PCC module intro lec Jan 19 Canvas PDF

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Patient Centred Care (PCC) PHA7059-E Sem2 Module Introduction Module Leader: Mrs Helen Cook Senior Lecturer in Clinical Pharmacy N21 [email protected] Ext 4736

Outline of session • 2018-19 changes to the module – C2018 • What is patient centred care? • Module aims & learning outcomes • How you will be assessed • Structure of the module • Teaching & learning opportunities • Student support and feedback

• Opportunities to give feedback 2

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PCC Module Introduction

By the end of this lecture you should understand: • What to expect from this module – Content and how it links to previous learning

– Delivery methods • How to get the most from the module • How and when you will be assessed • The module handbook and Canvas

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PCC Module Introduction

Patient Centred Care (PCC) PHA7059-E Previous (80-credit) module This (60-credit) module When the module runs

80-credits over two semesters

60-credits in one semester

Unit structure

Sept-Jan – 2 units Jan-May – 4 units (5 RAPS)

Jan-May – 5 units (5 RAPS)

Element of Assessment

Long loop, TBL, EMQ and OSCE Pass/fail elements: Law, calcs and first aid

Long loop, TBL, EMQ and OSCE

Timing of EMQ & OSCE Assessments

Continuous: May Sandwich: January

ALL: May

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PCC Module Introduction

What is Patient Centred Care? NICE 2015:

• Treatment and care that takes into account individual needs and preferences • Patients have the opportunity to make informed decisions, in partnership with health professionals Linked to the term ‘medicines optimisation’:

'a person person-centred -centred ap approach proach to safe and eff effective ective medicines use, to en ensure sure peopl people e obt obtain ain the best possi possible ble outcomes fr from om their me medicines’. dicines’. 5

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PCC Module Introduction

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PCC Module Introduction

Aims of the Module 1. Consult with patients who present with undifferentiated symptoms in order to: i. diagnose & negotiate a management plan for a range of minor ailments ii. recognise & refer symptoms of potentially serious disease

2. Carry out medicines review for a range of common long-term conditions and advise patients on the prevention, treatment & management of a range of health problems. 3. Consult with patients and optimise the use of their medicines when processing multiple-item prescriptions. 7

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PCC Module Introduction

Learning Outcomes On successful completion of this module you will be able to... 1. Understand and demonstrate effective use of recognised model(s)/framework(s) for consultation with a patient presenting with an undifferentiated condition, long-term condition or prescription for processing. 2. Efficiently and effectively gather appropriate information from a patient. 3. Efficiently and effectively gather appropriate patient information from secondary sources necessary to process prescriptions for the most commonly prescribed drugs in the UK. 8

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PCC Module Introduction

Learning Outcomes On successful completion of this module you will be able to... 4. Perform and interpret appropriate clinical tests.

5. Demonstrate effective clinical reasoning. 6. Formulate, select (with critical awareness) and implement appropriate management strategies. 7. Critically reflect on and adjust consultation skills and prescription processing procedures.

8. Work effectively and efficiently within a team.

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PCC Module Introduction

Learning Outcomes Knowledge Skills Behaviour

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Developed in stages 1-3 Further developed and applied in stage 4

Developed through the Capability module and TBL

Communicator Problem-Solver Collaborator (teamwork)

TREAT OTHERS THE WAY YOU WANT TO BE TREATED

Applying your knowledge and skills to provide positive outcomes for patients

PCC Module Introduction

Assessment Strategy Element

% of final Component pass module mark mark

Assessment Information

15%

N/A

1/unit = 5 equally weighted

15%

N/A

tRATs & summative AEs: 1/unit = 5 equally weighted

Long loop Assessment (10% of synoptic mark) 5% Extended Matching Questions (EMQ) 25% Examination

N/A 40% (must pass this component)

60 minutes 60 minutes 30 EMQs

Objective Structured Clinical Examinations (OSCE)

40% (must pass this component)

Approx. 2-3 hours • 8 stations: Mark is 50% knowledge: 50% skill • Reflection: Pass / Fail

Ongoing assessment – 30% Ongoing individual assessments (iRATs) Ongoing team assessments (tRATS, summative application exercises and peer evaluation) Synoptic exams – 70%

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40%

PCC Module Introduction

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Element of assessment iRATs & tRATs

Learning Outcomes Assessed 1, 4, 5, 6

Summative Application Exercises

1, 3, 4, 5, 6

Peer Evaluation

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Long loop Assessment

4, 5, 6

Extended Matching Questions (EMQ) Examination Objective Structured Clinical Examinations (OSCE)

4, 5, 6

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1, 2, 3, 4, 5, 6, 7

PCC Module Introduction

The 5 domains of person-centred care • Information: tailored information — that makes it useful for the individual — is the first step to ‘personalisation’ • Communication: between people and staff; should be two-way

• Involvement in decisions: taking into account people’s own values and preferences; enabling and empowering • Care planning: future course of their care, treatment and support, identify their goals; develop a sense of control • Care coordination: services working together for the outcomes (goals) developed in their care plan www.nationalvoices.org.uk

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PCC Module Introduction

The Donabedian1 quality of care framework • Str Structure: ucture: the attributes of settings where care is delivered (your working environment) e.g. material or human resources and organisational structure • Pr Process: ocess: what is actually done in giving care to the patient? • Out Outcome: come: impact of the care – what actually happens to the patient’s health? 1

Donabedian A. The quality of care. How can it be assessed? JAMA. 1988 Sep 23-30; 260(12):1743-8 14

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PCC Module Introduction

Pharmacist Roles and Responsibilities • Dia Diagnosis: gnosis: – responding to symptoms – undertaking clinical tests (BP monitoring, blood glucose monitoring etc)

• Tre Treatment atment choices an and d mon monitoring itoring / rev review iew of medica medication: tion: – Medicines use review (MUR) – Clinical medication review – advising a patient (OTC) or prescriber

• Ens Ensuring uring sa safe fe medi medication cation practice: – when validating / dispensing / checking a prescription – when patients transfer care settings (medicines reconciliation) – advising patients to use their medicines safely and effectively (patient counselling / new medicines service (NMS)) 15

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PCC Module Introduction

In the context of a ‘process’ for the pharmacist’s Problem Solver Domain: enabling roles: competencies Gather information to provide a data base Ask questions of the patient / prescriber Obtain results from diagnostic tests / monitoring

Assess/evaluate the data base to Analyse the above determine normal/appropriate from abnormal / inappropriate Draw conclusion (diagnosis) ie determine What are the issues (and prioritise them) the nature of the abnormality/error Review options and make a decision Select appropriate strategy(ies) for managing/resolving the condition/error Implement the strategy(ies) (and document Communicate the decision to the patient / prescriber action) Evaluate and reflect on the outcome(s) and Monitor the effect of your decision (patient care process planning / follow-up) and how effective your process was (reflect on your skills) 16

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PCC Module Introduction

Unit 1: Consultation skills • Unit lead: Dr Simon Tweddell Focuses on models of consultation to enable you to develop your personal approach to structuring patient-centred consultations.

You will develop your skills in communicating with: – complex patients e.g. handling conflict and dealing with complaints – patients with complex conditions e.g. co-morbidity 17

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PCC Module Introduction

Unit 2: Care Planning • Unit lead: Dr Jon Silcock • Learn how to structure and follow through pharmaceutical care plans and contribute to care planning with other members of the multidisciplinary team.

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PCC Module Introduction

Unit 3: Medicines Optimisationintegrating patient care • Unit Lead: Dr Sue Jones Introduces the principles of medicines optimisation and communicating with complex patients. You will: • Develop knowledge and skills in drug history taking, medicines reconciliation and medicines monitoring • Develop checklists (SOPs) for the different pharmacist roles and responsibilities • Consider how to manage and communicate relevant information about patients’ medicines to members of the multi-disciplinary team and at transitions of care 19

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PCC Module Introduction

Unit 4: Stages of life & complex patients • Unit Lead: Mrs Helen Cook You will: • Develop your clinical decision making and consultation skills to take account of patients’ needs at different stages of their lives, to include talking with children and their parents, elderly patients and end of life care.

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PCC Module Introduction

Unit 5: Integrated Pharmacy Services • Unit Lead: Mr Hadar Zaman • Focuses on patient centred care in the context of NHS services: providing medicines use reviews (MURs), the new medicines service (NMS), medication reviews, travel health advice and vaccinations; working with patient group directions (PGDs) and conducting point of care testing. • You will also gain an understanding of the NHS structures and regulation relating to these services.

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PCC Module Introduction

Teaching and Learning

We provide the opportunities for learning – you need to engage fully with them

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PCC Module Introduction

Type of teaching session

Unit 1

Unit 2

Student study guide release date (2 weeks before RAP) Student support session

16th January 1

23rd January 1

RAP Lecture* AE session Type of teaching session

1 3 4 Unit 1

1 2 3 Unit 2

1 3 1 Unit 3

1 2 5 Unit 4

1 3 Unit 5

Small group consultation feedback -

1:1 consultation feedback -

3

OSCE practice

-

-

2

2

Other

-

Consultation forum

-

Summary session

1

1

1

Workshop

Prescription processing

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Unit 3

Unit 4

11th 25th February February 1 1

Unit 5 11th March 1

OSCE 2 x OSCE practice practice labs (enhanced feedback labs) 1 1

PCC Module Introduction

Directed study • 515 hours! – Completing unit student study guides – Review own learning after each teaching session

– Read around the topic to fill any gaps in knowledge – Use discussion board on Canvas

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PCC Module Introduction

How to achieve your potential • Attend all sessions and work as a team

• Bring your BNF to all sessions • Undertake self-directed learning (read around the topic): • Check your own understanding after each learning session – did you understand all the rationale given? • Set yourself learning goals • Identify resources for learning

• Undertake learning • evaluate learning outcomes (test yourself!)

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PCC Module Introduction

Resources to support your learning • Stage 2 & 3 packs and your own notes • NICE Guidance; top 100 drugs; SPCs • Reading list on Canvas – Core + optional (choice based on personal preference) • Consultation Skills • Clinical • Responding to symptoms • OSCE Practice 26

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PCC Module Introduction

Student support: Feedback RAPs: instant feedback Student support session

OSCE practice workshops & Mock OSCE

Feedback

Application Exercise and workshop sessions

Group / peer & 1:1 on consultation skills

Mock EMQs

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Unit summary lecture and document

Canvas discussion forums PCC Module Introduction

Student support: Who to contact • Class lead at end of teaching session • ALL teaching material-related questions via unit discussion forum on Canvas • ALL module / assessment-related queries via specific discussion forums • Specific personal issues: PAT or module lead:

[email protected]

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PCC Module Introduction

Policies & Regulations Be familiar with Examination and Assessment Regulations http://www.bradford.ac.uk/exams/procedures/ Programme policies and proceedures: – Ensure you have read and understood them! • • • • •

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RAP (iRAT/tRAT) Policy RAP Question Challenge Process Application Exercise Policy Fit to Sit Policy Mitigating Circumstances proceedure

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PCC Module Introduction

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