Direct Patient Care Rotation Goals & Objectives

Philosophy

Pharmacy residents in our program have the opportunity to develop their direct patient care (DPC) knowledge and skills in a variety of different clinical contexts and specialties. However, it is recognized that residents' DPC knowledge and skills are developed on a continuum of learning that is superimposed over all DPC rotations. Therefore, a common set of generic learning goals and objectives are utilized to form the basis for all DPC Rotation Objectives and Activities Documents (ROADs). These goals and objectives have been individually mapped to the relevant CPRB Accreditation Standards. Preceptors may choose to add to the generic learning  objectives with rotation-specific learning objectives (under Goal 4 below), and include these in their rotation-specific ROAD.

Note to preceptors: It is an expectation that all DPC rotations incorporate a ROAD that is reviewed annually. The ROAD template, which incorporates the following standard goals and objectives can be found at the following link:

ROAD template - DPC rotations (June 2014)

 

Standard Goals & Objectives

Goal 1: Develop and integrate the knowledge required to provide direct patient care as a member of the interprofessional team.

Objectives:

The resident will be able to:

  1. Relate knowledge of the pathophysiology, risk factors, etiology and clinical presentation of common medical conditions, including symptoms, physical assessment, relevant diagnostics, and laboratory findings, to patient-specific clinical findings to make appropriate, patient-specific drug therapy recommendations. (CPRB 3.1.4.e)
  2. Relate knowledge of pharmacology, pharmacokinetics, pharmaceutics, and evidence-based therapeutics to patient-specific clinical findings to make appropriate, patient-specific drug therapy recommendations. (CPRB 3.1.4.e)
  3. Acquire and utilize knowledge of safe medication practices to manage and improve medication use for patients. (CPRB 3.2.5)

 

Goal 2: Demonstrate the necessary clinical skills to provide direct patient care as a member of the interprofessional team.

Objectives:

The resident will be able to:

  1. Place a high priority on, and be accountable for, selecting and providing care to patients who are most likely to experience drug therapy problems. (CPRB 3.1.3)
  2. Establish a respectful, professional, ethical relationship with the patient and/or their caregiver(s). (CPRB 3.1.4.a)
  3. Gather relevant patient information through patient interview and from all appropriate sources. (CPRB 3.1.4.c.d)
  4. Develop a prioritized medical problem list and describe the currently active issues that are responsible for the patient’s admission or clinic visit. (CPRB 3.1.4.e)
  5. Identify, justify, and prioritize a list of patient-specific drug therapy problems. (CPRB 3.1.4.b)
  6. Advocate for the patient in meeting their health-related needs and their desired goals of therapy. (CPRB 3.1.2)
  7. Identify, prioritize, assess, and justify a list of reasonable therapeutic alternatives and discuss pros/cons of each, considering efficacy, safety, patient factors, administration issues, and cost. (CPRB 3.1.4.e)
  8. Develop, prioritize, justify, defend and implement a list of patient-specific recommendations for identified drug therapy problems. (CPRB 3.1.4.e.f)
  9. Design and implement monitoring plans and/or plans for continuity of care that accommodate new or changing information. (CPRB 3.1.4.g)
  10. Proactively provide patient education and seamless care. (CPRB 3.1.4.h)
  11. Proactively communicate healthcare issues (including medication order clarifications) and care plans verbally to the appropriate team members and/or patient, as appropriate. (CPRB 3.1.4.f.i, 3.2.4.c)
  12. Proactively document healthcare issues (including medication order transcriptions/clarifications) and care plans, as appropriate (CPRB 3.1.4.e.f.i, 3.2.4.b.c)
  13. Effectively respond to medication- and practice-related questions and educate others in a timely manner, utilizing systematic literature search, critical appraisal skills and appropriate means of communication (verbal or written, as appropriate). (CPRB 3.5.1.a.b.c.d.e)

 

Goal 3: Demonstrate the attitudes and behaviours that are hallmarks of a practice leader and mature professional.

Objectives:

The resident will:

  1. Demonstrate responsibility for own learning, through the refinement and advancement of critical thinking, scientific reasoning, problem-solving, decision-making, time management, communication, self-directed learning, and team/interprofessional skills. (CPRB 3.4.1)
  2. Demonstrate commitment to the profession, collaboration and cooperation with other healthcare workers, and an understanding of the role of the pharmacist in the interprofessional team in the improvement of medication use for patients. (CPRB 3.1.1, 3.2.2, 3.3.3)

 

Goal 4: Develop and apply knowledge and clinical skills specifically related to this rotation.

Objectives:

To be determined by individual preceptor.