Improving postgraduate pharmacy residency training.
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Biomedical subjects
Publications and source records attributed to P F Parker.
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A procedure for eliciting student ratings of clerkship teacher performance was implemented. The purpose of the study was to determine the reliability of student evaluations, explore the differences in teaching roles in relation to student evaluations, and identify those teaching behaviors that were closely associated with overall teacher effectiveness. Students rated clerkship teachers on eight teaching behaviors, including organization, stimulation and enthusiasm about discipline, ability to establish rapport, active involvement with students, level of knowledge and use of sound reasoning, ability to teach clinical procedures and skills, provision of direction and feedback on learning, and accessibility. A ninth item for evaluation of overall teaching effectiveness was also included. At the end of each clinical rotation, students anonymously rated each teacher on a five-point scale. Student ratings were used to evaluate performance and to identify teachers whose clinical skills needed improvement. As one component of an overall approach to performance review, the student evaluation procedure provided for input from the consumer of the teaching activity. When necessary, educational specialists provided consultation to instructors to identify, in detail, clinical teaching behaviors that needed improvement and to suggest remedial strategies. This article describes the development and use of an approach to assess clinical teaching in the clerkships of the College of Pharmacy. After reviewing the literature to determine the characteristics of clinical teaching, an approach was established that paralleled the needs of the faculty and the constraints of the clinical settings. Once the system was implemented and the data were gathered on clinical teaching, investigations were required to examine the reliability of the survey, to identify those behaviors more closely related to effective clinical teaching, and to determine the advantages and disadvantages of using this approach. As a result, this study examines the literature on assessing clinical teaching, describes the approach developed for the College of Pharmacy, identifies some important behaviors in clinical teaching, and discusses the benefits and limitations of the assessment mechanisms to improve clinical teaching.
The development and implementation of a quality assurance program for a clinical pharmacokinetic service is described. The goal of the pharmacokinetic use review program is to assure the quality and consistency of pharmacokinetic monitoring by all pharmacists within the institution. Criteria were formulated as specific indications for pharmacokinetic monitoring of four drugs. The review process consists of: (1) an initial screen of a randomly selected sample of patient charts to determine if patients meeting predetermined criteria were actually pharmacokinetically monitored; (2) a peer review committee review to specify the appropriateness of monitoring; and (3) a reporting process to the pharmacists responsible for the service regarding their performance. The quality assurance program allows documentation and improvement of the quality of a clinical pharmacokinetic service and assures a consistent level of service.
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