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Level of activity: Intermediate/Advanced

Setting: Classroom or APPE (Institutional, Patient Care, or Managed Care)

Mapping

ACPE Standards 2016: 1.1, 2.4, 3.1, 3.2, 3.6

EPAs: Population Health Promoter (Appropriate medication use), Information Master (Educate others, Evidence-based care)

Instructors can request access to the Instructor's Guide on AccessPharmacy. Email User Services (userservices@mheducation.com) for more information.

Contributors

Timothy Gladwell, PharmD, BCPS, BCACP, is Associate Dean for Academic Affairs (ADAA) and Associate Professor of Pharmacy Practice at the University of Maryland Eastern Shore (UMES). Dr. Gladwell received his Doctor of Pharmacy degree from the University of Maryland School of Pharmacy. He completed a PGY1 Pharmacy Residency at the Johns Hopkins Hospital and a PGY2 Pharmacy Residency in Internal Medicine and Cardiology at the University of Maryland School of Pharmacy. He became a Board-Certified Pharmacotherapy Specialist in 2000 and a Board-Certified Ambulatory Care Pharmacist in 2011. Prior to his current appointment at UMES, he served as a full-time faculty member at Duquesne University in Pittsburgh and at Husson University in Bangor, Maine. As a registered pharmacist for over 20 years, Dr. Gladwell has practiced in a variety of capacities including positions as the clinical pharmacy specialist in Cardiology Critical Care at Allegheny General Hospital in Pittsburgh, the pharmacy manager at Walgreens and CVS, and the ambulatory care clinical pharmacist at Penobscot Community Health Care in Maine and Peninsula Regional Medical Group in Maryland. In his current role as ADAA, Dr. Gladwell oversees the curriculum and assessment for the UMES School of Pharmacy, and he coordinates the Principles of Pharmacotherapy and the Cardiology modules during the SP-2 year.

Brief Overview and Setting

The purpose of this activity is to introduce students to the process of conducting a comparative efficacy review and applying the information to a hypothetical institution’s closed formulary. The original concept for this exercise is based on the “deserted island” scenario, which asks participants to select a specific number of drugs to take with them if they were to be stranded on a deserted island. This activity was originally developed for use in the classroom for a required skills laboratory course for students approaching the end of the didactic curriculum, but it could also be modified for use during an Advanced Pharmacy Practice Experience (APPE) rotation in an institutional setting. To be successful, students need to have already developed basic competency in drug information, and they should have a general foundational knowledge of current guidelines for management of selected therapeutic topics. Skills in literature retrieval and evaluation are also required, but this can be tailored by the instructor to the level appropriate for the student.

For this classroom activity, students are assigned a specific class of drugs and they are charged with selecting a finite number of agents within the class to include on a hypothetical institution’s closed formulary. The instructor provides a ...

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