Bradford W. Schwarz, MS,...

transcript

Bradford W. Schwarz, MS, PA-C

Director, Physician Assistant Studies

College of Health Sciences

Mandy Jones, PharmD, PA-C, BCPS

Department of Pharmacy Practice & Science

College of Pharmacy

An Equal Opportunity University

• Discuss the rationale of a dual PharmD, MSPAS educational

• Detail logistical considerations and essential elements of a dual

PharmD, MSPAS degree program

• Discuss how the dual degree program prepares the future

provider to deliver enhanced primary care medicine in a variety

of settings

• Discuss the contribution of a dually trained

pharmacist/physician assistant to an interprofessional team of

providers

• Originally called the College of Allied Health Professions, one

of the first 13 colleges formed following passage of The Allied

Health Professions Personnel Training Act of 1966.

• The College of Health Sciences is also among the first colleges

within the University of Kentucky system to offer distance

learning degree programs:

1992 – PT distant education program in Hazard, KY

1996 – PA distant education program in Morehead, KY

2012 - MLS distant education program in Hazard, KY

• Mission - To help the people of the Commonwealth of Kentucky

and beyond to gain and retain the highest level of health through

creative leadership and productivity in education, research, and

service.

• Founded in 1973

• Total number of graduates: 1278

• Distance education campus

established in Morehead, KY in

• Average enrollment annually: 56

• Ranked within Top 10 Colleges of

Pharmacy for > 30 years

• Currently 5th in the US

• Highest passing rate on national

licensing exam compared to all

other COPs in the US

• Pharmacy Practice Residency

Program ranked #1 in US

• Research program ranked 4th in the

US in pharmacy research

productivity

• 4-yr professional curriculum leading

to the Doctor of Pharmacy

(PharmD) degree

• Average current enrollment: 135

• Graduate program in pharmaceutical

sciences leading to the PhD

• Postdoctoral scholars program

• Pharmacy residency programs in

collaboration with UK Chandler

Medical Center, Kroger, and American

Pharmacy Services Corp.

• Institute for Pharmacy Outcomes and

Policy (iPOP)

• Center for the Advancement of

Pharmacy Practice (CAPP)

• Center for Pharmaceutical Research

and Innovation (CPRI)

• 1870 – College is founded in Louisville, KY – with

over 5,700 graduates to date

• 1936 – Bachelor of Science in Pharmacy

• 1947 – College becomes member of UK

• 1962 – Established first Drug Information Center

• 1968 – World’s first Dept. of Clinical Pharmacy

within a medical center setting is created

• 1968 – One of the first schools in US to create

PharmD program

• 1968 – Pharmacy residency program begins in

Clinical Pharmacy Practice

• 1970 – College awards its first PharmD degrees

• Both degrees obtained in less total time than if degrees earned

independently

• Highly desirable for students seeking:

– Career in ambulatory care pharmacy, primary care, or subspecialty medicine

– An expansion of roles, functions, and/or knowledge for clinical practice

– Further differentiated skill set and marketability

– Career in academic medicine and/or pharmacy

• AFFORDABLE CARE ACT

– Ideally suited for those seeking clinical practice in rural communities and/or areas

with limited resources/healthcare access

• PharmD, MSPAS program established – March 2010

– http://pharmacy.mc.uky.edu/programs/prepharm/mspas.php

• College of Pharmacy- other joint degree programs:

– PharmD,MPA – 1997

– PhamD,MBA – 1999

– PharmD,MPH – 2009

• PAS Program Director during development phase was dual PharmD,

• Unique niche among PA and Pharmacy programs

• Positive return on recruitment for top pre-pharmacy

and pre-PA students

• Potential programmatic revenue stream

• Increased collaboration between programs →

improving collegiality, shared goals, and

interprofessional education initiatives

• Philosophically we believe this graduate will

contribute to improved patient outcomes and quality

PharmD/MSPAS Program At a

Glance Academic Unit College of Health Sciences (CHS)

Admissions

*Apply during PY2 year

*Enrollment capped each year by CHS (n=3-5)

Prerequisite Courses

*Prereqs currently under

review by CHS

PSY 100; PSY 223 (developmental); SOC 101 or ANT

101; 1000 hours direct patient care experience; 50

hours PA shadowing

Curriculum Extra year of classroom work and additional

experiential rotations, with graduation in 5+ years

Faculty Advisor •Admissions and degree

program details

Dr. Gerry Gairola, College of Health Sciences

gagair01@uky.edu

Professor Bradford Schwarz, PAS Division Director

Bradford.schwarz@uky.edu

Pharmacy Liaison •Connection to pharmacy

careers

Dr. Kelly Smith

ksmit1@email.uky.edu

Program Website

http://www.mc.uky.edu/PA/index.html

• Master of Science in Physician Assistant Studies

– Graduate degree sponsored by the UK Graduate School

• Faculty members are tenure track within the College of Health

Sciences

• UK PA program emphasizes rural and primary care medicine

• Two campuses that run concurrently:

– Lexington (n=40)

– Morehead (n=16)

• MSPAS program independently operated by the College of

Health Sciences through the Graduate School

• Specifics:

– Pre-requisites, both academic and practical

– Admissions tests (GRE)

– Admissions process (CASPA)

– Didactic and Clinical Clerkship requirements

– Lock-step curriculum with graduation timeline

– Limited annual capacity for pharmacy students

• Shortened time to complete both degrees

– PharmD – degree awarded after 5 full

professional years (May)

– MSPAS –degree awarded in subsequent

semester (August)

• Dual degree courses satisfy the 8 elective hours

required for the PharmD degree program

• Direct patient care experience > 1000 hours

– Up to 500 hours are accepted from Pharmacy patient care experiences

– Volunteer or paid experiences; all hours must be documented on CASPA

application

• PA-C Shadowing > 50 hours

– Volunteer or paid

• Timeline to obtain both types of experience:

– >200 hours by June 1 of application year

– >400 hours by August 1

– >1050 hours by December 1

• April 15 – Internal dual degree application due to College of

Pharmacy Office of Academic Affairs

• June 15 – MSPAS application due:

– CASPA + Graduate School/College of Health Sciences

supplemental application

• Summer

– Enroll in PPS 948 (Intro Pharmacy Practice Experience)

– PA Program Admission Interview

– Decision made by August

• Fall Semester:

– PPS 950: Pharmaceutical Policy and Public Health (4 credit

hours)

– PPS 951: Cardiopulmonary and Renal Pharmacology (5 credit

hours)

– PPS 953: Current Topics Seminar (1 credit hour)

– PPS 957: Pharmacotherapy II (5 credit hours)

– PPS 959: Patient Care Laboratory V (2 credit hours)

– PPS 813: Geriatric Pharmacy (3 credit hours)

• Spring Semester: – PPS 960: Pharmaceutical Policy and Public Health (5 credit hours)

– PPS 966: Pharmacotherapy III (5 credit hours)

– PPS 967: Pharmacotherapy IV (5 credit hours)

– PPS 969: Patient Care Lab VI (2 credit hours)

– PPS 651: Introduction to the PA Profession (2 credit hours)

• Summer Term: – PPS 991: Advanced Community Pharmacy Clerkship (6 credit hours)

– PPS 992: Advanced Inpatient Pharmacy Clerkship (6 credit hours)

• Fall Semester:

– PAS 645: Masters Project I (1 credit hour)

– PAS 646: Masters Project II (2 credit hours)

– PAS 654: Clinical Lecture Series I (4 credit hours)

– PAS 650: Clinical Methods (H&P) (3 credit hours)

– PAS 657: Clinical Lab Procedures (3 credit hours)

– At this point, classified as a graduate student

• Spring Semester:

– PAS 655: Psychosocial Factors in Medicine (3 credit hours)

– PAS 658: Clinical Lecture Series II (4 credit hours)

– PAS 656: Patient Management and Evaluation (3 credit

hours)

– ANA 611: Anatomy (5 credit hours)*

• Fall/Spring Semesters (Clinical Clerkships): PAS 660/PPS 993 Family Medicine/Ambulatory Pharmacy Practice – 8 weeks

• Combined rotation

PAS 669/PPS 994 Internal Medicine/Acute Care Inpatient Pharmacy Practice – 8 weeks

PAS 671/PPS 995 Psychiatry

PAS 661 Pediatrics

PAS 662 Obstetrics/Gynecology

PAS 663 Surgery

PAS 664 Geriatrics

PAS 670 Emergency Medicine

PAS 680: Seminar in PA Studies II

• Chronic Disease Management & Polypharmacy

– 4 billion prescriptions annually (#1 reason – chronic diseases)

• Medication Therapy Management

• Elderly Care (polypharmacy, Annual Wellness Visits)

• Transitions of Care

• Extensive pharmacogenomics/pharmacokinetics training

• Inpatient services

– Adult and Pediatric Medicine

– Surgical Services

• Academia

– College of Pharmacy primary appointment

– Some guest lecturing in the PA program

– IPE activities for PA and pharmacy students

• Clinical practice as pharmacist and PA in UK Department of

Family and Community Medicine

– Physician referral-based Pharmacotherapy Clinic

– Primary Care Provider as PA

– Ambulatory Care pharmacy preceptor for students and residents

• Included nurse practitioner, PA, and medical students as

shadowing experience

• Part-time Pharmacist in Community Pharmacy

– Traditional pharmacy roles associated with dispensing

– Immunizations and medication counseling

– Triage for self-care consultations

• PA training broadened differential diagnosis capability and

when to appropriately medically refer

– Self-care vs. new medical condition vs. worsening of

chronic condition vs. symptoms due to drug therapy

problem

1. The future of medicine dictates that medical providers must have additional skills to

meet the demands of the healthcare

environment.

2. A well differentiated provider will have

greater marketability and sustainability.

3. PharmD/PA – the quintessential 2 in 1

clinician

• 1. Institute of Medicine. Educating for the Health Team. October 3, 1972. Available at:

http://www.ipe.umn.edu/prod/groups/ahc/@pub/@ahc/@cipe/documents/asset/ahc_asset_350123.p

df. Accessed June 2, 1013.

• 2. Barr H, Ross,F. Maintstreaming Interprofessional Education in the United Kingdom: A position

paper. Journal of Interprofessional Care, 2006, Vol. 20, No. 2 , Pages 96-104.

• 3. Institute of Medicine. Health Professions Education: A Bridge to Quality. April 18, 2003.

Available at: http://www.iom.edu/Reports/2003/Health-Professions-Education-A-Bridge-to-

Quality.aspx. Accessed June 2, 2013.

• 4. Frank J, Chen L, Bhutta Z, et al. Health professionals for a new century: transforming education

to strengthen health systems in an interdependent world. The Lancet, 2010; 376:1923-1958.

• 5. Interprofessional Education Collaborative Expert Panel. Core competencies for

interprofessional collaborative practice: Report of an expert panel. May 2011. Washington, D.C.

Interprofessional Education Collaborative. Available at: http://www.aacn.nche.edu/education-

resources/ipecreport.pdf. Accessed June 2, 2013.

Bradford W. Schwarz

Bradford.schwarz@uky.edu

(859) 218-0514

Mandy Jones

sjone3@email.uky.edu

(859) 323-2960

Bradford W. Schwarz, MS,...

Documents