CSH481 Advanced Clinical Practice 2

Unit Outline: Semester 2 2024, Gardens Point, Internal

Overview

This unit integrates your accumulated knowledge, skills and expertise while emphasising your capacity to contribute to health care, and the attributes and behaviours associated with being job-ready. It will build on CSH471 to advance your clinical and research skills which are registerable competencies for pharmacists. Your core practice in routine and emerging practice will develop the technical, clinical, personal, professional and researcher skills relevant to contemporary pharmacy practice. You will apply skills and knowledge you have acquired from the research methods units CSH474 and CSH484. You will develop your understanding of your role as a pharmacist through experiential learning over a four week period, which will include completing an independent quality use of medicines (QUM) research project.

This is a designated unit which is essential to your course progression. Designated units include professional experience units, units requiring the development of particular skills, and units requiring demonstration of certain personal qualities. If you fail to achieve a satisfactory level of performance in a designated unit, you may be excluded from enrolment or will be put on academic probation. If you fail a designated unit twice within your course, you may be excluded. Supplementary assessment is not available on designated units.

Learning Outcomes

On successful completion of this unit you will be able to:

1. Recognise priorities when problem solving, while critically applying established practice protocols to communicate your recommendations to situations around core practice areas.
2. Demonstrate accountability for decisions informed by expert knowledge, judgement, available evidence and treatment goals or outcomes from services delivered in a core practice area(s) while adhering to legal, ethical, professional and organisational policies/procedures, principles of cultural safety and codes of conduct.
3. Work independently to research and apply safe and effective use of medicines and preventive health care
4. Plan, manage, monitor, advise and reflect on performance as an ethical professional in core practice areas.

Content

Learning Approaches

This unit builds on the active and collaborative learning processes and the search for solutions to real world problems and cases. Students will be challanged with complex cases requiring collaborative inter-professional approaches. Students will be encouraged to cross inter-professional boundaries, consider multiple and diverse stakeholder perspectives. The unit will simulate real world practice e.g. hospital admission, including, medicines reconciliation, medication review, prescribing, discharge, communication with other health professionals. This approach aims to achieve transformative and sustainable problem solving capability by requiring students to articulate and be challenged in their decision making, building resilience and accountability.

This is the final in the suite of six units involving a placement experience. You will develop your understanding of your role as a pharmacist through experiential learning over a four week period. You will participate in a wide range of pharmacy operations, with a focus on integrating all knowledge, skills and attributes from the entire course. During this placement experience, you will also complete an independent QUM research project, and your preceptor(s) will support self-initating, research, and problem-solving activities for you to demonstrate your competency.

The content presented for this unit may be presented in face to face sessions, via video-conferencing, or recorded online medium through Canvas.

Feedback on Learning and Assessment

During semester you will have multiple opportunities to receive feedback on your assessment:

• For your Medication management interview and plan we will be providing you with the opportunity to practice your skills with peers in class and discuss with the teaching team to reflect upon the skills.
• For the OSCE, you will learn about the skills and have feedback on each station to help you prepare. 
• On placement you will conduct a reflective discussion with your preceptor to get feedback on your competency to practice. For your QUM research project you will present to academics and industry representatives at the 4th year Conference  and get feedback on your poster. 

Assessment

Overview

This is a short teaching semester - see Canvas for details. Assessment items are designed to measure your learning and achievement of the stated learning outcomes for this unit.

The assessment items are situated across the semester to provide feedback on your learning.

There are three pieces of assessment to be completed in this unit. Each task is designed to assess the learning outcomes. For the purpose of professional accreditation and demonstration of competencies, a satisfactory performance in the Project (research) and OSCE (threshold assessment conditions apply), and an overall passing mark of at least 50% are required to obtain a passing grade for this unit.

Electronic access to resources in school-based examinations may be provided using University computers only (this is at the discretion of the Unit Coordinator and further details will be provided via Canvas). If electronic access is provided, students should be aware that access to resources cannot be guaranteed and students should ensure they are able to utilise hard copies of the same references.

Special conditions of assessment:

Participation and attendance at placement
This unit includes a four week placement experience. In order to receive a grade in this unit, the unit coordinator must receive completed activity sheets, feedback sheet completed by the preceptor, and preceptor signoff that placement hours have been satisfactorily completed by the end of the central exam period.

Threshold assessment conditions
In this unit, for you to be eligible to receive a passing grade, threshold assessment conditions apply. You are advised to seek feedback on your assessment from the unit coordinator prior to resubmission.

• Standard assessments: If you do not achieve a satisfactory result, you are able to make one resubmission of this task for the minimum pass level, only when your achieved mark/grade is within 10% (or 1 grade) of the pass level for the assessment item.
• OSCE (if weighted 0%) or competency (cut-score) assessments: If you do not achieve a satisfactory result, you are able to make one resubmission of this task for the cut-score pass level, only when your achieved mark is above the minimum attempt cut-score level for the assessment item. 

You may be required to electronically submit all written assignments for content matching checks.

Group assessments are to be completed and submitted as a group. Individual submissions will receive a score of 0 for the assessment.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: Medication management interview and plan

This is an authentic assessment item as you will simulate the role of a pharmacist to conduct a medication management review with a patient and provide a written medication action plan.  Following the simulation, you will be provided with a patient update and you will reflect upon how you will follow up on this case. 

Assessment: Project (research)

On placement you will carry out research in QUM. You will present your research findings in the format of a poster.

Threshold Assessment:

Threshold conditions apply.

Assessment: OSCE

This Objective Structured Clinical Examination (OSCE) is an authentic assessment  as you will simulate the role of a pharmacist across multiple situations. On the oral stations you will demonstrate your communication skills with a healthcare professional and a patient. On the non-verbal stations you will dispense a prescription and perform a medication reconciliation and review.

Weight: Satisfactory/Unsatisfactory

Threshold Assessment:

Threshold conditions apply.

Academic Integrity

Students are expected to engage in learning and assessment at QUT with honesty, transparency and fairness. Maintaining academic integrity means upholding these principles and demonstrating valuable professional capabilities based on ethical foundations.

Failure to maintain academic integrity can take many forms. It includes cheating in examinations, plagiarism, self-plagiarism, collusion, and submitting an assessment item completed by another person (e.g. contract cheating). It can also include providing your assessment to another entity, such as to a person or website.

You are encouraged to make use of QUT’s learning support services, resources and tools to assure the academic integrity of your assessment. This includes the use of text matching software that may be available to assist with self-assessing your academic integrity as part of the assessment submission process.

Further details of QUT’s approach to academic integrity are outlined in the Academic integrity policy and the Student Code of Conduct. Breaching QUT’s Academic integrity policy is regarded as student misconduct and can lead to the imposition of penalties ranging from a grade reduction to exclusion from QUT.

Requirements to Study

Requirements

Mandatory requirements for pharmacy placement. Failure to comply with these requirements by the due date given will result in your exclusion from placement activities:

• Blue Card: A Blue card confirms that you have passed a screening of your criminal history (the Working with Children Check) and have been approved to work with children and young people. For more information on the Blue card and how to apply, please refer to Blue cards - QUT Digital Workplace.
• Vaccine Preventable Diseases Evidence: It is a mandatory requirement for students to be vaccinated against several vaccine preventable diseases. For more information, please refer to Faculty of Health's website at Health student placements How to complete your pre-placement requirements - QUT Digital Workplace before the commencement of placement. You must provide evidence of immunity for Hepatitis B, Measles, Mumps, Rubella, Diphtheria, Tetanus, Pertussis and Varicella on the Vaccine Preventable Diseases Evidence Certification Form. The form includes information on the evidence that is required for each vaccination. More information will provided by WILS.

There may be additional mandatory requirements for placements within specific external organisations (eg. QLD Health) and these expectations will be conveyed to you by the Health WILS team. Failure to meet these requirements by the due date given, may prevent you from undertaking your placement.

Blue Card

A blue card is required to complete this unit. A blue card confirms that you have passed a screening of your criminal history (the Working with Children Check) and have been approved to work with children and young people. For more information on the blue card and how to apply please visit the QUT website.

Costs

All Work Integrated Learning placement costs, including immunisations, the prescribed QUT placement uniform, travel and accommodation expenses, are the responsibility of the student. See QUT - Additional course costs.

Resources

Resource Materials

Recommended text(s)

AusDI: evidence based medicines information resource for Australian practice. St Leonards, NSW: Phoenix Medical Publishing; 2014. http://libguides.library.qut.edu.au/databases/ausdi

Australian Medicines Handbook, current edition, Adelaide: AMH Pty Ltd.

National statement on ethical conduct in human research.). National Health and Medical Research Council Canberra, www.nhmrc.gov.au/guidelines-publications/e72

The Singapore Statement on Research Integrity, 2nd World Conference on Research Integrity, 21-24 July 2010 , http://www.singaporestatement.org/

Therapeutic Guidelines. http://www.tg.org.au/

eMIMS (current edition), St Leonards, NSW: MIMS Australia, CMPMedica Australia Pty Limited. http://www.mims.com.au/

Risk Assessment Statement

Learning is the responsibility of all stakeholders. Students have a responsibility to minimise risk to themselves, other staff and clients while on placements both on campus and off campus.

Students must make themselves aware of and abide by the occupational health and safety requirements of all placement workplaces, and are expected to undergo any induction or other training provided for employees or visitors to the workplace as appropriate.

You are required to read the document 'Managing your rights, responsibilities and safety on placements' Your safety and wellbeing on placement - QUT Digital Workplace and disclose relevant health information as specified in this document. Students who are pregnant at the time of their placement also have particular disclosure requirements, as detailed in this document. Personal or medical information must be disclosed for example when there is an increased risk to the student or others, an impediment exists where adjustments to tasks will be required and/or if there are specific religious, cultural or family requirements.

All accidents, incidents and critical near-misses should be reported to your placement workplace and QUT. If an incident occurs on placement, a report needs to be submitted online through the Health, safety and environment HSE Hub accessed via  Your safety and wellbeing on placement - QUT Digital Workplace.

Course Learning Outcomes

CS47 Bachelor of Pharmacy (Honours)

1. Understand and apply knowledge of the health care consumer: person-centred care promoting wellness, person and societal good, prevention of poor health outcomes and harm, treating disease.
   Relates to: ULO1, ULO2, Medication management interview and plan, Project (research), OSCE
2. Demonstrate expertise in knowledge of medicines, including knowledge of the drug substance and drug action: sources, properties and actions of medicinal substances.
   Relates to: ULO2, Medication management interview and plan, Project (research), OSCE
3. Demonstrate the formulation and compounding of safe, efficacious and high-quality medicinal products tailored to individual needs.
   Relates to: ULO2, Medication management interview and plan, Project (research), OSCE
4. Understand and apply knowledge of health care systems and wider contexts, including legal, ethical, professional frameworks and economic systems and work in interprofessional teams.
   Relates to: ULO2, Medication management interview and plan, Project (research), OSCE
5. Recognise the presence and causes of health inequities and disparities and impacts of social determinants of health.
   Relates to: ULO3, Medication management interview and plan, OSCE
6. Demonstrate ethical, legal and professional responsibilities, whilst considering quality, risk, best interests and safety of patients and public, formulating strategies to address any issues.
   Relates to: ULO2, ULO3, Medication management interview and plan, Project (research), OSCE
7. Demonstrate proactive, reflective, accountable behaviours and practice to develop professional competence and expertise and manage change.
   Relates to: ULO3, Medication management interview and plan, Project (research), OSCE
8. Communicate and collaborate with a socially and culturally diverse range of people on interpersonal and interprofessional levels.
   Relates to: ULO3, Medication management interview and plan, Project (research), OSCE
9. Provide tailored information, advice and documentation using a range of communication modes including written, verbal, non-verbal and digital.
   Relates to: ULO3, Medication management interview and plan, Project (research), OSCE
10. Deliver person-centred care, obtaining, assessing, formulating, monitoring, facilitating self-management/adjustment of health, medical and medication information and plans in collaboration with individuals, communities, health care teams for optimal outcomes.
    Relates to: ULO1, Medication management interview and plan, Project (research), OSCE
11. Provide medications and other management options including administering, dispensing, preparing and supplying, safe storage, tailored counselling, and assessing ambulatory conditions.
    Relates to: ULO1, Medication management interview and plan, Project (research), OSCE
12. Undertake structured reflection to enhance learning and practice, self-awareness, self-regulation and ability to evaluate personal health and wellbeing status, demonstrating awareness of professional limitations and adopting strategies to address.
    Relates to: ULO1, ULO2, ULO4, Medication management interview and plan, Project (research), OSCE
13. Demonstrate awareness and recognition of signs indicating risk to safety of performance and care, formulating responses and strategies.
    Relates to: ULO1, ULO2, Medication management interview and plan, Project (research), OSCE
14. Demonstrate leadership skills, initiative and accountability to self, others, promoting responsible and socially accountable stewardship of health care resources.
    Relates to: ULO2, Medication management interview and plan, Project (research), OSCE
15. Promote quality assurance and continuous improvement, with awareness of, and complying with policy, processes and protocols, whilst demonstrating risk awareness with strategies to assess, monitor, mitigate and manage.
    Relates to: ULO2, ULO4, Medication management interview and plan, Project (research), OSCE
16. Demonstrate skills as a role model, facilitator and/or mentor.
    Relates to: ULO2, Medication management interview and plan