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Expanding Pharmacy Services With an Intern Program at an Academic Medical Center

机译:通过学术医疗中心的实习生计划扩展药学服务

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Background: Organizations that implement pharmacy services to provide patient education have reduced hospital readmissions and improved the patient experience. The term “pharmacy extender” has been used to describe pharmacy technicians and pharmacy students who alleviate the workload of a pharmacist, enhance pharmacy visibility throughout an organization, and foster professional development for the individual. Objective: The objective of this pharmacy intern-driven program is to increase pharmacy reach for medication teaching. Methods: This is a single-center, IRB-approved retrospective cohort analysis. Pharmacist-led medication teaching is currently available to select high-risk populations including solid organ transplant and bone marrow transplant recipients at our organization. Clinicians working in the pharmacy satellites have structured operational and distributional workflow responsibilities, which precludes them from directly engaging with patients. Pharmacy interns can serve as extenders that can participate in medication teaching. An internally created digital medication teaching tool will be employed to expand the pharmacy reach for medication education. Results: During the period of study, the pharmacy interns screened 3,993 patients and educated 2,868 patients. Two-thirds of the pharmacy interns that participated in the program pursued post-graduate residency or fellowship training, while the rest assumed hospital pharmacist positions. Conclusion: Deploying pharmacy interns as extenders for distribution of an internally created digital tool that provides general medication teaching has shown positive outcomes including greater pharmacy presence and visibility, better patient experience, and higher patient satisfaction. Continuous data collection and monitoring are warranted to demonstrate the benefits of the program once sustained and potentially justify more resources for further expansion.
机译:背景:实施药房服务以提供患者教育的组织减少了再入院率并改善了患者体验。术语“药房扩展器”已用于描述药学技术人员和药学学生,他们减轻了药剂师的工作量,提高了整个组织的药房知名度,并促进了个人的专业发展。目标:这个药学实习生驱动的计划的目标是增加药学对药物教学的覆盖面。方法:这是一项经 IRB 批准的单中心回顾性队列分析。目前,药剂师主导的药物教学可用于选择高危人群,包括实体器官移植和骨髓移植受者。在药房卫星中工作的临床医生具有结构化的运营和分销工作流程职责,这使他们无法直接与患者接触。药学实习生可以作为扩展者,参与药物教学。将采用内部创建的数字药物教学工具来扩大药房的药物教育范围。结果:在研究期间,药学实习生筛查了3,993名患者,并教育了2,868名患者。参加该计划的药学实习生中有三分之二从事研究生住院医师或奖学金培训,其余人担任医院药剂师职位。结论:部署药房实习生作为扩展者,以分发内部创建的数字工具,该工具提供一般药物教学,已显示出积极的结果,包括更大的药房存在和知名度、更好的患者体验和更高的患者满意度。持续的数据收集和监测是必要的,以证明该计划一旦持续下去的好处,并可能证明更多资源用于进一步扩展。

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