form of assessment will be performance based. Students will be evaluated on their

performance during laboratories and Objective Structured Clinical Examinations (T/OSCE’s).

Student performance will be assessed by instructors, standardized patients and/or by the students

themselves. Rubrics will be used to mark the activities and the student’s grade will be assigned

by the instructor. Emphasis will be placed on the ability to demonstrate effective communication

and interpersonal skills as well as information gathering skills while providing accurate and

appropriate information. Formative feedback will be provided during most laboratory activities

and summative feedback will be provided as indicated in the course schedule.

Students will be given the opportunity to review a hardcopy of their evaluations when all marks

for the assignment have been reviewed for all laboratory activities. Review of TOSCE and

OSCE evaluations will be available by appointment only.


Assessment criteria and grading

Section ONE: Percentage

Jurisprudence Written Examination 25%

Section TWO - Performance Based Activities (PBA’s) :

Laboratory Activities:

There will be 11 lab activities worth marks through the year (see course

schedule)

28%

40%

Self-Care Lab Activities: There are a total of 8 self-care lab activities

(the lowest of these marks will be dropped for a total of 7 activities

worth 4% each)

Prescription Lab Activities: There are a total of 3 prescription lab

activities, students will be fully marked for one of these activities

worth 4%

4%

Quiet Station Lab Activities: 2 activities worth 4% each 8%

Prescribing for Minor Ailments Activity 5%

TOSCE (Thursday, November 30, 2017) 7.5%

OSCE (Thursday, March 29, 2018) 22.5%

Total 100%

PLEASE NOTE

Section ONE (Jurisprudence) MUST be passed with a mark of 70% or better.

Section TWO (PBA’s) MUST be passed with a mark of 60% or better.

Failure to pass one section (Section ONE or TWO) will result in a grade of ‘D’ regardless of

aggregate performance. A supplemental exam may be offered for Section ONE. No

supplemental exam will be offered for Section TWO.

Failure to pass two sections (Section ONE and TWO) will result in a grade of ‘F’ regardless of

aggregate performance. No supplemental exam will be offered.

The Dean’s Office will contact students failing to achieve standing in this course. Decisions to

allow for a supplemental exam are granted at the discretion of the Dean.

The total of all of the above evaluations will be translated into the following letter grades: Total Percentage Achieved Letter Grade Grade Point Description

90 – 100 A+ 4.5 Exceptional

80 – 89 A 4 Excellent

75 – 79 B+ 3.5 Very Good

70 – 74 B 3 Good

65 – 69 C+ 2.5 Satisfactory

60 – 64 C 2 Adequate

50 – 59 D 1 Marginal

49 or below F 0 Failure


Voluntary Withdrawal:

Course feedback and assessment will be provided before the voluntary withdrawal (VW) date.

For the 2017-2018 academic year, the VW date is March 16, 2018. PLEASE NOTE

HOWEVER, THAT STUDENTS CONTEMPLATING VOLUNTARILY WITHRAWING

FROM A COURSE SHOULD SPEAK TO THE DEAN’S OFFICE BEFORE DOING SO.

THERE ARE SIGNIFICANT CONSEQUENCES OF WITHDRAWING FROM A COURSE

DURING THE PROFESSIONAL PROGRAM.

Student Support:

Please refer to Schedule “A” (posted on UM Learn) for a list of student supports provided by the

University of Manitoba.

Student Accessibility Services (SAS):

If you are a student with a disability, please contact SAS for academic accommodation supports

and services. Students who have, or think they may have, a disability (e.g. mental illness,

learning, medical, hearing, injury-related, visual) are invited to contact SAS to arrange a

confidential consultation. The coordinator of this course is willing to meet with students to

discuss accommodations recommended by SAS.

Student Accessibility Services http://umanitoba.ca/student/saa/accessibility/

520 University Centre

204-474-7423 [email protected]

Recommended texts and references:

There is no required text for this course. Lecture notes/handouts will be posted on UM Learn.

Manitoba Formulary (available online at www.gov.mb.ca/health/mdbif/)

Cipolle, Robert J. et al., Pharmaceutical Care Practice: The Patient-centered Approach to

Medication Management Services, Third Edition, The McGraw-Hill Companies Inc., 2012.

Rantucci, Melanie J., Pharmacists Talking with Patients: A Guide to Patient Counseling. Second

Edition, Lippincott Williams & Wilkins, 2007.

Repchinsky C., et al. Therapeutic Choices for Minor Ailments. First edition. Ottawa: Canadian

Pharmacists Association, 2013.

Repchinsky C., et al. Products for Minor Ailments: The Canadian Reference for Nonprescription

Products. First edition. Ottawa: Canadian Pharmacists Association, 2013.

Thompson, Judith E., A Practical Guide to Contemporary Pharmacy Practice. Third Edition,

Lippincott Williams & Wilkins, 2009.

http://umanitoba.ca/student/saa/accessibility/


http://www.gov.mb.ca/health/mdbif/


Pharmacy Skills Lab 2 Schedule (PHRM 2100) Course Coordinator: Ms. Sheila Ng, B. Sc. Pharm,

Room 115, Faculty of Pharmacy Phone 975-7763; [email protected] Office hours: After each lecture and by appointment.

Day: Term 1 Jurisprudence lectures will be held on Thursdays

Term 1 & 2 pre-lab lectures will be held on Mondays and Term 1 & 2 labs will be held on Thursdays

Time: Time slots will vary for the Jurisprudence lectures, pre-lab lectures and labs (see schedule for details).

Location (Please pay special attention to this):

Jurisprudence lectures will be located in the Basement Lecture Theatre (071) (see course schedule for details)

Term 1 pre-lab lectures will be located Basement Lecture Theatre (071)

Term 2 pre-lab lectures location TBD

Lab activities will take place in the Pharmaceutical Care Lab as well as Tutorial Rooms 116, 120, 124 & 128

The Jurisprudence (JP) Exam will take place on Tuesday, November 14th from 5 to 8pm in the Basement LT (071)

TOSCE and OSCE activities will take place in the CLSF (000 Brodie)

For prescription counseling lab activities all students must first meet in the Pharmaceutical Care Lab

For self-care lab activities students must meet in assigned tutorial rooms

Note: For the lab section of this course, the class will be divided into 2 groups: group A & group B. The lab time slots will alternate between the 2

groups every week. However, both groups must attend the same pre-lab lecture.



Term 1 (September 7 – December 8/2017) Date & Location Time & Group Topic Instructor(s)

Thursday, September 7th

Basement Lecture Theatre

9:30 am – 10:30 pm

10:30 am – 12:00 pm

Course Intro

JP (1.5 hours)

Sheila Ng

Ms. J. Hardy

Monday, September 11th Basement Lecture Theatre

10:30 am – 11:30 pm Patient Assessment Sheila Ng


Basement Lecture Theatre 8:30 am – 12:30 pm JP (4 hours) Ms. J. Hardy


10:30 am – 12:00 pm Drug Therapy Problems Sheila Ng

Thursday, September 21st Basement Lecture Theatre

8:30 am – 12:30 pm JP (4 hours) Ms. J. Hardy


10:30 am – 12:00 pm Clinical Reasoning and Care Plan Development Sheila Ng


Basement Lecture Theatre 8:30 am – 12:30 pm JP (4 hours) Ms. J. Hardy

Monday, October 2nd Basement Lecture Theatre

10:30 am – 12:00 pm Drug Info Lecture

Sheila Ng

Fall Mid-Term Break (October 5 - 9/2017)

Thursday, October 12th

Pharmaceutical Care Lab Tutorial Rooms 116, 120, 124 & 128

Group A: 9:00 am – 11:00 am Group B: 12:00 pm – 2:00 pm

Drug Info Lab Activity Sheila Ng, Drena Dunford, Sonal Purohit

Monday, October 16th Basement Lecture Theatre

10:30 am – 12:00 pm Documentation Sheila Ng

Thursday, October 19th Basement Lecture Theatre Pharmaceutical Care Lab

8:30 – 12:30 pm 1:00 – 2:00 pm

JP (4 hours) Optional Kroll Practice Session

Ms. J. Hardy Sheila Ng

Monday, October 23rd

Basement Lecture Theatre 10:30 am – 12:00 pm Introduction to Self-Care Labs Sheila Ng

Thursday, October 26th Basement Lecture Theatre

Tutorial Rooms 116, 120, 124 & 128

8:30 am – 11:30 am Group B: 12:00 pm – 2:00 pm Group A: 2:30 – 4:30 pm

JP (3 hours) Self-Care Lab: Cutaneous Fungal Infections (4%)

Ms. J. Hardy Sheila Ng, Drena Dunford, Sonal Purohit, Nancy Kleiman


Date & Location Time & Group Topic Instructor(s)

Monday, October 30th Basement Lecture Theatre

10:30 am – 12:00 pm Review: Pharmacare, Formulary & DPIN Sheila Ng

Thursday, November 2nd Tutorial Rooms 116, 120, 124 & 128 Pharmaceutical Care Lab

Group A: 9:00 – 11:00 am Group B: 12:00 – 2:00 pm 2:30 – 3:30pm

Self-Care Lab: Lice, Scabies & Fever (4%) Optional Kroll Practice Session

Sheila Ng, Drena Dunford, Sonal Purohit, Nancy Kleiman

Monday, November 6th Basement Lecture Theatre

10:30 am – 12:00 pm Prescription Filling Sheila Ng

Thursday, November 9th Pharmaceutical Care Lab Tutorial Rm 120

Group B: 9:00 – 11:00 am

Group A: 12:00 – 2:00 pm

Quiet Stations Lab: Prescription Filling (4%) Sheila Ng, Drena Dunford, Sonal Purohit, Nancy Kleiman

Tuesday November 14th Basement Lecture Theatre

5:00 – 8:00 pm JP Exam Ms. J. Hardy

Thursday, November 16th

Tutorial Rooms 116, 120, 124 & 128

Group A: 9:00 – 11:00 am

Group B: 12:00 – 2:00 pm

Counselling on Inhalation Devices Sheila Ng, Drena Dunford, Sonal Purohit, Nancy Kleiman


10:30 am – 11:00 am TOSCE Orientation Grace Frankel

Thursday, November 23rd

Tutorial Rooms 116, 120, 124 & 128

Group B: 9:00 – 11:00 am

Group A: 12:00 – 2:00 pm

Self-Care Lab: Upper GI (4%) Sheila Ng, Drena Dunford Sonal Purohit, Nancy Kleiman


10:30 am – 11:00 pm Adverse Drug Reactions and Drug Interactions Sheila Ng

Thursday, November 30th TBA TOSCE (7.5%) TBD

Monday, December 4th

Basement Lecture Theatre 10:30 – 11:15 am JP Exam Debrief Ms. J. Hardy

Thursday, December 7th

Basement Lecture Theatre 11:00 am – 11:30 pm TOSCE Debrief Sheila Ng

Thursday, December 7th Pharmaceutical Care Lab Tutorial Rooms 116, 120, 124 & 128

Group A: 9:00 – 11:00 am

Group B: 12:00 – 2:00 pm

Adverse Drug Reactions and Drug Interactions Lab Sheila Ng Sonal Purohit Nancy Kleiman Drena Dunford

Exam Period and Christmas Break (December 11, 2017 – January 2, 2018)


Term 2 (January 3 – April 6/2018)

PDW 2017 January 10-13th


Thursday, January 4th

Pharmaceutical Care Lab TBA Optional TOSCE Video Review Sheila Ng

Monday, January 8th 10:30 am – 12:00 pm Patient Counselling Sheila Ng

Thursday, January 11th No lab PDW

Monday, January 15th 10:30 am – 12:00 pm Communication with HCP Sheila Ng

Thursday, January 18th

Tutorial Rooms 116, 120, 124 & 128

Group B: 9:00 – 11:00 am

Group A: 12:00 – 2:00 pm

Counselling Lab (Lice & Scabies, CFI, Upper GI) (4%) Sheila Ng, Drena Dunford, Nancy Kleiman, Sonal Purohit

Monday, January 22nd

10:30 am – 12:00 pm Motivational Interviewing Kelly Drummond Ingrid Toews Stephanie Giberson-Kirby

Thursday, January 25th Tutorial Rooms 116, 120, 124 & 128

Group A: 9:00 – 11:00 am

Group B: 12:00 – 2:00 pm

Self Care Lab: Smoking Cessation (4%) Sheila Ng, Drena Dunford, Nancy Kleiman, Sonal Purohit

Monday, January 29th 10:30 am – 12:00 pm Introduction to Prescription Labs Sheila Ng

Thursday, February 1st


Group B: 9:00 – 11:00 am

Group A: 12:00 – 2:00 pm

Rx Lab: Eye and Ear (4% for 1/3 of class)

Sheila Ng, Drena Dunford, Nancy Kleiman, Sonal Purohit

Monday, February 5th 10:30 am – 12:00 pm HC Troubleshooting Sheila Ng

Thursday, February 8th


Group A: 9:00 – 11:00 am

Group B: 12:00 – 2:00 pm

Rx Lab: Hormonal Contraception

(4% for 1/3 of class)


Monday, February 12th 10:30 am – 12:00 pm Emergency Contraception Tutorial Sheila Ng

Thursday, February 15th Tutorial Rooms 116, 120, 124 & 128

Group B: 9:00 – 11:30 am

Group A: 12:30 – 3:00 pm

Self Care Lab: Emergency Contraception & Vaginal Conditions (4%)


Winter Mid-Term Break (February 19 - 23/2018)



Monday, February 26th No class

Thursday, March 1st

Tutorial Rooms 116, 120, 124 & 128

Group A: 9:00 – 11:00 am

Group B: 12:00 – 2:00 pm

Self Care Lab: Cough, cold and allergic rhinitis (4%) Sheila Ng, Drena Dunford, Nancy Kleiman, Sonal Purohit

Monday, March 5th 10:30 am – 12:00 pm Prescription Drug Coverage Sonal Purohit

Thursday, March 8th Pharmaceutical Care Lab Tutorial Rooms 116, 120, 124 & 128

Group B: 9:00 – 11:30 am

Group A: 12:30 – 3:00 pm

Rx Lab: Antibiotic Suspensions (4% for 1/3 of class)


Monday, March 12th 10:30 am – 12:00 pm Medication Errors Sheila Ng

Thursday, March 15th Tutorial Rooms 116, 120, 124 & 128

Group A: 9:00 – 11:00 am

Group B: 12:00 – 2:00 pm

Self Care Lab: Lower GI (4%) Sheila Ng, Drena Dunford, Nancy Kleiman, Sonal Purohit

Monday, March 19th 10:30 am – 11:00 pm OSCE Orientation Sheila Ng

Thursday, March 22nd Pharmaceutical Care Lab Tutorial Rooms 120

Group B: 9:00 – 11:00 am

Group A: 12:00 – 2:00 pm

Medication Errors Lab (4%) Sheila Ng, Drena Dunford, Nancy Kleiman, Sonal Purohit

Monday, March 26th No class

Thursday, March 29th

TBA

TBA OSCE (22.5%)

Monday, April 2nd 10:30 am – 12:00 pm Ambulatory Ailments Lecture Sheila Ng

Thursday, April 5th Pharmaceutical Care Lab Tutorial Rooms 120

Group A: 9:00 – 11:00 am

Group B: 12:00 – 2:00 pm

Ambulatory Ailments Lab (5%) Sheila Ng, Drena Dunford, Nancy Kleiman, Sonal Purohit, Kelly Drummond

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