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Impact of Pharmacy Students' Recommendations during an Ambulatory Care Advanced Pharmacy Practice Experience

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Abstract:

Objective: To compare the acceptance rates of written versus oral recommendations made by pharmacy students on an ambulatory care advanced pharmacy practice experience (APPE).

Methods: Fourth-year pharmacy students completing an ambulatory care APPE made written and oral pharmacotherapy recommendations to resident physicians in an internal medicine clinic at an urban, teaching hospital from March 2007 through October 2007 (excluding July). The types of recommendations and outcomes of the interventions were recorded using a data collection form. The primary endpoint was to determine differences in acceptance rates for written versus oral recommendations. Secondary endpoints included comparing the recommendation types and their corresponding acceptance rates.

Results: A total of 507 pharmacotherapy recommendations were made by eight students during the 7 month study period; 52.4% (n=247) of these were written. A total of 98.5% of oral recommendations were accepted compared with 87.1% of written recommendations. The major types of recommendations and rates of acceptance included: prescription written incorrectly (100%), dosage change (87.1%), laboratory tests needed (91.3%), medication initiation based on evidence based medicine guidelines (79.7%), and medication discontinuation (95.7%). In addition, medication reconciliation and patient counseling were completed for 1425 patients.

Implications: Pharmacy student recommendations are well received by internal medicine resident physicians. High acceptance rates for pharmacotherapy recommendations may have the ability to positively impact patient care.
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Association:
Name: American Association of Colleges of Pharmacy
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http://www.aacp.org


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URL: http://www.allacademic.com/meta/p259170_index.html
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MLA Citation:

Lundquist, Lisa. "Impact of Pharmacy Students' Recommendations during an Ambulatory Care Advanced Pharmacy Practice Experience" Paper presented at the annual meeting of the American Association of Colleges of Pharmacy, Jul 19, 2008 <Not Available>. 2009-03-04 <http://www.allacademic.com/meta/p259170_index.html>

APA Citation:

Lundquist, L. M. , 2008-07-19 "Impact of Pharmacy Students' Recommendations during an Ambulatory Care Advanced Pharmacy Practice Experience" Paper presented at the annual meeting of the American Association of Colleges of Pharmacy <Not Available>. 2009-03-04 from http://www.allacademic.com/meta/p259170_index.html

Publication Type: Abstract
Abstract: Objective: To compare the acceptance rates of written versus oral recommendations made by pharmacy students on an ambulatory care advanced pharmacy practice experience (APPE).

Methods: Fourth-year pharmacy students completing an ambulatory care APPE made written and oral pharmacotherapy recommendations to resident physicians in an internal medicine clinic at an urban, teaching hospital from March 2007 through October 2007 (excluding July). The types of recommendations and outcomes of the interventions were recorded using a data collection form. The primary endpoint was to determine differences in acceptance rates for written versus oral recommendations. Secondary endpoints included comparing the recommendation types and their corresponding acceptance rates.

Results: A total of 507 pharmacotherapy recommendations were made by eight students during the 7 month study period; 52.4% (n=247) of these were written. A total of 98.5% of oral recommendations were accepted compared with 87.1% of written recommendations. The major types of recommendations and rates of acceptance included: prescription written incorrectly (100%), dosage change (87.1%), laboratory tests needed (91.3%), medication initiation based on evidence based medicine guidelines (79.7%), and medication discontinuation (95.7%). In addition, medication reconciliation and patient counseling were completed for 1425 patients.

Implications: Pharmacy student recommendations are well received by internal medicine resident physicians. High acceptance rates for pharmacotherapy recommendations may have the ability to positively impact patient care.

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Associated Document Available American Association of Colleges of Pharmacy


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