Practice faculty in PCHS work with a variety of learners, including pharmacy, medical, nursing, and dental students and residents. Additionally, practice faculty engage in scholarship to advance teaching and learning in practice-based settings.
Education Rx: Applying Evidence-Based Medicine in Practice
During the 2015-2016 academic year, a group of eight ambulatory care practice faculty adapted the educational prescription, a concept used by medical schools, for use in ambulatory care advanced pharmacy practice experiences (APPEs). Renamed “Education Rx”, this activity provides structure for critically evaluating a medication related question. This concept outlines the four key elements for answering a clinical question: Patient/population, Intervention, Comparison, Outcomes (PICO).
Results from solicited student feedback identified that most students (94%) agree/strongly agreed that completing the Education Rx activity increased confidence in their ability to 1) conduct an online search to acquire the evidence to answer my question, 2) critically appraise the validity of the evidence found to answer a questions, and 3) efficiently execute the steps of evidence-based medicine to care for patients. Success from this activity has led to expansion of its use across all patient care APPEs and some didactic courses during the curriculum.
The Phillips Neighborhood Clinic (PNC)
The Phillips Neighborhood Clinic (PNC) is run by student health professionals from the University of Minnesota, Twin Cities. Students and faculty from the College of Pharmacy play key roles in planning, governance and care delivery for the clinic, which is open two nights a week and serves an underserved, economically-disadvantaged, predominantly immigrant population in east Minneapolis.
Students perform many roles in the clinic, from patient intake and accompanying patients through the various steps of care, to running the dispensary for a limited formulary of prescription medications (prescriptions for non-formulary medications are written to be taken to participating nearby pharmacies) and counseling patients about their medications. All steps are supervised by clinical faculty who volunteer at the PNC.
The student volunteers use an interprofessional approach in which they combine their skills to find the best care for the patients — one of only a few student-run clinics in the nation using this method. About 300 University of Minnesota students from the fields of medicine, pharmacy, physical therapy, nursing, nutrition, social work and public health provide care at the clinic run solely by student volunteers under the supervision of licensed clinicians.