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CHAPTER 1
1.0 INTRODUCTION
A pharmacist is a professional scientist who possesses the skills in all aspect relating
to the design, development, delivery, supply, control and the usage of drugs (USM,
2008! "enerally, training education for pharmaceutical course will take a#out four to
si$ years all over around the world (%almdoc, 200&! 't is depending on the
universitys educational program! )urrently, pharmacy education is one of the
demand courses among the school leavers especially in developing country such as
Malaysia! *he competition for entry into pharmacy program is very intense! As an
e$ample, every year, more than +000 applicants competes for only + places in
School of %harmaceutical Sciences, Universiti Sains Malaysia which is the pioneer
institution in offering pharmacy degree program in Malaysia since -.2! *hus, many
individuals who may meet minimum admission re/uirements (USM, 2008 do not
gain admission to the program as maority of applicants do possess a very high
admission than the #aseline cut off points set for admission purpose!
*he curriculum design of pharmaceutical program varies among countries (1S,
200-! At Universiti Sains Malaysia, the school is currently using an integrated
approach in teaching and learning since pharmacists need to ac/uire a #road range of
scientific education! *he 1achelor of %harmacy (13%harm correlates scientific
findings with a strong foundation of core science courses! 1esides that, in related to
social pharmacy, social integration of su#ects are also em#edded well in the current
curriculum (USM, 2008 in order to prepare a well rounded pharmacist in the future!
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'n many parts of the world, completion of a pharmacy degree does not automatically
/ualify an individual for licensure (%almdoc, 200&! 'n most cases, a post graduation
(pre3registration in3service training period often referred to as 4internship5 which
#een mostly regulated #y the provincial licensing #ody rather than the local
educational institution is re/uired! *he length of this internship varies across the
country, #ut it is generally 2 months in duration (%almdoc, 200-! 'n addition to this
in service training period, candidates for licensure are re/uired to complete a series of
provincial and national e$aminations (Austin and 6nsom, 2008! *he pre3registration
period currently represents the vital transition from university #ased to practice3#ased
learning (7oyal %harmaceutical Society of "reat 1ritain, 200! )urrently in
Malaysia, a pharmacy graduate is required to undergo a period of houseman ship or
pupillage for 12 months at any general or private hospital, pharmaceutical industry
or at any retail pharmacy recognised by the Pharmacy Board of Malaysia upon
completion of a recognised pharmacy degree. The objective of the houseman ship is
for graduates to undergo a planned training programme on aspects of pharmacy
practice under the supervision of a registered pharmacist. fter passing the !orensic
Pharmacy e"amination and completing one year of houseman ship, graduates are
eligible to register #ith the Pharmacy Board of Malaysia and may practise as a
registered pharmacist in Malaysia $Palmdoc, 2%%&'.
%harmacist nowadays was said to #e the #est profession since it would give high
income and have good future! 9or e$ample, pharmacists in developed country such as
in )anada practice in a wide array of fields, ranging from dispensary to community to
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am#ulatory to primary, secondary or tertiary care settings (Austin and 6nsom, 2008!
't is due to significant attention paid to the strong demand for pharmacists across the
country over the past decade: we appear now to #e moving towards a more #alanced
supply3demand situation, particularly in ur#an areas (Austin and 6nsom, 2008! Since
pharmacists profession has a very high e$pectation from society, so the future
pharmacists need to #e well prepared via vigorous training #efore they enter the
workforce!
1.1 Background of the stud
"enerally, thousands of pharmacy students will graduate from varies universities in
this world! 'n Malaysia for in instance, every year more than &00 new pharmacy
graduates normally guaranteed to enter pharmacy workforce and they need to
translate what they have learnt for the past four years to practice! 9urthermore, since
200, the government had mandated a ;< years of compulsory service to the new
pharmacy graduates (M=>, 200! 'n the first year upon graduation, a new
practitioner has to undergone one year of standard internship programme at
government hospitals and upon successfully complete this internship period, they
have to serve the government for the ne$t three years #efore they can #e fully
registered!
As the role of a pharmacist deals with patient care, they need to #e really competent
and a#le to undertake some of activities related to patient care (Bra(eau, Meyer,
Belsey et al, 2%%&'independently #y using their skills which they ac/uired during
their educational period (Austin and 6nsom, 2008! ?ithin this conte$t, it is very
)
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important for pharmacy graduates to ensure that they really had prepared themselves
#efore they enter pharmacy workforce in order to achieve the missions of providing
the #est patient medication and health related activities!
*his is relatively important and need to #e taken seriously among graduates #ecause
pu#lic who demand pharmacists services to improve their health will #e the udge to
determine either it really fulfil their high e$pectation towards pharmacists! *herefore,
this survey at least will help us to assess the preparedness of pharmacy graduates
from Universiti Sains Malaysia (USM to enter pharmacy workforce! 1esides, we
also can identify the #arriers of unpreparedness and will make efforts to overcome
those #arriers!
1.! Rat"ona#e and s"gn"f"cance of the stud
According to the record, around 00 students of School of %harmaceutical Sciences,
Universiti Sains Malaysia will graduate for every academic session, and then they
will enter the workforce in either pu#lic or private sectors (USM, 2008! >owever,
the /uestion is whether the graduates from School of %harmaceutical Sciences,
Universiti Sains Malaysia really had prepared themselves to enter the real world of
practice! 9urthermore, in the Malaysian pharmacy education conte$t, there is no
pu#lished study assessing perceptions towards preparedness among recent pharmacy
graduates to enter the workforce! 1eside that to what e$tent the recent graduates
satisfaction towards the entire pharmacy curriculum in preparing them for practice is
not well e$plored! *he satisfaction of students on educational program is very
*
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important since this will determine their preparedness to enter workforce (+ogan and
undquist, 2%%&'!
*here are some studies that have assessed the preparedness of graduates to enter o#
market in other health3science profession such as among psychiatric nurses and
physicians (?aite, 200: Blumenthal, -ohale, /ampbell and 0eissman, 2%%1!
>ence, there is a need to conduct our own survey to glimpse the real scenario in
pharmacy local setting! 'n order to achieve this aim, this research is conducted, so that
we can assess the level of pharmacy graduates preparedness, identify the #arriers that
affect the preparedness and find the solutions as well to make sure that the students
graduate from School of %harmaceutical Sciences in Universiti Sains Malaysia are
really prepared to enter workforce! *his cross3sectional survey on a sample of
pharmacy graduates from Universiti Sains Malaysia (USM will provide #enchmark
data on self3reported towards the preparedness to enter workforce!
1.$ %"terature re&"e'
6valuation of preparedness to enter workforce had #een reported in various health
related professionals! 9or an instance in 2002, a study undertaken #y ?aite (200,
reported the outcome of interviews with psychiatric nurses! *he interviews were
formatted to #e open3ended to ena#le participants to fully e$plain their e$periences!
*he result showed that there were significant variances regarding the nurses
e$pectation, orientation process, responsi#ilities and supportive interventions from
colleagues! *hese participants identified several #eneficial concepts that would
palliate negative affective states, which in turn may effectively reduce the premature
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e$it of new nurses from the profession! Some of the nurses admitted that they
e$perienced mi$ed feelings including fear, anger, confusion, shock, happiness and
disillusionment at the first few weeks in mental health organi@ation! *his condition
was related to inade/uate process of connecting educational e$periences and practice!
A study towards the perceptions of new graduates, employers and educators related to
preparedness of graduates from health professional education programs (oseworthy
and >arnett, 2002 was done to the target audiences who were taken from
ewfoundland and am#rador and selected programs at Balhousie University!
According to the study, maority of new graduate respondents felt they were prepared
to meet the employers e$pectations e$cept for occupational therapist new graduates
felt the least preparedness to meet employers e$pectation! 'n addition, new graduates
were satisfied with their educational programs and they planned to pursue continuing
education! *he report also discussed how employers accommodate recent graduates
once they arrived in the workplace setting! astly, >uman 7esource Bepartment
respondents felt there were inade/uate num#ers of health professionals #eing trained
in the province to meet current and future needs!
A national survey of residents completing their training in 8 specialties which were
internal medicine, paediatrics, family practice, o#stetricsCgynaecology, general
surgery, orthopaedic surgery, psychiatry, and anaesthesiology at academic health
centres in the United States (Blumenthal, -ohale, /ampbell and 0eissman, 2%%1'
was #eing conducted to assess residentsD perceptions towards their preparedness to
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provide common clinical services during their last year ofgraduate medical education!
9inding showed that residents in all specialties rated themselves as prepared to
manage most of the common conditions they wouldencounter in their clinical career!
>owever, more than 0E of residents in each specialty reported that they felt
unpreparedto undertake one or more tasks relevant to their disciplines,such as caring
for patients with human immunodeficiency virus or ac/uired immunodeficiency
syndrome, su#stance a#use (family practice or nursing home patients (internal
medicine, performance of spinal surgery (orthopaedic surgery or a#dominal aortic
aneurysm
repair (general surgery and management of chronic pain (anaesthesiology!
=verall, residents in their last year of training at academic health centres rated their
clinical preparednessis high.
A preliminary study in Australia attempted to capture the e$perience of final year
students from University of Fueensland (FU* (1lake and )onnie, 200-! Some
views of students, employers and industry representative #odies had #een e$plored
towards the preparedness of students from University of Fueensland (FU* to enter
the professional workforce! "enerally, students and employers consistently perceived
that the Gtransition out of university education to the profession was made more
seamless #y an integration of academic studies and professional work e$perience
from the intermediate stages of the property program! *he results of this study
demonstrated that some units in the program were perceived to provide direct
preparation for students commencing their professional careers while the impact of
other units was less tangi#le! Halua#le feed#ack received during the study included
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recognition of the need for relia#le property education achieved through increased
engagement with industry participants, field work and contemporary technologies! 't
is envisaged that this feed#ack could #e applied more #roadly in all similar property
educational programs in Australia!
'n United States, a study was conducted to determine the percentage of residents
accepting faculty positions following completion of a community pharmacy residency
program ()%7% and identify influences to pursue or not pursue an academic career
()lark, Mehta, 7odis, %ruchnicki and %edersen, 2008! Bue to the outcome, after
completing their residency program, 8E (nI
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practice education! A#out +E perceived that they were only somewhat or minimally
prepared! )urrent age, years since graduation from nursing practice program and age
when attending the nursing practice program did not differ significantly for those who
felt prepared versus those who did not! 9or a num#er of content areas, su#ects did
not perceive that they were well prepared in the areas that they perceived were very
important! *he results also indicate that formal nursing practice education is not
preparing new nurse practitioners (% to feel ready for practice and suggests several
areas where the educational programs need to #e strengthened!
Mem#ers of Merritt >awkins J Associates 7esearch Bepartment were conducted a
telephone survey for final year medical residents (Merritt >awkins J AssociatesK,
2008! According to the survey, &E of residents said they are 4very prepared5 to
handle such matters, while the maority (&& E said they are 4somewhat prepared!5
8E of residents said they are 4unprepared5 for the #usiness side of medicine!
*raditionally, medical students and residents have received little instruction in the
#usiness of medicine as the prevalence of their education and training was focused on
clinical issues! 'n recent years, however, a num#er of medical schools and residency
programs had added at least some instructions in medical economics and practice
management! *he result may #e suggested #y the fact that in 200
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terms and conditions of medical employment and therefore it will #e a disadvantage
when evaluating practice opportunities!
*he School of %harmacy, University )olorado >ealth Sciences )enter (U)>S) was
conducted an e$it survey of the 200< graduating class, the initial graduates from the
first professional pharmacy degree program (Mc)ollum and >ansen, 200+! *his
study e$plored the characteristics of graduating students entering and not entering
residencies along with reasons that graduates provided for what had affected their
decisions! *he result showed 20E of graduates entered residencies! on3white
students were less likely than white students to enter residencies (p L 0!0!
Motivations for entering residencies included increased clarity of professional
opportunities, improved clinical skills and enhanced o# satisfaction! ack of
willingness to train at residency salary and family o#ligations were cited as the
reasons for not pursuing residency training! 'n conclusion, pursuit of residency
training appears to #e motivated #y personal and career goals and it is independent of
age, se$, and level of educational de#t! )ontinued multi3site research should focus on
overcoming perceived #arriers and identifying motivations for promoting residency
training as a professional norm!
'n Sydney, Australia, pharmacy students from four universities were invited to
participate in a survey that utili@ed the use of 2 /uestionnaires framed in the formed
five point ikert scale in order to seek and rate various aspects of their rural
placement (*aylor, Marriott, Balton et al, 200&! *he students were invited to e$plore
1%
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positive and negative aspects of their rural placement and to make suggestions for
future placements! As a result, a#out 08 students responded to the /uestionnaire!
Students rated most highly the role of the preceptor in making their rural placement a
success! 'n conclusion, students valued their placements highly when they were in a
supportive learning environment, with an organi@ed structure and ade/uately
supported #y the universities!
According to all literature reviews, it mostly demonstrated for other healthcare
practitioners such as medical doctors and nurses! *here is no specific study has #een
done towards pharmacy graduates on their preparedness to enter workforce especially
in Asian country!
1.( Research o)*ect"&es
+enera# o)*ect"&e,
*o assess the perception of pharmacy graduates from School of
%harmaceutical Sciences, Universiti Sains Malaysia towards their
preparedness to enter pharmacy workforce!
-ec"f"c o)*ect"&es,
! *o assess the level of preparedness of pharmacy graduates from
Universiti Sains Malaysia to enter pharmacy workforce!
2! *o determine the level of graduates satisfaction towards
pharmaceutical educational program in Universiti Sains Malaysia!
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program with the level of preparedness among graduates to enter
o# market!
! *o identify the #arriers that affect the preparedness among
graduates
CHAPTER !
!.0 /ETHODO%O+
!.1 -tud des"gn
A cross sectional survey was conducted on pharmacy graduates of Universiti Sains
Malaysia who had successfully completed their studies in academic session
2008C200-! *hey were invited to participate #y answering the self administered
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/uestionnaires that were distri#uted in August 200-! *his method is #eneficial to
reduce the errors and #ias among the participants! *herefore, it will generali@e the
outcome!
!.! De&e#oent of 2uest"onna"re
*he /uestionnaire was divided into three sections, which were Section A
Bemographic characteristics: Section 1 %ersonal perception towards preparedness to
enter pharmacy workforce: and Section ) Satisfaction towards pharmacy education
received!
Section A was created to identify the characteristics of the respondent related to their
gender, age, race and final )"%A! 9or section 1 and ), it used evaluation scale
format! 9ive points ikert Scale ranging from GIStrongly Bisagree, G2IBisagree,
G
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was undertaken for the survey items and a good Cronbach value
was achieved for all the items (!."#).
!.$ -tud ou#at"on and sa#e s"3e.
*he target sample for this study is the recent graduates of School of %harmaceutical
Science, Universiti Sains Malaysia who successfully completed their study in
academic session 2008C200-! According to the record, there are around
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according to the demographic characteristics using either )hi3s/uare test or 9ishers
e$act test wherever appropriate! *he level of significance was set at pL0!0+!
CHAPTER $
$.0 RE-U%T-
$.1 Deograh"c Character"st"cs of Resondents
=n thAugust 200-,
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completed their study in academic session 2008C200-! =ut of
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"6B67
Male
9emale
0
2
.
&
0
!0
20!&
.2!+
+!-
$.! %e&e# of rearedness accord"ng to the stateents.
$.!.1 Persona# ercet"on to'ards rearedness to enter harac 'orkforce.
According to the responses of respondents towards their preparedness, &0!8E (nI&2
agreed that overall education they received for years had really prepared them to
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practice as a competent pharmacist! =nly 2!-E (nIpharmacy field! *he evaluation on respondents perception towards overall education
they had received then will determine that respondents feel right with their decision in
choosing pharmacy as a career! =verall respondents gave positive response towards
this statement! +!-E (nI+& of respondents feel that the decision to choose pharmacy
as a career was right! 2
*a#le 2! 7esponses to /uestion 1 (2
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree 0 0
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Bisagree 0 0
eutral 22 2!&
Agree +& +!-
Strongly agree 2 2
*otal 02 00!0
)onfidence level of respondents to perform duties is also #eing evaluated #ased to
their preparedness! 2!.E (nI
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Strongly disagree 0 0
Bisagree 0 0
eutral 2& 2+!+
Agree &< &!8
Strongly agree < 2!.
*otal 02 00!0
Most of the respondents gave positive response towards preparedness for any self3
directed learning activities to improve their practice skills! 0!8E (nI strongly
agreed and &!8E (nI&owever, there are 2!-E (nI
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RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree 0 0
Bisagree < 2!-
eutral 2+ 2!+
Agree &< &!8
Strongly agree 0!8
*otal 02 00!0
.!&E (nI8 of respondents strongly agreed in their preparedness to work at any
places all over Malaysia, 8E (nI- of respondents ust agreed! >owever, !-E
(nI+ strongly disagreed and &!-E (nI. disagreed to work at any places! (*a#le
2!
*a#le 2! 7esponses to /uestion 1 (+
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree + !-
Bisagree . &!-
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eutral 2< 22!+
Agree - 8
Strongly agree 8 .!&
*otal 02 00!0
Bemographic measure that has significance difference with the preparedness to work
at any workplace either at rural or ur#an area is race (pI0!0.! Malay respondents
showed the most preparedness to work anywhere all over Malaysia compared to
)hinese respondents where
According to *a#le
enough confidence to communicate effectively with other healthcare practitioners
especially on patients drug related pro#lems! 2!+
22
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*a#le 2!+ 7esponses to /uestion 1 (&
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree
Bisagree - 8
eutral
*otal 02 00!0
Statistically significant differences were noted in response to this /uestion #etween
race (pI0!00 and final )"%A (pI0!02 towards confidence level in communication
skill! )hinese respondents (&&!.E: nI
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statement! *he rest chose to #e neutral in response to this statement (.!&E: nI8!
(*a#le
*a#le
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree 0 0
Bisagree
eutral 8 .!&
Agree && &!.
Strongly agree . &!.
*otal 02 00!0
9or individual satisfaction towards pharmacy curriculum at USM, the highest
percentage of respondents, +2E (nI+
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree 0 0
Bisagree 0 0
eutral +< +2
2*
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Agree & +!
Strongly agree < 2!-
*otal 02 00!0
7ace (pI0!02 showed significant difference with respondents satisfaction towards
pharmacy curriculum in USM! Malay respondents are more satisfied (&0!E: nI2-
then )hinese respondents who preferred to #e neutral (&!8E: nIMaority of respondents, which is +8!8E (nI&0 agree that practical sessions included
in pharmacy curriculum are useful for their future practice! e$t, 22!+E (nI2owever, there are 2E (nI2
respondents did not agree that practical sessions in pharmacy curriculum will help
them in future practice! (*a#le
*a#le
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree 0 0
Bisagree 2 2
eutral . &!.
Agree &0 +8!8
Strongly agree 2< 22!+
*otal 02 00!0
2
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.0!&E (nI.2 respondents agreed that knowledge they had gained during studying
will help them to communicate with other healthcare practitioners due to any drug
related pro#lems! +!-E (nI& respondents strongly agreed with this statement and the
rest of respondents are neither agree nor disagree (2
*a#le
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree 0 0
Bisagree 0 0
eutral 2 2
Agree .2 .0!&
Strongly agree & +!-
*otal 02 00!0
"ender of respondents (pI0!02 showed significant difference with this statement!
9emale respondents showed higher percentage to agree compared to male
respondents (.
9or this statement, respondents have to choose either they want to further study or not
after completion of pre3registration re/uirement! *he result showed less than half
respondents (2!2E: nI
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respondents strongly agreed to further study! *here are some respondents did not wish
to continue higher degree after completion of pre3registration re/uirement, !8E
(nI2 respondents disagree and
statement! (*a#le
*a#le
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree
Bisagree 2 !8
eutral continue higher degree compared to other respondents with less final )"%A!
2
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!2E (nI2 respondents thought they could not relate the relevance of certain
courses with future practice! >owever, 2+!+E (nI2& respondents thought of the
opposite! .!8E (nI8 respondents strongly disagreed with this statement means that
they could relate the relevance of all courses with future practice! (*a#le
*a#le
RE-PON-E 9RE:UENC PERCENT 587
Strongly disagree 8 .!8
Bisagree 2& 2+!+
eutral 2& 2+!+
Agree 2 !2
Strongly agree 0 0
*otal 02 00!0
1oth gender (pI0!00 and race (pL0!00 showed significant difference with
/uestion ) (&! Almost male respondents (+!&E: nI& agreed that they cannot relate
the relevance of certain courses with future practice! *he same phenomenon also
happens to )hinese respondents (&alf of respondents feel that educational program is relying more on theoretical
aspect compared to practical! 8!8E (nI- respondents strongly agree #ut
(nI disagree and 2E (nI2 strongly disagree with this statement! (*a#le
23
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*a#le
76S%=S6 976FU6)N %67)6* (E
Strongly disagree 2 2
Bisagree
eutral 2& 2+!+
Agree + +0
Strongly agree - 8!8
*otal 02 00!0
7ace (pL0!00 and final )"%A (pI0!0+ of respondents showed significant
difference on satisfaction towards educational program whether it relies more on
theoretical aspect or practical! )hinese respondents (+-!
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Strongly disagree 0 0
Bisagree
eutral 20 -!&
Agree
Strongly agree
learning to prepare themselves to #e a competent pharmacist! 2+!+E (nI2&
respondents agreed with this statement and other respondents are neutral, neither
agree nor disagree (!8E: nI2! (*a#le
*a#le
RE-PON-E 9RE:UENC PERCENT 587
)%
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Strongly disagree 0 0
Bisagree 0 0
eutral 2 !8
Agree 2& 2+!+
Strongly agree & &2!.
*otal 02 00!0
"ender (pL0!00 showed significant difference with statement either respondents
need more e$periential learning to improve preparedness! Maority female
respondents (.
respondent (
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CHAPTER (
(.0 DI-CU--ION
(.1 Persona# ercet"on to'ards rearedness to enter harac 'orkforce.
*his cross sectional study was conducted to evaluate the level of preparedness among
pharmacy graduates from Universiti Sains Malaysia (USM in their way to enter
pharmacy workforce! All su#ects were targeted to owever, only 02 respondents were responsed (response rate is .-E!
*heirpreparedness was evaluated #ased on their responses on self3administered
/uestionnaires! Halua#le feed#ack received during this study showed a#out &E
(nI&2 of respondents agreed that overall educationthey had received for four years
really prepared them to practice as competent pharmacist, prepared themfor any self
directed learning activities (learn according to e$perience and they confident to
perform anyduties which will #e assigned to them in future! Although the proportion
is more than half #ut actually the num#ers is inade/uate since the e$pectation is
higher than this value! %reparedness was affected #y a num#er of factors! *hese
included internal factors such as the graduates personality and learning style, #ut the
maority of references were to e$ternal factors such as undergraduate clinical
placements, shadowing, induction and the support of others, #oth in the workplace
and at home ('lling, Morrow, Oergon et al, 2008!)urriculum of educational program
is one of the factors that affect the preparedness too (9isher, --! *he level of
)*
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preparedness among pharmacy graduates is very important since the preparedness
will help a pharmacist to work efficiently in order to incorporate a scholarly
approach in identifying patient care problems, practicing an evidence5based manner
and ensuring safe, effective, and appropriate use of medications! owadays,
pharmacy field is spreading to play role in disaster condition (Pederson, /anaday,
6llis et al, 2%%)', so that a competent pharmacist must have this additional disaster
preparedness!
As pharmacy graduates, they must fulfil all the /ualities re/uired! Bue to study
that was undertaken using a phenomenological approach to identify student and
employer perceptions of how successfully students are transitioning to their first
professional o# (1lake and )onnie, 200-, they have shortlisted the soft skills
competencies of their students employees! *he list included confidence, conflict
resolution, responsi#ility, time management, attitude and acceptance of feed#acks!
According to respondents perception towards their preparedness on various
aspects, .8E (nI80 respondents agreed that they had chosen right decision to #e
a pharmacist! *his proportion gave good impression as they had struggled for four
years, it really made them feel no regret to #e a pharmacist and continue the
efforts of previous pharmacists and hopefully they can encourage the perceptions
of society towards pharmacists responsi#ility as for a long time they only thought
that pharmacists o# is limited in dispensing medication! 'n fact, pharmacist is not
a drug dispenser only #ut a pharmacist hold responsi#ilities to promote health,
prevent disease, assess, monitor,initiate and modify medication use to assure that
drug therapyregimens are safe and effective (Poseph and Sumant 1aht, 200&!
)
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*he evaluation on preparedness of respondents to work at any workplace either at
rural or ur#an areas also had #een done! *he result showed +&E (nI+.
respondents did not mind to work anywhere! =nly !8E (nI2 respondents did
not agree to work at any workplace! According to a study done at School of
%harmacy, University )olorado >ealth Sciences )enter (U)>S) (Mc)ollum
and >ansen, 200+, influential factors of unwillingness to work at rural residency
cited #y 200 graduates included lack of willingness to continue training at
residency salary levels and family o#ligations! Several suggestions may have
contri#uted to increase num#er of students entering residencies upon graduation
from the School of %harmacy, University )olorado >ealth Sciences )enter
(U)>S), including the promotion of residency training #y clinical faculty
mem#ers throughout the academic program! Annual programs such as
%rofessional =pportunities Bay and the 7esidency 9orum conducted at the school
provide additional opportunities for faculty mem#ers and employers to discuss
with students the #enefits of residency training! 9inally, there is a strong school3
wide encouragement for students to participate in professional pharmacy
organi@ations at local and national levels, as well as support for students to attend
the national meetings of those professional organi@ations! As in Malaysia, an
allowance was given to those who work at rural areas in Sa#ah and Sarawak to
encourage the interest of graduates to work over there (S%A, 200-!
=ne of the main criteria that must #e mastered #y a competent pharmacist is
communication skill either with other healthcare practitioners or patients! 'n order
to have effective communication, a pharmacist must have the confidence and
)&
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their o#n effective communication styles $Mc7onough and Bennett, 2%%&' ! 1ased
on the result, 8E (nI- of respondents disagreed that they did not have enough
confidence to communicate effectively while the rest were neutral and agreed
with this statement! *his feed#ack was not good as for pharmacy graduates: they
should prepare themselves with communication skills! *his condition occurred
#ecausestudents had been guided to believe that their academic no#ledges are
all they need in order to get a great job and be successful. 8t becomes #orse #hen
they ignored all other aspects such as communication sills and general
no#ledges during studying. astly, they shoced #hen they reali(ed that their
qualifications are not as important as they once thought. 9urely they can have
great ideas, theories, and solve comple" problems, but if they cannot effectively
communicate to spea out that material in a persuasive and e"citing manner by
relating to the fello# human being, then they are facing an uphill battle in
#hatever challenges they encountered$:ebergang, 2%%'.
Some factors that caused poor communication skill included poor practice of
communicating while studying either during lectures or practicals, poor
development of self3confidence and insufficient knowledge especially related to
this field! *here are num#ers of method to overcome poor communication skill:
listen carefully of what your partner is saying, respond the criticism with empathy
and look for compromise or in other words, it is called win3win situation (Scott,
200-!
(.! -at"sfact"on to'ards harac educat"on rece"&ed
)
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'n this section, a#out 8E (nI82 respondents felt that pharmacy program at USM
satisfies the needs of this country in producing professional pharmacists! >owever
the result was slightly contrasted with respondents personal satisfaction towards
pharmacy curriculum at USM! *he percentage of respondents agreed was less
than the percentage of respondents who chose neutral: 8E (nI- vs +2E
(nI+ealth Sciences
)enter (U)>S) where it showed only - of 8 students (E indicated they
)3
7/23/2019 Pharmacy Thesis final
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would #e entering residencies while others planned to do higher degree
(Mc)ollum and >ansen, 200+! >owever, dueto overall findings, it showed that
respondents were not fully satisfied with pharmacy educational program at USM!
6ach school of pharmacy around the #orld prescribes its unique prerequisites for
entry to the program. These requirements represent a minimum threshold and in
no #ay guarantee admission. 't has a distinctive character and pedagogical
philosophy and utili(es different methods. 9ome schools tend to utili(e more
traditional ;building blocs< approach to curriculum, emphasi(ing foundational
subjects such as pharmaceutics, medicinal chemistry, and pharmacology in the
early years of the program, follo#ed by more clinical course#or in later years
#hich is liely similar to educational program applied at :niversiti 9ains
Malaysia $:9M'. 8t is different #ith educational system at 7alhousie :niversity
in +alifa", #hich have adopted more problem5based curricular design, opting for
small5group tutorial discussions and a more modulari(ed and integrated
curriculum $ustin and 6nsom, 2008.6"periential education is a common and
required feature of all curricula, and occurs in all years of the professional
program.Therefore, it is recommended for responsible department at 9chool of
Pharmaceutical 9ciences, :niversiti 9ains Malaysia $:9M' to do deeper study to
mae some modification on educational program by adding more practical
sessions and not maing it to be too e"am oriented, so that pharmacy students of
:niversiti 9ains Malaysia $:9M' can really apply all the no#ledge they had
gained practically rather than just apply it on e"amination papers.
)4
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(.$ Assoc"at"on of Deograh"c Character"st"cs '"th Persona# Percet"on
to'ards Prearedness and -at"sfact"on to'ards Pharac Educat"on
Progra.
According to data analy@ed #y using S%SS, among various demographic
characteristics, personal perception towards preparedness was shown to #e related
most fre/uently is race! 7aces of respondents showed significant different on
preparedness to work anywhere and a#ility to communicate effectively with other
healthcare practitioners!
'n term of the preparedness to work anywhere, Malay respondents especially male
showed more prepared to work either at rural or ur#an areas compared to )hinese
respondents! *he possi#le reasons are Malay: male respondents are easier to adapt
themselves with the environment wherever they go! As for )hinese respondents,
they might have difficulties to adapt themselves especially in rural areas!
>owever, )hinese seem to have #etter communication skill than Malay! 't might
due to their preparedness in memori@ing the theories, so that they have no
pro#lem to apply it effectively during workforce! 9urthermore, the usage of
6nglish as primary language among )hinese respondents is an advantage for them
to have good communication especially with other healthcare practitioners!
As in satisfaction towards pharmacy education received, demographic
characteristics that related were race, gender and final )"%A! Male respondents
almost thought that knowledge they had gained is not enough to help them in
*%
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communication! *herefore, they demanded for more e$periential learning! *hey
also cannot relate the relevance of certain courses with their future practice! 't was
similar to response of )hinese respondents! Most )hinese respondents also agreed
that pharmacy educational program is relying more on theoretical aspect
compared to practical and it is too e$am3oriented!
(.( Barr"ers of rearedness
Poor coun"cat"on sk"##
)ommunication skill is the main criteria that must #e developed in each
pharmacist! Actually, communication skill had #een trained to the students
since they were in first year at university! 't is done through presentations,
answering /uestions in front of pu#lic and giving opinions either when
re/uested or not! >owever, some students are not using these chances to
develop communication skills! As a result, when they have to communicate
with other healthcare practitioners and patients especially on drug related
pro#lems, they cannot do it effectively! *hey have great ideas, theories to
solve comple" problems#ut due to poor communication skill, they cannot
deliver it perfectly!
%ack of e;osure to rea# s"tuat"on at hos"ta# sett"ng
As in pharmacy educational program at Universiti Sains Malaysia, students
will only get practical session seriously during final year! Unfortunately, the
duration is too short and students might not have enough time to learn all
*1
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those things related to drugs! 9urthermore, there are pro#lems to apply
everything they had learnt since first year during practical session #ecause of
forgetfulness! *herefore, something must #e done to modify educational
program #y adding more practical session in the sylla#us, so that students may
apply everything they learnt in the lectures practically!
%o' se#f conf"dence
Self confidence is the most important criteria for all graduates to enter
workforce! 't is important #ecause it will affect the /ualities of their o# and
their self improvements to compete with others! 'f graduates have low self
confidence, surely it will influence their a#ility to communicate! *hey also not
have the a#ility to #e out3spoken in giving opinion, so that other people
especially employers cannot see their potential to #e a good pharmacist!
*herefore, educational effort and strategy should #e targeted primarily at this
low self confidence group to encourage their confidence level!
(.4 %""tat"ons of stud
*2
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*here are some limitations of the study had #een identified! *he /uestionnaires
were distri#uted to the graduates of School of %harmaceutical Science, USM who
had successfully completed their study in academic session 2008C200- during an
assem#ly of them in August 200-! >owever, not all graduates participated in this
study! *he small sample si@e and single study site limit the generali@a#ility of this
study! *herefore, the results o#tained were una#le to represent preparedness level
of all graduates!
*he durations of respondents to answer the /uestionnaires were too short, so
respondents might not read and think deeply in answering the /uestions! 't may
cause inaccuracy in the results!
(.< Recoendat"ons for future research
*he method of collecting data must #e improved to get more respondents, so that
the results will #e more relia#le! ?e# #ased survey might #e applied #y email the
/uestionnaires to all graduates and they will reply the answer! 'n addition,
respondents will not answer the /uestions in hurry!
*)
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CHAPTER 4
4.0 CONC%U-ION
'n conclusion, almost pharmacy graduates from Universiti Sains Malaysia are
prepared to enter pharmacy workforce! >owever, the num#ers of prepared
graduates must #e improved! *he level of preparedness involved performing any
duties which will #e assigned, preparedness for any self directed learning
activities, preparedness to work anywhere and communicate effectively with other
healthcare practitioners! Satisfaction towards pharmacy education received
influenced the level of preparedness! Mostly graduates slightly not satisfied with
pharmacy educational program they had received for four years! *wo main
pro#lems were identified in this study: lack of practical sessions and the system of
educational program is too e$am oriented! *herefore, some modifications may #e
done to improve learning effectiveness, enhance the preparedness of the students
to enter workforce and give the #est performance as competent pharmacist! *here
are few num#ers of graduates who have not well prepared to enter workforce! *he
#arriers included poor communication skill, low self confidence and lack of
e$posure in handling real situation especially regarding drug related pro#lems!
Haria#les demographic characteristics also affect the preparedness of graduates!
7ace and gender are the most fre/uent varia#les related to level of preparedness
**
7/23/2019 Pharmacy Thesis final
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of graduates due to reasons that had discussed #efore! ast #ut not least it is
recommended to take actions in modifying pharmacy educational program to
enhance the level of preparedness among graduates!
RE9ERENCE-
Austin, Q! and 6nsom, M! (2008 6ducation of %harmacists in )anada! merican
=ournal of Pharmaceutical 6ducation,2$&'> 123 ?/ited 2%%4 =uly 1@A
Availa#le from U7 http>###.pubmedcentral.nih.govarticlerender.fcgiC
artidD2&&114
1lake, A! and )onnie, S! (200- %roperty 6ducation An evaluation of how well
undergraduate property students are prepared for commencing their careers!
R)ited 200- Puly 2:
Availa#le from U7
http>###.prres.netpapersBlaeEPropertyE6ducationEnE6valuationEFf.p
df
Blumenthal, 7., -ohale, M., /ampbell, 6. and 0eissman, =. $2%%1' Preparedness
for /linical Practice. Geports of -raduating Gesidents at cademic +ealth
*
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2661159http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2661159http://www.prres.net/papers/Blake_Property_Education_An_Evaluation_Of.pdfhttp://www.prres.net/papers/Blake_Property_Education_An_Evaluation_Of.pdfhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2661159http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2661159http://www.prres.net/papers/Blake_Property_Education_An_Evaluation_Of.pdfhttp://www.prres.net/papers/Blake_Property_Education_An_Evaluation_Of.pdf7/23/2019 Pharmacy Thesis final
46/50
/entres. merican =ournal of Medical ssociation, 23&$4', 1%251%)*. ?/ited
2%%4 =uly 12@AAvaila#le from U7 http>jama.ama5assn.orgcgicontentfull23&41%2
1ureau of a#or Statistics (1S! (200- =ccupational 'nformation! Fccupational
Futloo +andboo. 200C20 6dition! R)ited 200- Pan 2&:
Availa#le from U7 http>###.bls.govocooco2%%1.htm
Bra(eau, -., Meyer, 9., Belsey, M. et al $2%%&' Preparing Pharmacy -raduates for
Traditional and 6merging /areer Fpportunities. merican =ournal of
Pharmaceutical 6ducation. +.! ?/ited 2%%4 =an 13@AAvaila#le from U7
http>###.ajpe.orgvie#.aspCartDaj)%31HpdfDyes
)lark, )!, Mehta, 1!, 7odis, P!, %ruchnicki, M! and %edersen, )! (2008 Assessment of
9actors 'nfluencing )ommunity %harmacy 7esidents %ursuit of Academic
%ositions!merican =ournal of Pharmaceutical 6ducation, .2 ( Article 0
R)ited 200- Puly 2:
Availa#le from U7 http>###.ajpe.orgaj2%1aj2%1%)aj2%1%).pdf
6ntrance 7e/uirement! (2008 School of %harmaceutical Sciences! Universiti Sains
Malaysia!
R)ited 200- Pan 8: Availa#le from U7 http>###.pha.usm.myundergrad5
entrance.htm
9isher, 7! (-- *he %otential for %ro#lem31ased earning in %harmacy! merican
=ournal of Pharmaceutical 6ducation, +8 ?/ited 2%%4 =an 13@A
vailable from :G> http>###.ajpe.orglegacypdfsaj3%213).pdf
+art, M. and Macnee, /. $2%%*' >ow well are nurse practitioners prepared for
practiceT
merican =ournal cademy of Iurse Practitioners, -(,
7/23/2019 Pharmacy Thesis final
47/50
Availa#le from U7
http>###).interscience.#iley.comjournal113*341abstract+ogan, 9. and undquist, . $2%%&' The 8mpact of Problem5based earning on
9tudentsJ Perceptions of Preparedness for dvanced Pharmacy Practice
6"periences. merican =ournal Pharmaceutical 6ducation, %$*'> 32. ?/ited
2%%4 =an 13@A
Availa#le from U7
http>###.ncbi.nlm.nih.govpmcarticlesPM/1&)&431
'lling, P!, Morrow, "!, %eile, 6!, Bavies, )!, Morrison, P!, Bonaldson, M! et al! (2008
>ow prepared are medical graduates to #egin practiceT A comparison of three
diverse UO medical schools!!inal summary and conclusions for the -M/
6ducation /ommittee.
Poseph, 7! and Sumant 1hat, S! (200& %harmacist *o Move 9orward with %rinciples
and the %ractice of %harmaceutical )are! =9. Gevie# Papers, p! 3
R)ited 200- Bec -:
Availa#le from U7 http>###.scotland.gov.uTopics+ealthI+95
9cotlandnon medicalprescribingnurseprescribingdrugspharmacistMalaysian !amily Physician. $2%%4' Professional Training and Goles of /ommunity
Pharmacists in Malaysia> Kie#s from -eneral Medical Practitioners. The
Ffficial =ournal of cademy of !amily Physicians of Malaysia. *$2, )'. ?/ited
2%%4 =an 13@Available from :G> http>###.pha.usm.myundergrad5curriculum.htm
Mc)ollum, M! and >ansen, !, (200+ )haracteristics of Boctor of %harmacy
"raduates 6ntering and ot 6ntering 7esidency *raining Upon "raduation!
*
http://www3.interscience.wiley.com/journal/118489155/abstracthttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC1636981/http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/non%20medicalprescribing/nurseprescribing/drugs/pharmacisthttp://www.scotland.gov.uk/Topics/Health/NHS-Scotland/non%20medicalprescribing/nurseprescribing/drugs/pharmacisthttp://www.pha.usm.my/undergrad-curriculum.htmhttp://www3.interscience.wiley.com/journal/118489155/abstracthttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC1636981/http://www.scotland.gov.uk/Topics/Health/NHS-Scotland/non%20medicalprescribing/nurseprescribing/drugs/pharmacisthttp://www.scotland.gov.uk/Topics/Health/NHS-Scotland/non%20medicalprescribing/nurseprescribing/drugs/pharmacisthttp://www.pha.usm.my/undergrad-curriculum.htm7/23/2019 Pharmacy Thesis final
48/50
merican =ournal Pharmaceutical 6ducation,&-(###.ajpe.orgaj&4%)aj&4%)*2aj&4%)*2.pdf
Mc7onough, G. and Bennett, M. $2%%&' 'mproving /ommunication 9ills of
Pharmacy 9tudents through 6ffective Precepting improve communication
skill! merican =ournal of Pharmaceutical 6ducation, %$)', p.3. ?/ited
2%%4 =an 13@A
Availa#le from U7
http>###.ncbi.nlm.nih.govpmcarticlesPM/1&)&4&)
Merritt >awkins J AssociatesK (2008 Survey of 9inal Near Medical 7esidents!
R)ited 200- Puly .:Availa#le from U7 http>###.merrittha#ins.compdf2%%35mha5survey5
medical5residents.pdf
oseworthy, *! and >arnett, ! (2002 %erceptions of "raduate %reparedness in
>ealth Sector ewfoundland J am#rador! 'n iterature Gevie#,
7ocuments Geports Gelevant to ambrador on Gecruitment, Getention and
+uman Gesource 7evelopment. R)ited 200- Puly &:
Availa#le from U7
http>###.e"ec.gov.nl.caruralpdflabradoriteratureGevie#.pdf
Pederson= C.= Canada= B.= E##"s= >. et a# 5!00$7 evel of 'nvolvement in
6mergency %reparedness and 7esponse! American Journal of
Pharmaceutical Association,($5
7/23/2019 Pharmacy Thesis final
49/50
%harmacy )urriculum! (Puly 2008 School of %harmaceutical Sciences, Universiti
Sains Malaysia!R)ited 200- Pan 8: Availa#le from U7 http>###.pha.usm.myundergrad5
curriculum.htm%harmacy Schools in Malaysia! (200& Malaysian Medical Gesources! R)ited 200-
Pan 8:Availa#le from U7 http>medicine.com.my#pCpD1%22
7oyal %harmaceutical Society of "reat 1ritain! (200 Making %harmacy 6ducation
9it for *he 9uture, G'nvesting in Onowledge, *aking 7esponsi#ility! R)ited
200- Puly 2:
Availa#le from U7 http>###.rpsgb.org.updfsmaphedfitforfuture.pdf
Sample Si@e )alculator! R)ited 200- Puly 2:Availa#le from U7 http>###.raosoft.comsamplesi(e.html!
Scott, 6! (200- >ow to )ommunicate 'mprove Nour 7elationships with 6ffective
)ommunication Skills! R)ited 200- Pan -:
vailable from :G
http>stress.about.comodrelationshipshthealthycomm.htm
Suruhanaya %erkhidmatan Awam (S%A, Malaysia! (200- R)ited 200- Pan -:
Availa#le from U7 http>###.spa.gov.myelaun
*aylor, S!, Marriott, P!, Balton, !, 1ull, 7!, "al#raith, O!, eversha, A!, >owarth, >!,
Simpson, M!, 7ose, M!, (200& %harmacy student views on preceptor ship
during rural placements!merican =ournal of Pharmaceutical 6ducation, &(
p! 2+pharmacyeducation.fip.org2%%&12pharmacy5
student5vie#s5on5preceptorship5during5rural5placements
:ebergang, =. $2%%' 0hy 9mart People +ave Poor /ommunication 9ills L nd
0hat to do about itC R)ited 200- Pan 8:
*4
http://www.pha.usm.my/undergrad-curriculum.htmhttp://www.pha.usm.my/undergrad-curriculum.htmhttp://medicine.com.my/wp/?p=1022http://www.rpsgb.org.uk/pdfs/maphedfitforfuture.pdfhttp://www.rpsgb.org.uk/pdfs/maphedfitforfuture.pdfhttp://www.raosoft.com/samplesize.htmlhttp://stress.about.com/od/relationships/ht/healthycomm.htmhttp://www.spa.gov.my/elaunhttp://pharmacyeducation.fip.org/2006/12/pharmacy-student-views-on-preceptorship-during-rural-placements/http://pharmacyeducation.fip.org/2006/12/pharmacy-student-views-on-preceptorship-during-rural-placements/http://www.pha.usm.my/undergrad-curriculum.htmhttp://www.pha.usm.my/undergrad-curriculum.htmhttp://medicine.com.my/wp/?p=1022http://www.rpsgb.org.uk/pdfs/maphedfitforfuture.pdfhttp://www.raosoft.com/samplesize.htmlhttp://stress.about.com/od/relationships/ht/healthycomm.htmhttp://www.spa.gov.my/elaunhttp://pharmacyeducation.fip.org/2006/12/pharmacy-student-views-on-preceptorship-during-rural-placements/http://pharmacyeducation.fip.org/2006/12/pharmacy-student-views-on-preceptorship-during-rural-placements/7/23/2019 Pharmacy Thesis final
50/50
Availa#le from U7 httpCCwww!earthlingcommunication!comC#logCwhy3
smart3people3have3poor3communication3skills3and3what3to3do3a#out3it!php?aite, 7! (200 %sychiatric urses *ransitioning from Student to Advance 1eginner
7! merican =ournal of Psychiatric Iurses ssociation! 0(, .
Puly 2:Availa#le from U7 http>jap.sagepub.comcgicontentabstract1%*1)
http://jap.sagepub.com/cgi/content/abstract/10/4/173http://jap.sagepub.com/cgi/content/abstract/10/4/173