The Pharmacy Guild of Australia’s Intern Training Program is accredited by the Australian Pharmacy Council. INTERN Guild Intern Training Program Manual www.guild.org.au/academy Contact us Guild ITP Online Forums www.pharmacyguildinterns.ning.com Email login and password are required. Guild ITP National Coordinator Hayley Smilie Phone: (02) 6270 1888 Fax: 02 6270 1800 Email:[email protected] National Secretariat, Level 2, Pharmacy Guild House 15 National Circuit, Barton ACT 2600 Pharmacy Guild of Australia Tasmania 2nd Floor, 38 Montpelier Retreat, Battery Point Postal: PO Box 215, Battery Point, Tasmania, 7004 Email: [email protected] Phone: 03 6220 2955 Fax: 03 62202966 www.guild.org.au/tas New South Wales 84 Christie Street St Leonards NSW 2065 Postal: Locked Bag 2112 St Leonards NSW 1590 Email:[email protected] Phone: 02 9467 7100 Fax: 02 9467 7101 www.guild.org.au/nsw Queensland 132 Leichhardt Street, Spring Hill Postal: PO Box 457, Spring Hill, Qld, 4004 Email: [email protected] Phone: 07 3831 3788 Fax: 07 3831 9246 www.guild.org.au/qld Western Australia 1322 Hay Street, West Perth Postal: PO Box 968, West Perth, WA 6872 Email: [email protected] Phone: 08 9429 4100 Fax: 08 9324 2075 www.guild.org.au/wa © 2013 Pharmacy Guild of Australia. All rights reserved. 2 Guild Intern Training Program Intern Manual Welcome to the Guild Intern Training Program Dear Intern, Welcome to the Pharmacy Guild of Australia’s Guild Intern Training Program (ITP). The Pharmacy Guild is the national peak body representing community pharmacy and it seeks to support community pharmacy in its role delivering quality health outcomes for all Australians. Throughout your ITP with the Pharmacy Guild, you will learn a range of skills and knowledge to prepare you for the opportunity to register as a pharmacist. Both you and your preceptor can be rest assured you will receive invaluable support from your Guild ITP tutor throughout your intern year completing the ITP. Thank you for choosing the Guild ITP as part of your intern-year studies and I wish you the best of luck in your endeavours to achieve your goal in becoming a registered pharmacist. Yours sincerely George Tambassis National President The Pharmacy Guild of Australia Guild Intern Training Program Intern Manual 3 Welcome to the Guild Intern Training Program The Guild Intern Training Program (Guild ITP) is a structured program designed to facilitate your professional development after graduation to achieve entry-level competence in pharmacy practice. The National Competency Standards Framework for Pharmacists in Australia 2010 underpins the framework for this program. The program has met the strict standards The Guild ITP is designed to integrate practical skills and experience with knowledge gained during the undergraduate degree. Drawing upon lifelong learning skills, you will continually build upon this base throughout your professional career as a pharmacist. This manual will support you through your intern year and aims to provide you with: an understanding of the Guild ITP and guidelines for participating in the ITP year for implementing and running an Intern an understanding of your role and responsibilities Training Program (ITP) in Australia and an outline of the information and material required has been given full accreditation by the to demonstrate that you have attained beginning level competence as a pharmacist Australian Pharmacy Council (APC). support processes available to you during the intern year. For interns in rural and remote areas, the Rural Intern Training Allowance (RITA) is a new allowance which is available under the 5th Community Pharmacy Agreement. RITA will provide funding for at least 200 rural interns per year for a maximum of $1500 per intern per year to enable them to defray travel and accommodation costs associated with undertaking compulsory intern training workshops, training days and examinations. Another allowance, the Rural Pharmacist Intern Incentive Allowance, is aimed at increasing and supporting the rural and remote pharmacy workforce by encouraging pharmacists to practice in rural and remote areas. A maximum allowance of $10,000 (excluding GST) per intern may be made to eligible community pharmacies engaging a pharmacy intern employee for a continuous 12 month period. Eligible pharmacies must apply within 3 calendar months of the commencement date of the intern’s placement to be eligible. To check if your intern or pharmacy qualifies for these allowances, visit www.5cpa.com.au and follow the links or contact the Rural team on: (02) 6270 1888 for further details. The pharmacy intern training year is designed to prepare you for a successful career as a professional and ethical pharmacist. It is a year of focused dedication to your chosen profession. The Guild ITP tutors are here to support you and your preceptor to ensure you achieve the very best outcomes. Please contact us when you need to, either through the Guild ITP Online Forum or by using the contact details provided in this manual. 4 Guild Intern Training Program Intern Manual The Pharmacy Board of Australia and AHPRA Functions Supervised Practice Hours The Pharmacy Board of Australia (the Board) is supported by the Australian Health Practitioner Regulation Agency (AHPRA). Functions include: The Board requires that you complete a total of 1824 hours in practical supervised training in the pharmacy. You must apply to the Board through AHPRA for approval of your supervised training site. Interns are required to complete a period of supervised practice in accordance with the requirements set out in the Board’s Supervised practice arrangements registration standard to be eligible to apply for general registration. Supervised practice hours must be undertaken under the direct supervision of a pharmacist who holds general registration (not necessarily the approved preceptor). registering pharmacists and students developing standards, codes and guidelines for the pharmacy profession handling notifications, complaints, investigations and disciplinary hearings assessing overseas trained practitioners who wish to practise in Australia approving accreditation standards and accredited courses of study. Provisional Registration All pharmacy graduates of an approved program of study must apply for provisional registration as a pharmacist and meet the requirements of the Board before they can apply for full registration as a pharmacist in Australia. Pharmacy graduates must submit an Application for provisional registration as a pharmacist for students completing studies in Australia (ASPR-60), together with an Application for approval of supervised practice as a pharmacist (AASP-60), before supervised practice may be commenced. Board Requirements for General Registration In order to be eligible to submit an application for general registration with the Board, interns are required to: Complete 1824 Board-approved supervised practice hours Successfully complete a Board-approved Intern Training Program (ITP) Complete the written exam, administered by the Australian Pharmacy Council (APC); and Pass the Board’s oral examination. Supervised practice hours must be undertaken regularly and consistently so that a minimum of 80 hours must be undertaken in a four (4) week consecutive period. A maximum of 180 hours in a four (4) week consecutive period may be counted as supervised practice hours. The hours must be recorded on a weekly basis and cannot include public holidays not worked, annual leave or sick leave. Daily starting and finishing times, and conditions of pay, should be negotiated with your employer. Your preceptor must complete the Board’s Statutory Declaration of Weekly Record of Supervised Practice Hours for Pharmacy Interns (SPWR-07) for the hours undertaken under their supervision. You should keep this record as evidence that these hours were undertaken, and it will need to be submitted when you apply for general registration at the conclusion of your Internship. The application for approval of supervised practice as a pharmacist must include all supervised practice sites which are to be part of your training program. Rotations to additional sites which have not been approved by the Board, of up to 180 hours in total, may also count towards your 1824 supervised practice hours. If you anticipate that you will spend more than 180 hours at an unapproved site(s), you will need to submit another Application for approval of supervised practice as a pharmacist (AASP-60) to the Board, in order to have the additional site(s) approved. Guild Intern Training Program Intern Manual 5 Change of supervised practice or preceptor Written Examination If you change your supervised practice site or if there is a change in preceptor at your current site, you must submit a new Application for approval of supervised practice as a pharmacist (AASP-60). You will then need to commence a new Statutory Declaration of Weekly Record of Supervised Practice Hours for Pharmacy Interns (SPWR-07) under your new preceptor or at your new approved supervised practice placement. Approval must be obtained from the Board before hours can be counted. The Written Examination is conducted by the Australian Pharmacy Council (APC) on behalf of the Board. It consists of 125 multiple-choice questions to be attempted over a period of three hours which include: Completion of an Intern Training Program The Board requires intern pharmacists to successfully complete an approved Intern Training Program (ITP) during your supervised practice period. The ITP is a competency-based training program which facilitates your progress from student to competent pharmacist by expanding your academic knowledge with practical experience gained in the supervised practice setting. Several components of the ITP year are Board-mandated requirements. These include: Extemporaneous product preparation and declaration Preparation of a Training plan Continuing Professional Development (CPD) Record Current First Aid certificate. Further information about these components is included later in this Manual. Interns need to submit a copy of each of these documents in their final portfolio submission. Calculation questions Forensic/ethics questions; and Practice-based (clinical) questions Interns must apply to APC to undertake this examination and need to have successfully completed a minimum of 30% of their supervised practice hours required for registration (547 hours) by the day of the examination. The intern written examination is held seven times a year, at regular intervals. Specific information about the requirements of the written exam can be found in the APC’s Intern Written Examination Candidate’s Guide. The examination schedule, a Practice Intern Written Examination Paper and further information is available at the APC website: www.pharmacycouncil.org.au Oral Examination The Australian Health Practitioner Regulation Agency (AHPRA) conducts oral examinations in each State and Territory on behalf of the Pharmacy Board of Australia. The number of days on which examinations will be conducted in each jurisdiction will vary. Interns who have applied to sit the oral exam will be informed by their local AHPRA office in writing of the date and location of their examination after the application closing date. Interns seeking entry to the oral examinations must meet the entry criteria as published in the Board’s Oral Examination Candidate Guide in which they must: have completed 75% of the 1824 approved supervised practice hours required for registration (1368 hours) prior to the commencement date of the scheduled oral examination period; and hold a current pass in the written examination prior to the oral examination application closing date. The oral examination schedule and further information regarding the conduct of the oral examination is available at the Board’s website: www.pharmacyboard.gov.au 6 Guild Intern Training Program Intern Manual Expectations of an Intern Your responsibility as an Intern Professional Conduct and Appearance It is your responsibility to be informed of all legal requirements for registration. You should undertake the supervised practice period with a positive attitude and a commitment to learn from the practice environment and the practical experience of the preceptor. This interaction should provide mutual professional benefits to both parties. It is expected that interns will conduct themselves in a professional manner, acceptable to colleagues, clients and customers. You must always act in accordance with the relevant law(s) and have a professional responsibility to be familiar with the Pharmacy Code of Conduct for Registered Health Practitioners which is available on the Board’s website: www.pharmacyboard.gov.au under Codes and Guidelines. You should be prepared to assume specific areas of responsibility as you become experienced and confident in those areas, always bearing in mind the final legal responsibility of the preceptor. At the completion of the supervised practice period, you should be able to demonstrate, to the satisfaction of the Board, a level of professional competence in pharmacy practice that meets the requirements to apply for registration to practise in the profession and the associated legal responsibility of a pharmacist. Compulsory Workshop Attendance Attendance at Guild ITP workshops is compulsory. Hours spent attending the workshop days can be counted towards your total supervised training hours. For interns who may experience difficulty in attending centralised workshops, please contact your Guild ITP tutor to discuss the options available to you. Fees On enrolling in the Guild ITP you will have chosen one of a number of payment options to pay your ITP fees. If you experience genuine hardship in meeting your payment obligations you should contact the Guild ITP as soon as possible to discuss alternative arrangements. A copy of the Guild ITP Refund Policy is available on the Guild ITP Online Forum. Absence If you are unable to attend your place of employment, you must notify your employer. If you will be absent for an extended period of time (not including holidays) you should also inform your Guild ITP tutor. If you are unable to attend a workshop or discussion group you must notify your Guild ITP tutor as soon as possible. You will be required to complete additional work as determined by your tutor to ensure you meet the requirements of the ITP. It is a legal requirement that you remain under a pharmacist’s direction and supervision at all times. A name tag should be worn at all times, and must identify you as an Intern Pharmacist. Confidentiality All of the information you are privy to in the pharmacy is confidential in nature and you must respect this confidentiality. This requires you to be familiar with the requirements of the Privacy Act as it relates to pharmacy. It also means that you must respect the commercial confidentiality of your employer and their business operations. A confidentiality clause is included in the Guild ITP Agreement and should be signed at the commencement of the ITP. Intern policies and procedures Access to all intern-specific policies and procedures, including those relating to intern assessment and progression through the program, can be found on the Guild ITP Online Forum. For further advice or guidance, you can contact your Guild ITP tutor. Working with the Competencies Ideally you should be thinking about your day-to-day duties and identifying behaviours and actions that provide evidence of your journey to attaining competence. Competence is a progressive process. Therefore, aspects of your performance that may seem to be poorly executed are, in reality, learning opportunities. These experiences should therefore be included in the portfolio with an emphasis on how you intend to and have professionally developed from the experience. Evidence of Competence Development Reflecting upon the day and capturing the evidence in writing allows you to identify aspects of your practice that are competent and those which require further development. These actions and behaviours can then be mapped to the Competency Standards. Guild Intern Training Program Intern Manual 7 Your Preceptor A preceptor can be defined as: Multiple workplaces ‘…a person, who teaches, counsels, inspires, serves as a role model, and supports the growth and development of an individual … for a fixed and limited amount of time with the specific purpose of socialising the novice into a new role...’ In the event you have chosen to work in different workplaces during your ITP year it is important that you take responsibility for maintaining and encouraging communication between your preceptors. Your preceptor is the pharmacist who takes responsibility for ensuring that you are directly and appropriately supervised at all times. They are expected to guide and support you during your time of developing knowledge, skills and attitudes as you work towards professional competence. The role of the preceptor is to facilitate an intern’s learning rather than to teach. It is expected that your preceptor will act as a mentor and resource person during the ITP to facilitate your professional development and to support you to meet a beginning level competence in relation to the National Competency Standards Framework for Pharmacists in Australia 2010. As a participant in the ITP, you are encouraged to take responsibility for your own development and work with your preceptor. At all times during the intern year you are required to practise under the supervision of a registered pharmacist. As with most workplaces, there can be multiple people (including locums) that are involved with you during your intern year. Your employer may not necessarily be your preceptor and your preceptor may not always be the pharmacist supervising you. It is important to encourage communication between all parties through the use of a day book or diary and regular staff meetings. However there may be times when further support is required. In addition to your preceptor, Guild ITP tutors are available for advice and guidance to further support you during the ITP. Intern and Preceptor Working Relationship An independent approach for dealing with most problems that arise during the program is encouraged. The majority of issues that exist between interns and preceptors result from inadequate communication and are easily rectified. If however, you believe your rights are not being respected, this is regarded as a serious problem and you and your preceptor should agree on a time to discuss the issues. If you and your preceptor are unable to resolve the issues, your ITP tutor should be contacted to assist. Your tutor may facilitate a second meeting between you and your preceptor where you will work together to implement and generate solutions and actions. This will enable you to: have continuity of learning be able to develop a variety of challenges within each workplace which are not repetitive be recognised for your achievements in each workplace. It is important that you communicate regularly with each preceptor and ensure that each of them is aware of your program in the other workplace. Documentation that may be useful could include your ITP Training Plan, the use of a diary to record daily/weekly activities and The Board’s Weekly Record of Practice Hours for each workplace. Change of Workplace In the event you change workplaces, it is important that you formally document your progress within the workplace you are leaving. This will enable your new preceptor to get a clear picture of what you have achieved and what still needs to be accomplished. Documentation will include: endorsed components of the Training Plan that have been completed interim assessment completed by your preceptor, with the realisation some or most of the competencies will not be achieved yet. Ensure your preceptor adds some comments to your interim assessment; and that completed Reflective Learning Experiences and self-learning projects are signed by your outgoing preceptor; and the Board’s Weekly Record of Practice Hours for each workplace. Change of Preceptor Only Your preceptor should preferably be the pharmacist that will be working with you for most/all of your placement. If this preceptor leaves the workplace, any documentation should be finalised and signed off and your ITP tutor advised of your new preceptor. Your outgoing preceptor should also complete an interim assessment which can be included in your portfolio. Please note that further requirements are needed to comply with the requirements of the Board. See page 5-6 for further detail. 8 Guild Intern Training Program Intern Manual Phases of the Guild ITP Phase 1 (Within the first 1-2 months) Participate in workplace orientation with your preceptor including QCPP requirements Attend the Guild ITP Induction workshop/webinar Review this manual and familiarise yourself with the Guild ITP Online Forum, sign up to forum groups Begin a Training Plan with your preceptor Discuss and develop ideas for your Self-learning project. Phase 2 (By 3 months) Review your Training Plan and ask your preceptor to sign off completed components Participate in the first formal assessment session with your preceptor. Your preceptor will submit the written assessment to the Guild ITP Complete and ask your preceptor to review your assignment prior to submission Record any CPD training undertaken Ask your preceptor to review and sign off completed components of your portfolio (it is suggested that a minimum 5 Reflective Learning Experiences (RLEs), and 2 extemporaneous products assessments are completed) Consider possible activities for your Health Promotion assignment Attend meeting with clinical tutor at the workplace visit. Phase 3 (By 6-9 months) Review your Training Plan and ask your preceptor to sign off completed components Participate in the second formal assessment session with your preceptor. Your preceptor will submit the written assessment to the Guild ITP Ask your preceptor to review and sign off completed components of your portfolio (it is suggested that a minimum 10 RLEs, the Self-learning project and 5 of the extemporaneous products assessments are completed) Continue to work on your Health Promotion assignment. Complete your oral presentation Complete assignments and record any CPD training undertaken Final Phase Ask your preceptor to review and sign off any remaining components of your portfolio Review and ask your preceptor to sign off completion of your Training Plan Participate in the final formal assessment session with your preceptor. Your preceptor will complete and submit the final written assessment to the Guild ITP Discuss your Health Promotion assignment with your preceptor and ask them to sign off on it Submit your portfolio and completed documentation to the Guild ITP. Copies of the training plan and training plan reviews are available for download on the Guild ITP Online Forum. Guild Intern Training Program Intern Manual 9 Intern Portfolio 1. Introduction Your portfolio should contain a diverse collection of material that demonstrates your journey of professional development throughout the ITP. You should include documents which provide evidence of the transition you make in your quest to achieve beginning level competence as a pharmacist. You should relate the material back to the competencies to demonstrate how they have assisted your development. The key components of the portfolio include: 1. Introduction 2. Training Plan 3. Reflective Learning Experiences (RLEs) 4. Self-learning Projects 5. Health Promotion assignment 6. Continuing Professional Development (CPD) records 7. Extemporaneous product reports and Statutory declaration from your preceptor 8. First Aid certificate 9. Oral presentation evaluation form 10. Final Preceptor Assessment 11. Additional Portfolio Evidence (APE), if required 12. Conclusion Each of these components is outlined (right) in more detail. Copies of each should be included in your final portfolio submission to the Guild ITP. Your portfolio should open with a brief statement that introduces you and the location of your host pharmacy. This information is helpful for providing information about the context in which your internship placement was undertaken. The introduction should include any extra services the pharmacy provides (e.g. our pharmacy participates in the opioid substitution program, preparation of dose administration aids, QCPP accreditation status, etc.) 2. Training Plan It is a requirement of the Board that you formulate a Training Plan that is overseen by the Guild ITP. Any form of Training Plan can be used and examples have been supplied by the Board as well as the Guild ITP. Copies of both are available on the Guild ITP Online Forum. You and your preceptor should decide during your initial induction to the workplace which Training Plan you will use during their ITP. Once you commence the ITP, you will identify specific training needs that can be incorporated into the Training Plan. However, in order to get started, there are some general outcomes that all interns should aim to achieve. A good Training Plan requires identification of the method by which each skill will be acquired and measured, and the time frame in which it will or has been achieved. Once the skill has been acquired satisfactorily, a tick is placed in the relevant box. The Training Plan is useful if multiple employers and preceptors are involved in your training, as it provides a checklist for the subsequent employer who then knows what has already been covered and defines their responsibilities. The Training Plan is a checklist for you, your preceptor and employer to ensure relevant aspects of the practise of pharmacy are dealt with during your intern year. It aims to ensure that, wherever you spend your time, all legal and professional issues are covered. It is a requirement of the Guild ITP that you submit your completed Training Plan with your portfolio at the completion of the program. Both interns and preceptors MUST provide a signature and date on the Training Plan. 10 Guild Intern Training Program Intern Manual Intern Portfolio 3. Reflective Learning Experiences Throughout your intern year, you must complete 20 Reflective Learning Experiences (RLEs) and each RLE should have the relevant competency standards noted. RLEs are valuable learning and teaching tools, providing you with the opportunity to reflect on your actions and learning needs. An RLE is a reactive process. It is documentation of a thought process, which should occur automatically and frequently for a registered pharmacist. The thought process consists of: a presenting situation an action to deal with the situation an outcome from the action a self-assessment of the process, specifying what was learnt for the experience and what learning needs were identified which lead to the development of an improvement strategy; and the implementation of that strategy, providing examples of future demonstrations of learning in practice (if applicable). An RLE is simply this process documented and related to the relevant competencies. You must complete and include a matrix in your portfolio demonstrating you have covered all of the relevant competency standards within the 20 RLEs. A broad range of competencies should be demonstrated in your RLEs and each RLE is likely to provide evidence of more than one competency. As a guide, a minimum of 10 RLEs should largely relate to prescription medicines and 5 RLEs should largely relate to the delivery of primary and preventive health care. A copy of the matrix is available for download on the Guild ITP Online Forum or USB. Both interns and preceptors MUST provide a signature and date on the provided template. 4. Self-Learning Projects You must complete a self-learning project on a topic of your choice; self-learning projects should take between one and three months to complete. The self-learning project is a compulsory component of your portfolio. It is also an effective tool for negotiating agreements in learning between you and your preceptor. Through this medium you can document and plan your learning by formulating your own learning objectives and identifying appropriate resources and strategies. In this way you are engaging in an active learning process. Although documenting in this way may seem simplistic, it will motivate you to produce explicit evidence of your competence development that would otherwise have gone unnoticed. A self-learning project is the documentation of a learning process and is a proactive activity. This learning process usually occurs spontaneously in the workplace throughout the career of a registered pharmacist. It can relate to very minor projects right through to major retraining exercises. To assist you in documenting your self-learning project, a report submission form has been provided for you on the Guild ITP Online Forum or USB. Reporting on the self-learning project involves: FREE Registration to APP and the NSW Convention for Guild interns Interns enrolled in the Guild ITP receive free registration to the Australian Pharmacy Professional Conference and Trade Exhibition (APP) and the NSW Convention. This provides Interns with access to: presentations covering current industry issues, business and clinical topics Project overview Learning objectives and goals Planning and resources Evidence of accomplishment Demonstration of competencies Preceptor comments and feedback. The working environment should present you with learning opportunities every day. You will choose to explore many of these opportunities in detail. industry suppliers at Australia’s largest pharmacy trade show (APP) potential employers and mentors at the networking functions held during the events. Visit www.appconference.com for more information. Guild Intern Training Program Intern Manual 11 Intern Portfolio How is a self-learning project developed? You can develop your self-learning project in consultation with your preceptor by following a simple sequence of steps: Step 1 Identify your learning needs A learning need exists wherever there is a difference between where you are now and where you wish to be in terms of competence. It is recommended that no more than four learning needs are identified otherwise the project will not be achievable. Once you have identified a learning need or an area of interest to form the topic of your project, you will be ready to start planning. Step 2 Determine learning objectives and goals Once you have identified your project topic, the next step is to determine what learning objectives or goals will help you to complete your project. Using the reporting template, specify each of your learning objectives or goals and provide a clear description. You must specify at least three (3) learning objectives or goals. Step 3 Identify learning resources and strategies Identify the resources (material and human) and the strategies (techniques) and the way in which you plan to use them to accomplish each objective. Step 4 Produce evidence of accomplishment for learning objectives and goals Using the resources and strategies you have identified, compile evidence of how you met your learning objectives or goals. This may include, but is not limited to, copies of training materials, evaluations, summary documents, brochures or posters created, statistics or reports relating to the learning objectives or goals. You should be able to produce evidence of accomplishment for each of your identified learning objectives or goals. Any evidence of accomplishment should be submitted with the self-learning project form, under the Appendices section. Step 5 Preceptor comments or feedback and project validation To demonstrate you have attained your learning objectives and prove that you have learnt it. Both interns and preceptors MUST provide a signature and date on the provided template. Example of a Self-learning project Project Overview What is your topic and why do you want to learn about it? Treatment options in diabetes as I feel this is an area I am not so familiar with and there are many customers with diabetes in my pharmacy. Learning Objectives and Goals What specifically are you going to learn? Learn more about medications used for the treatment of diabetes in community pharmacy. Planning and Resources How are you going to learn it? Contact Diabetes Australia for resources, eTGs, eMIMS and discuss with preceptor. Evidence of Accomplishment How will you verify that you have learnt it? Complete a 200 word summary on the latest medications for diabetes (preceptor to assess summary and provide feedback) Provide a continuing education session for other staff in the pharmacy Complete an RLE on management of a customer with diabetes 12 Project Outcomes and Analysis Provide a summary on the outcomes of your project – how successful was it? I feel that my knowledge of medications in diabetes has improved and I recently identified an RLE related to management of diabetes which demonstrated my increased knowledge of the topic. Competencies Demonstrated List Competency Standards 1.1, 1.2, 1.3, 1.5, 2.3, 2.5, 4.2, 6.1, 6.2, 6.3, 7.1, 7.2, 8.1, 8.3 Preceptor Comments and Feedback Preceptor to provide comments and feedback on project. Guild Intern Training Program Intern Manual Intern Portfolio Tips for your Self-learning project Identify an area of interest, a gap in your knowledge or a challenging project to undertake as part of your project. The self-learning project is a great opportunity to showcase your skills and contribute your knowledge for the benefit of your pharmacy. Think outside the box! Incorporating the project(s) into your pharmacy practice and documenting your outcomes will also give you the competitive edge on your pharmacy resume! Some ideas for topics or areas which you can complete your projects on may include, but are not limited to: 5CPA Pharmacy Practice Incentive Programs (PPIs) Primary healthcare key disease states: cardiovascular, respiratory, diabetes, mental health The Quality Care Pharmacy Program (QCPP) Medication management review services: Home Medicines Reviews (HMRs) or MedsCheck service Complex disease states and their management Public health and harm reduction programs Adverse drug event monitoring and reporting National Prescribing Service (NPS) – Drug Use Evaluations (DUEs) Professional services in pharmacy Dispensary or front-of-shop management (e.g. 5. Health Promotion assignment Competency standards: 6.3 (also 1.5, 2.6 and others depending on the assignment) The health promotion assignment is an opportunity to demonstrate a wide range of competencies. Its primary function is to produce evidence of Competency Standard 6.3: Contribute to public and preventative health. This competency is based around public health initiatives and taking pharmacy beyond the workplace and into the community. For further clarification, consult the elements and performance criteria for Competency Standard 6.3. You need to choose a health topic or select from any upcoming health day, week or event and prepare a promotion for or on behalf of your workplace. This may be a window or instore display, designed to generate interest and provide health information for customers, or it may be more wide ranging such as taking part in a collaborative effort like a health expo or speaking to a community group. You should consider producing some written material suitable for the general public to take home or utilise some pre-prepared material as part of a more in-depth presentation. Key steps in planning your health promotion activity include: Choose a health-related topic on which to base the health promotion. Some examples include diabetes, asthma, ‘World no tobacco day’ or ‘incontinence’ (these are examples only; any health related topic is appropriate). Hint: The Department of Health and Ageing has released a calendar of events that may assist you in choosing a topic for your health promotion assignment, see www.health.gov.au merchandising, stock control, etc.). Access support material and personnel For further ideas on topics, or how to achieve learning objectives for your chosen areas, you can contact your Guild ITP tutor for advice and guidance. Prepare your own flyer, information sheet or poster presentation Advertise event Set up display or give presentation, etc. On completion, evaluate the health promotion activity, including results of interest. Guild Intern Training Program Intern Manual 13 Intern Portfolio Submission of Health Promotion Assignment 6. Continuing Professional Development (CPD) To assist you in documenting your health promotion assignment, a Health Promotion Plan and Record template is available on the Guild ITP Online Forum or USB. Your health promotion assignment should include: You are required to submit a copy of Continuing Professional Development (CPD) activities completed throughout your intern year. Any other program, activities, seminars, courses or events that you are involved in during the course of the ITP, that support your competence development, should be documented and included in this section. Each CPD activity must be assigned to the appropriate Competency Standard. A brief description of the health promotion activity (what health topics were promoted, what did the promotion involve) A description of the planning that went into the health promotion activity (who was involved, what training and resources were needed, etc.) Description of when and where the health promotion took place An analysis of the target audience for the promotion Analysis of the results and outcomes of the promotion activity (what worked, what didn’t, what barriers were encountered, what feedback was received, etc.) List of competencies demonstrated. Ensure that what is written actually reflects these competencies Include some photos if appropriate and a copy of any written material produced for the consumer The report must be signed off by your preceptor and included in your final portfolio submission. Health Promotion Assignment and Quality Care Pharmacy Program (QCPP) The Health Promotion Plan and Record template which has been provided for you to complete your health promotion assignment is also acceptable to be kept as recorded evidence of a health promotion activity for QCPP. If your pharmacy is QCPP accredited, ensure you work with your pharmacy QCPP Coordinator to store a copy of your health promotion record appropriately. If you or your preceptor would like clarification on this, please contact your ITP tutor. See also: QCPP Fast Track resources manual – T3H templates and checklist at the 5CPA website www.5cpa.com.au 14 Guild Intern Training Program Intern Manual Registered pharmacists (including provisionally registered pharmacists), in accordance with the Board’s CPD Registration Standard, are required to complete 40 CPD credits PRIOR to the period ending 30 September. It is your responsibility to ensure that you have met the Board’s CPD Registration Standard within the Board’s timeframe. Interns are strongly encouraged to sign up for a free myCPD account (www.mycpd.org.au) at the beginning of the intern year, so they may begin to easily and accurately track their CPD credit progress. myCPD is a website developed by the Guild to allow members to record and keep track of their CPD credits; it also includes a calendar of CPD eligible events for each State and Territory. There are a number of free CPD accredited education modules available on myCPD and other platforms. These are modules are optional to complete, but may assist in meeting your CPD requirements. Links to these modules may be found on the Guild ITP Online Forum. Intern Portfolio 7. Extemporaneous Product Preparation 8. First Aid Certificate The Pharmacy Board requires that ITP providers verify interns’ completion of six extemporaneous compounding exercises under preceptor supervision. The forms and guidelines for the preparation of extemporaneous preparations are Board specific standard report forms and are available on the Guild ITP Online Forum or USB. The Pharmacy Board requires that ITP providers verify interns’ completion of a current First Aid Certificate. You may conduct your first aid training through any accredited training provider. Some suggested providers include: The Board requires that pharmacy interns extemporaneously prepare six (6) products, which must include at least one cream, at least one ointment and at least one other product which may include: Lotion Parenteral infusion Paint Cytotoxic preparation or Paste An eye drop. Mixture Please note: The six products must each have different formulas (and must differ by more than simply the strength of the active ingredient or ingredients). Reconstitution of antibiotic mixtures for dispensing is not considered an appropriate product to be included as part of this assessment. Sterile and cytotoxic medicines should be only be made up if the premises meet the Australian Standard for clean rooms and if the relevant standards for the safe handling of cytotoxic drugs are followed. Submission requirements You are required to complete a report form for each of the six (6) products extemporaneously prepared and submit this to your preceptor. A statutory declaration must be completed by your preceptor once the six products have been compounded. This form plus the six (6) report forms must then be submitted to the Guild ITP in your portfolio. If you or your preceptor requires further clarification on this process, please contact the Guild ITP or the Board. Hint: A staff meeting or training would be an ideal opportunity for you to do your presentation; however, you may also consider providing a consumer/patient presentation as part of your health promotion assignment! You could also consider developing an S2/S3 Refresher training for pharmacy assistants; a requirement of QCPP. QCPP refresher training sessions are generally 30 minute blocks on an S2/S3 topic. Ask your Guild ITP tutor for more information. Australian Red Cross St John Ambulance Australia Your state Guild Branch Your state-based Ambulance Service (QLD) Royal Life Saving Society. Intern pharmacists are required to have one of the following qualifications: Provide First Aid (HLTAID003), or Apply First Aid (HLTFA311A, HLTFA301C or HLTFA301B) All of the above qualifications may be valid, dependant on when they were issued. Depending on which provider you choose to complete your training with, you may also complete Provide Basic Emergency Life Support (HLTFA201B, HLTFA211A or HLTAID002). This qualification provides skills in performing CPR and is only valid for a period of 12 months. For the purposes of obtaining General Registration with the Pharmacy Board of Australia, you must have a valid First Aid certificate - the CPR component does not need to be valid at the time of registration. Interns need to submit a copy of their completed First Aid Certificate in their portfolio. Please note: The Board has specified that if you are attending your initial First Aid training course (required for general registration); the CPD credits from attendance may NOT be counted towards your internship CPD requirements. However, if you are attending a First Aid update course (i.e. your certificate is no longer valid and requires updating) you are permitted to count any CPD credits towards your internship CPD requirements. 9. Oral Presentation Competency standards: 1.2, 1.5, 2.1, 2.6, 8.1, 8.3 You will be required to give an oral presentation of at least five minutes duration. This is an opportunity to showcase your presentation, communication and language skills. The presentation is to be on a topic of your choice, something work-related and of interest that you would like to share with your colleagues. You may choose to educate your peers, share a scenario or discuss an issue. Preceptors are required to assess your presentation and if you do not perform competently you will be required to represent. A preceptor evaluation form for your oral presentation is available on the Guild ITP Online Forum or USB. You are required to submit this evaluation sheet with your portfolio as proof of completion. Both interns and preceptors MUST provide a signature and date on the provided template. Guild Intern Training Program Intern Manual 15 Intern Portfolio 10. Final Preceptor Assessment For the final assessment your preceptor will use a list of performance criteria based on the National Competency Standards Framework for Pharmacists in Australia 2010 as a checklist. Both the preceptor’s assessment document and the National Competency Standards Framework for Pharmacists in Australia 2010 can be found on the Guild ITP Online Forum. 11. Additional Portfolio Evidence (APE), if required For interns who are unable to attend a workshop or discussion group, additional work as determined by your ITP tutor is required as evidence that you have met the requirements of the ITP. This work will be sent to you as appropriate and the completed assessment needs to be submitted with your portfolio. 12. Conclusion This is a short statement that declares you believe that you have completed your the Guild ITP and are competent to practise as a registered pharmacist. Portfolio submission You can submit your portfolio in hard-copy format mailed to the Guild ITP in your state. Ensure you keep back-up copies (electronic and/or hard-copy) of ALL your submission items. Please see your State’s Guild ITP timeline and contact sheet for the due dates and postal address for portfolio submission. 16 Guild Intern Training Program Intern Manual The intern year is designed to expand on the style of learning you were accustomed to during your years as an undergraduate student. Guild Intern Training Program Intern Manual 17 Assessments Assessment process 1. Workplace visits The intern assessment process is managed and supervised by the Guild ITP in collaboration with preceptors. A variety of assessment methods are used during the ITP to evaluate your knowledge, mastery of essential practical skills, ability to communicate, numeracy and the use of data in problem solving. Workplace assessments monitor the progressive acquisition of competence achieved whilst you are undertaking supervised practice. The Guild ITP tutors conduct at least one workplace visit with each intern during the intern year. You should ensure you are well prepared and have all documentation for review on hand. The workplace visit will take one to one and a half hours and you are encouraged to raise any concerns or requests for guidance during this time. Your progress will be assessed during the ITP through: 1.Workplace visits 2.Preceptor assessments 3.Written assignments 6.Final preceptor assessment and portfolio submission The tutor will use the National Competency Standards Framework for Pharmacists in Australia 2010 as a guide when assessing your progress during the visit. A formal report will be prepared after the visit, and copies of this will be provided to both you and your preceptor. 7.Online modules, if required Focus of the workplace visit Each of these assessments is outlined below in more detail. The intern and preceptor will be provided with copies of all written assessments to ensure that any issues arising can be incorporated into the training plan. your integration into the workplace The Guild ITP is committed to keeping clear concise records of assessments for each intern participating in the program. This ensures that there will be accessible evidence available to support or otherwise your competence in case of dispute. may discuss non-prescription products, S3 scheduling and 4.Compulsory workshop attendance and participation 5.Discussion group attendance and participation 18 Preceptors are also encouraged to be available during the workplace visit for clarification of any issues that arise and to ensure feedback provided to you by the tutor regarding your progress is clear and understood. If your preceptor is unable to be at the meeting, your ITP tutor will ensure any concerns are communicated by telephone as soon as possible. Guild Intern Training Program Intern Manual review of your Portfolio documentation review and discussion of your training plan review of your preceptor assessments other relevant skills may discuss multiple medication management and regimens may discuss your communication skills, both written and verbal. Assessments 2. Preceptor assessments Preceptors are required to submit interim written assessments at approximately 9 weeks and 18 weeks into your intern year. These assessments are based on your achievements against the intern training plan and are assessed against the competencies. They provide an opportunity for formal feedback sessions with your preceptor. For the final assessment your preceptor will use a preceptor assessment form based on the National Competency Standards Framework for Pharmacists in Australia 2010 as a checklist. Both the preceptor’s assessment document and the National Competency Standards Framework for Pharmacists in Australia 2010 can be found on the Guild ITP Online Forum. The assessment documentation resulting from these sessions need to be emailed, faxed or posted to the Guild ITP by the relevant due dates. Please see the Guild ITP timeline for the due dates of these assessments. If you have any questions, please do not hesitate to contact your ITP Tutor. Please note: The 9 and 18 week preceptor assessments are completed on the same form. This is a working document – you can fax this in on completion by your preceptor. 3. Written assignments You are required to complete two (2) written assignments during the intern year. All assignments will be distributed through the Guild ITP Online Forum and you will have two (2) months to complete each assignment. 4. Compulsory Workshop Attendance and Participation You are required to attend at least two (2) face-to-face workshops throughout the ITP. This is an excellent opportunity for interns to network with colleagues, receive further support from their ITP tutors and listen to industry specialists present interactive sessions. Interns will work in small groups with ITP tutors and participate in interactive case discussions and exercises. Some of the topics and exercises covered during the workshops will assist with your preparation for the Board oral exam. Attendance at workshops is compulsory. The workshop dates are included on the ITP timeline. If you are unable to attend a workshop, additional work as determined by your ITP tutor is required as evidence that you have met the requirements of the ITP. This work will be sent to you as appropriate by the tutor and the completed assessment must be submitted with the portfolio. For those in regional locations who may experience difficulty in attending centralised workshops, please contact your ITP tutor to discuss the options available to you. Please note: It is an APC requirement that ALL interns attend a minimum of 25 hours interactive face-to-face small group sessions during their ITP. Small groups of interns are required to be physically within each other’s presence (i.e. not via electronic means); this is mandatory regardless of the ITP provider. For this reason, the Guild ITP workshops are structured to allow plenty of opportunities during the workshops for interns to interact with each other through small group activities. 5. Discussion Group Attendance and Participation These sessions explore a variety of practice issues and allow you to discuss case studies with clinical tutors and industry pharmacists. Some of the topics and exercises covered during the discussion groups will assist with your preparation for the Board oral exam. In some states these are delivered as webinars or teleconferences, offering the convenience of joining in from home or work. Attendance at discussion groups is compulsory. If you are unable to attend a discussion group additional work as determined by your ITP tutor is required as evidence that you have met the requirements of the ITP. This work will be sent to you by your tutor and the completed assessment needs to be submitted with your portfolio. 6. Portfolio submission Your portfolio should contain a diverse collection of material that demonstrates your journey of professional development throughout the ITP. Each component of the portfolio is covered in more detail on pages 10 – 16 of this manual. Copies of each should be included in your final portfolio submission to the Guild ITP, along with your final preceptor assessment. Please ensure both interns and preceptors have signed and dated all templates which require this prior to submission. 7. Online modules, if required In some states, interns are required to complete state-specific Community Opioid Replacement Program and Needle and Syringe Exchange Program courses. This training is mandatory to enable registered pharmacists to provide these services within community pharmacies in particular states (i.e. TAS, WA, etc.). A copy of your completion certificate or your CPD Record Summary should be generated on myCPD (showing successful completion of these modules) and included with your final portfolio submission. If you or your preceptor requires further clarification on this requirement, please contact your Guild ITP tutor. Guild Intern Training Program Intern Manual 19 Assessments Moderation of Assessments The process of moderating assessments used by the Guild ITP ensures consistency of marking across all the states. The Guild ITP Moderation Committee will ensure that an intern participating in the Guild ITP in one state will have the same assessment of their progress and knowledge as an intern enrolled in the Guild ITP in any other state. This is a quality assurance process which ensures all systems are robust and of a consistently high standard. A percentage of assignments submitted by interns will be de-identified and sent to ITP tutors in other states for assessment. These will then be checked to ensure consistency of marking. Assessment requirements during your intern training year Guild ITP workplace visit 9 week and 18 week ITP assessments workshop participation online participation extemporaneous preparations presentation final ITP assessment assignments portfolio Pharmacy Board of Australia (PBA) written exam— run by APC oral exam statutory declaration on 1824 supervised practice hours statutory declaration of completion of extemporaneous preparations, lodged with ITP Lodge application for full registration as a pharmacist Apply first aid certificate lodged with ITP. ITP Completion Certificate 20 Preceptor Guild Intern Training Program Intern Manual Statutory Declaration Exams complete Learning during the Intern year Workplace Learning Employing Problem Based Learning The intern year is designed to expand on the style of learning you were accustomed to during your years as an undergraduate student. One of the most important aspects of learning during this year is the integration of theory with practice: using knowledge and ideas to manage real life situations. Analysing professional development through documentation with self-learning projects and RLE forms provides the ideal mechanism for launching problem-based learning. Once an RLE form is completed you should have a clear idea of the problems that you could learn from. By following a structured sequence you can structure your learning in a way that addresses the problem from different perspectives. The advantage of participating in your internship placement is that your learning will be occurring in the workplace. Approaching learning in this way therefore meets the challenge of linking theory with contextual practice. You will have the opportunity to explore real situations and to gradually apply theoretical understanding in a controlled setting, with direct supervision. Your learning will be motivated through your engagement with professional practice and be based around problem framing and problem solving. Example: A man comes into the pharmacy requesting a cream for his psoriasis. On questioning his symptoms do not resemble psoriasis. No plaques, just red, angry and itchy in groin area. He had been overseas recently in humid conditions. 1. Consider your level of knowledge Problem Based Learning Problem Based Learning (PBL) is an ideal approach to learning in the professional setting. Because you are in the active professional role, your learning will be generated from a problem solving perspective. This approach will allow you to simultaneously develop problem solving strategies, clinical and professional knowledge and relevant professional skills. Learning that is structured in this way deals with problems that: are messy and complex in nature equire inquiry, information-gathering and reflection are changing and tentative have no simple ‘right’ answer. PBL is most effective if it is approached as a cooperative process between you and your preceptor. For this approach to learning to be successful, it is essential that it begins with a situation from your professional experience. Once you have identified a problem, your learning should centre on this issue. It is your responsibility to actively define problems that you encounter and construct potential solutions. It is your preceptor’s responsibility to model and support your learning process. In assuming the role of a ‘coach’, your preceptor will be able to guide you rather than teach or directly impart their knowledge to you. Learning in this way is effective because the complex nature of real problems calls forth critical and creative thinking. PBL promotes self-regulated learning because you will generate your own strategies for problem definition, information gathering, analysis, and providing and testing answers. You are fairly confident that the man’s symptoms are related to lifestyle but your knowledge base does not allow you to formulate sound clinical decisions. Your knowledge of medication warns you that use of immunosuppressants can lead to skin diseases as can certain underlying disease states. 2. Identify your learning needs Now that you have identified where the gaps in your knowledge exist you can identify the specific learning needs and issues that need to be addressed. You can do this simply by posing yourself some questions such as, ‘what other treatments are available for fungal infections?’, ‘Which underlying conditions predispose to fungal infections?’ and ‘How do commonly used immunosuppressants contribute to skin infections?’ 3. Identify the processes you will use for the PBL To answer the questions, you should use your reasoning skills and relate the questions to new and previous knowledge. To do this you should incorporate literature, product information and colleague expertise into the problem solving process. Rather than focusing on identifying a particular solution to the problem, you should explore a variety of ‘what ifs’. 4. Evaluate the PBL process Evaluation should be a process that continually informs your learning. Once you have completed a learning task you should return to the PBL process and re-examine the problem from a different perspective. As you develop professionally you will be prepared to make changes to your knowledge, skills and attitude based on experience. Guild Intern Training Program Intern Manual 21 Support and Resources Free resources: – eTherapeutic Guidelines – eMIMS MyCPD: www.mycpd.org.au A website developed by the Guild which may be used for online recording of CPD, online training modules, and to record and keep track of intern’s CPD credits, as required under national registration. Interns and preceptors will be provided with access to this site, which also includes a calendar of CPD eligible events for each State and Territory. Dedicated ITP Online Forum: www.pharmacyguildinterns.ning.com The Guild ITP Online Forum provides up-to-date information and access to an extensive range of documents and relevant links. The forum includes dedicated online groups for interns and preceptors – nationally and within each state – providing online discussion and communication for each group on pharmacy-related issues. Professional Indemnity Insurance: www.guildinsurance.com.au/students/pharmacy Pharmaceutical Defence Limited (PDL) has arranged with its underwriters, Guild Insurance, to provide this cover free of charge to pharmacy interns in Australia. Auspharmlist: www.auspharmlist.net.au Pharmacists’ online discussion group Auspharmacist: www.auspharmacist.net.au Continuing education, Pharmacy News, Links to pharmacy resources Blackmores Institute Online Education: www.blackmoresinstitute.org/education Interactions guide, resource centre 22 Guild Intern Training Program Intern Manual Medicare Australia: www.medicareaustralia.gov.au/provider/business/ education/e-learning.jsp PBS and You - dispensing and claiming for pharmacists e-learning module NPS for Health Professionals: www.nps.org.au/health_professionals Pharmacy Practice Reviews, Case studies, NPS News, NPS Radar, new drug news iTherapeutics: www.itherapeutics.com.au Pharmacy product education My Dr: www.mydr.com.au/tools Health tool resources, BMI calculator, ovulation calculator, daily Calcium requirement calculator, etc. PBS Schedule: www.pbs.gov.au/pbs/home The official online source for information on Pharmaceutical Benefits Australian Prescriber: www.australianprescriber.com Independent drug news MD Briefcase: www.mdbriefcase.com.au Online pharmacist education Check List Forms to be submitted Due date Date completed Signed ITP Agreement 9 week Preceptor Assessment 18 week Preceptor Assessment Final Preceptor Assessment (may be submitted with Final Portfolio) Workshops and Discussion Groups Induction Workshop Workshop 1 Workshop 2 Workshop 3 Discussion 1 Discussion 2 Discussion 3 Discussion 4 Discussion 5 Online modules, if required (i.e. TAS, WA, etc.) Needle and Syringe Program (NSP) training Opioid Replacement Program training Assignments Assignment 1 Assignment 2 Workplace visit/Tutor meetings Workplace visit Catch-up with Guild ITP Tutor (Phone, Skype, etc.) Portfolio Training Plan 20 Reflective Learning Experiences (RLEs) Self Learning Project Health Promotion assignment Continuing Professional Development (CPD) Record Extemporaneous Preparations Stat Dec First Aid Certificate Oral Presentation Additional Portfolio Evidence (APE) Portfolio submission Guild Intern Training Program Intern Manual 23 82ACAD2013 w www.guild.org.au/academy
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