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  1. Article ; Online: Competency-Based Education: The Need to Debunk Misconceptions and Develop a Common Language.

    Rhoney, Denise H / Meyer, Susan M

    American journal of pharmaceutical education

    2023  Volume 88, Issue 2, Page(s) 100637

    Abstract: Competency-based education (CBE) dates back to the early 1900s. A renewed interest in CBE in health professions education has been sparked by the recommendations that emerged from the 2017 Josiah Macy Jr Foundation conference on CBE. These ... ...

    Abstract Competency-based education (CBE) dates back to the early 1900s. A renewed interest in CBE in health professions education has been sparked by the recommendations that emerged from the 2017 Josiah Macy Jr Foundation conference on CBE. These recommendations urge changes in structure and pedagogy to address gaps between societal needs, health care practice, and health professions education. Despite widespread interest, there is significant variability in what constitutes CBE. This variability has challenged the development of an evidence base in the literature and has led to widespread misconceptions regarding CBE. Implementation science principles outline the need to develop a common language to inform effective and sustained implementation of an innovation. By misusing or overusing similar words and using different concepts interchangeably without first developing a common, widely understood language around CBE, we cannot expect that CBE will be among the tools successful in closing gaps between health care practice and education.
    MeSH term(s) Humans ; Competency-Based Education ; Education, Pharmacy ; Educational Status
    Language English
    Publishing date 2023-12-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.1016/j.ajpe.2023.100637
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: AACP's Strategic Commitment to Improving Pharmacy Education: Past, Present, and Future.

    Rhoney, Denise H / Meyer, Susan M

    American journal of pharmaceutical education

    2023  Volume 88, Issue 2, Page(s) 100636

    Abstract: Since its founding in 1900, the American Association of Colleges of Pharmacy (AACP) has been focused on quality pharmacy education. As the Association and its institutional and individual members now consider contemporary issues in education, such as ... ...

    Abstract Since its founding in 1900, the American Association of Colleges of Pharmacy (AACP) has been focused on quality pharmacy education. As the Association and its institutional and individual members now consider contemporary issues in education, such as competency-based education, it is important to continue their collective work in the context of AACP's enduring mission: to advance pharmacy education, research, scholarship, practice, and service, in partnership with members and stakeholders, to improve health for all. While language, labels, and strategies evolve over time and across significant changes in social, economic, political, and health care environments, AACP's commitment to quality in education has been and must continue to be unwavering. Constraints and challenges perceived in the short term should not deter deliberate and strategic quality improvement efforts over time and in the longer term. AACP's 2021-2024 Strategic Plan, entitled Preparing Pharmacists and the Academy to Thrive in Challenging Times, acknowledges the need to prepare pharmacists for seemingly constant change in the health care environment.
    MeSH term(s) United States ; Humans ; Education, Pharmacy ; Competency-Based Education ; Pharmacists ; Curriculum ; Educational Status
    Language English
    Publishing date 2023-12-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.1016/j.ajpe.2023.100636
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Analysis of Expert Feedback to Determine Intellectual Standards for Student Pharmacist Clinical Reasoning Development.

    Nelson, Nicholas R / Rhoney, Denise H

    American journal of pharmaceutical education

    2022  Volume 87, Issue 4, Page(s) ajpe8975

    Abstract: Objectives. ...

    Abstract Objectives.
    MeSH term(s) Humans ; Aged ; Feedback ; Pharmacists ; Reproducibility of Results ; Education, Pharmacy/methods ; Students, Pharmacy ; Clinical Reasoning
    Language English
    Publishing date 2022-11-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.5688/ajpe8975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Response to "A Call to Action to Remove ACPE Limits on Non-Patient Care Elective Advanced Pharmacy Practice Experiences".

    Nelson, Nicholas R / Darst, Emily C / Rhoney, Denise H

    American journal of pharmaceutical education

    2023  Volume 87, Issue 11, Page(s) 100603

    MeSH term(s) Humans ; Education, Pharmacy ; Pharmacy ; Pharmaceutical Services ; Pharmacies
    Language English
    Publishing date 2023-10-10
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.1016/j.ajpe.2023.100603
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Student Pharmacists Provide Similar Quality Clinical Reasoning Feedback as Resident Teaching Assistants.

    Shabanowitz, Nicholas / Nelson, Nicholas R / Rodgers, Jo Ellen / Rhoney, Denise H

    American journal of pharmaceutical education

    2024  Volume 88, Issue 4, Page(s) 100677

    Abstract: Objective: Pharmacists utilize clinical reasoning (CR) to improve patient outcomes via medication optimization. It is critical to develop these skills in student pharmacists, yet optimal pedagogies to teach and assess CR are unknown. Peer feedback may ... ...

    Abstract Objective: Pharmacists utilize clinical reasoning (CR) to improve patient outcomes via medication optimization. It is critical to develop these skills in student pharmacists, yet optimal pedagogies to teach and assess CR are unknown. Peer feedback may be used to develop CR in student pharmacists, but a certain feedback quality must be reached to be effective. This study sought to evaluate if student pharmacists could provide similar quality peer feedback compared to pharmacy resident teaching assistant (TA) feedback.
    Methods: This was a retrospective, mixed-methods pedagogical analysis comparing the quality of first-year student pharmacist peer feedback to resident TA CR feedback. The CR comments were defined using the intellectual standards of CR. Quality was assessed for task specification, gap identification, actionability, and process orientation by 2 independent investigators. Student performance and perceptions were also assessed. Mann-Whitney U, t tests, and descriptive statistics were used to analyze data where appropriate.
    Results: Clinical reasoning feedback from peers (N = 805) and TAs (N = 206) were analyzed. Interrater reliability for feedback quality was moderate to substantial. Overall, peer CR feedback was of higher quality regarding task specification and process orientation while TA CR feedback was of higher quality regarding gap identification and actionability. Students receiving peer feedback performed better on a final patient case than those receiving TA feedback (95.2% vs 92.3%). Overall, the peer feedback process was well received by students.
    Conclusion: Student pharmacists can provide similar quality feedback as resident TAs. Peer feedback offers an alternative to resident TA feedback and has the potential to contribute to improved CR skills.
    MeSH term(s) Humans ; Pharmacists ; Feedback ; Reproducibility of Results ; Retrospective Studies ; Education, Pharmacy/methods ; Students, Pharmacy ; Teaching
    Language English
    Publishing date 2024-02-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.1016/j.ajpe.2024.100677
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Is it Time for Competency-Based Education to Move Forward in Pharmacy Education?

    Austin, Zubin / Andriole, Dorothy A / Rhoney, Denise H

    American journal of pharmaceutical education

    2023  Volume 87, Issue 10, Page(s) 100550

    Abstract: Competency-based education is rapidly emerging as a paradigmatic shift in health professions education, as we grapple with the realities of ever-changing and increasing demands of society and health systems. While pharmacy educators are becoming more ... ...

    Abstract Competency-based education is rapidly emerging as a paradigmatic shift in health professions education, as we grapple with the realities of ever-changing and increasing demands of society and health systems. While pharmacy educators are becoming more familiar with this paradigm, colleagues in medical education have been exploring models and methods of competency-based education for many years, and their experiences can be illuminating for us. The persistent question that drives continuous quality improvement in pharmacy education and the development of initiatives within American Association of Colleges of Pharmacy might be stated as "Is there a better (more effective, more efficient) way to prepare pharmacists (future and current) to meet the medication-related needs of the public?"
    MeSH term(s) Humans ; United States ; Education, Pharmacy ; Competency-Based Education ; Pharmacy ; Pharmaceutical Services ; Pharmacists
    Language English
    Publishing date 2023-06-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.1016/j.ajpe.2023.100550
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Enabling Factors for the Implementation of Competency-Based Curricula in Colleges and Schools of Pharmacy.

    Sibicky, Stephanie L / Daugherty, Kimberly K / Chen, Aleda M H / Rhoney, Denise / Nawarskas, James

    American journal of pharmaceutical education

    2024  Volume 88, Issue 4, Page(s) 100681

    Abstract: Objectives: To review the implementation drivers of competency-based pharmacy education (CBPE) and provide recommendations for enablers.: Findings: Competency-based education is an emerging model in the health professions, focusing on time-variable ... ...

    Abstract Objectives: To review the implementation drivers of competency-based pharmacy education (CBPE) and provide recommendations for enablers.
    Findings: Competency-based education is an emerging model in the health professions, focusing on time-variable competency development and achievement compared with a time-bound, course-based, traditional model. CBPE is an outcomes-based organized framework of competencies enabling pharmacists to meet health care and societal needs. However, challenges need to be recognized and overcome for the successful implementation of CBPE. Competency drivers include defining the competencies and roles of stakeholders, developing transparent learning trajectories and aligned assessments, and establishing lifetime development programs for stakeholders. Organization drivers include developing support systems for stakeholders; facilitating connections between all educational experiences; and having transparent assessment plans, policies, and procedures that align with core CBPE precepts, including the sustainability of time-variability. Leadership drivers include establishing growth mindset and facilitating a culture of connection between workplace and educational environments, program advocacy by institutional leaders, accepting failures as part of the process, shifting the organizational culture away from learner differentiation toward competence, and maintaining sufficient administrative capability to support CBPE.
    Summary: The successful implementation of CBPE involves enabling the competency, organization, and leadership drivers that will lead to program success. More research is needed in the areas of creation, implementation, and assessment of CBPE to determine success in this model. We have reviewed and provided recommendations to enable the drivers of successful implementation of CBPE.
    MeSH term(s) Humans ; Education, Pharmacy ; Curriculum ; Competency-Based Education/methods ; Pharmacy ; Schools ; Causality
    Language English
    Publishing date 2024-03-07
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.1016/j.ajpe.2024.100681
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Augmented Renal Clearance: An Under-Recognized Phenomenon Associated With COVID-19.

    Rhoney, Denise H / Brooks, Ashley B / Nelson, Nicholas R

    Critical care explorations

    2022  Volume 4, Issue 2, Page(s) e0617

    Abstract: Augmented renal clearance (ARC) is a phenomenon that has been described mainly in critically ill patients and is characterized by increased creatinine clearance and elimination of renally cleared medications that could place patients at risk of ... ...

    Abstract Augmented renal clearance (ARC) is a phenomenon that has been described mainly in critically ill patients and is characterized by increased creatinine clearance and elimination of renally cleared medications that could place patients at risk of therapeutic failure. The COVID-19 pandemic has led to an overwhelming number of ICU admissions with many reports of the impact of COVID-19 on the kidney. This report aims to increase clinician awareness of, and risk factors for ARC in patients with COVID-19, especially in comparison to other critical illnesses.
    Language English
    Publishing date 2022-02-04
    Publishing country United States
    Document type Journal Article
    ISSN 2639-8028
    ISSN (online) 2639-8028
    DOI 10.1097/CCE.0000000000000617
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Personalized antiseizure medication therapy in critically ill adult patients.

    Almohaish, Sulaiman / Cook, Aaron M / Brophy, Gretchen M / Rhoney, Denise H

    Pharmacotherapy

    2023  Volume 43, Issue 11, Page(s) 1166–1181

    Abstract: Precision medicine has the potential to have a significant impact on both drug development and patient care. It is crucial to not only provide prompt effective antiseizure treatment for critically ill patients after seizures start but also have a ... ...

    Abstract Precision medicine has the potential to have a significant impact on both drug development and patient care. It is crucial to not only provide prompt effective antiseizure treatment for critically ill patients after seizures start but also have a proactive mindset and concentrate on epileptogenesis and the underlying cause of the seizures or seizure disorders. Critical illness presents different treatment issues compared with the ambulatory population, which makes it challenging to choose the best antiseizure medications and to administer them at the right time and at the right dose. Since there is a paucity of information available on antiseizure medication dosing in critically ill patients, therapeutic drug monitoring is a useful tool for defining each patient's personal therapeutic range and assisting clinicians in decision-making. Use of pharmacogenomic information relating to pharmacokinetics, hepatic metabolism, and seizure etiology may improve safety and efficacy by individualizing therapy. Studies evaluating the clinical implementation of pharmacogenomic information at the point-of-care and identification of biomarkers are also needed. These studies may make it possible to avoid adverse drug reactions, maximize drug efficacy, reduce drug-drug interactions, and optimize medications for each individual patient. This review will discuss the available literature and provide future insights on precision medicine use with antiseizure therapy in critically ill adult patients.
    MeSH term(s) Humans ; Adult ; Critical Illness ; Critical Care ; Drug Monitoring ; Precision Medicine ; Pharmacogenetics
    Language English
    Publishing date 2023-04-09
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603158-4
    ISSN 1875-9114 ; 0277-0008
    ISSN (online) 1875-9114
    ISSN 0277-0008
    DOI 10.1002/phar.2797
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Augmented Renal Clearance in the Hematology and Oncology Populations: A Scoping Review for Pharmacists.

    Nelson, Nicholas R / Mendoza, Chelsea / Rhoney, Denise H

    Journal of pharmacy practice

    2022  Volume 36, Issue 6, Page(s) 1485–1497

    Abstract: Introduction: Until recently, interest in renal function has focused on impairment to limit drug toxicity and increase medication safety. Augmented renal clearance (ARC) has been increasingly studied in multiple patient populations, including oncology, ... ...

    Abstract Introduction: Until recently, interest in renal function has focused on impairment to limit drug toxicity and increase medication safety. Augmented renal clearance (ARC) has been increasingly studied in multiple patient populations, including oncology, and could lead to decreased drug efficacy from faster elimination resulting in subtherapeutic concentrations. This scoping review sought to summarize ARC literature in cancer and identify areas of research to better inform pharmacy practitioners.
    Data sources: Electronic databases were searched for English articles related to augmented/enhanced renal function/clearance following a framework for scoping reviews.
    Data synthesis: Fourteen articles were analyzed, divided according to article objective: descriptive studies or ARC's impact on pharmacokinetics/pharmacodynamics. ARC was most defined as creatinine clearance >130 mL/min/1.73 m
    Conclusions: ARC is proving to be a frequent phenomenon in patients with cancer which pharmacists could play a vital role. Further research is needed to better understand the impact of ARC in patient care and a potential need to stage ARC based on degree of renal enhancement to establish specific drug dosing recommendations.
    MeSH term(s) Adult ; Humans ; Child ; Middle Aged ; Aged ; Anti-Bacterial Agents ; Pharmacists ; Critical Illness ; Creatinine ; Neoplasms/drug therapy ; Hematology
    Chemical Substances Anti-Bacterial Agents ; Creatinine (AYI8EX34EU)
    Language English
    Publishing date 2022-08-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1027474-1
    ISSN 1531-1937 ; 0897-1900
    ISSN (online) 1531-1937
    ISSN 0897-1900
    DOI 10.1177/08971900221121362
    Database MEDical Literature Analysis and Retrieval System OnLINE

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