Objective: Incorporation of various clinical activities during ambulatory care APPEs to achieve exposure to the five principals of a patient centered medical home (PCMH) provide Pharm.D. Candidates at the Wegmans School of Pharmacy with a strong foundation for a future practice in patient centered care.
Methods: The APPE is designed to engage students in activities involving the five principals of a PCMH practice. Students that are assigned to complete their Ambulatory Care APPE at one of two Level 3 National Committee for Quality Assurance (NCQA) certified PCMH Family Medicine Residency Training Practices are directly involved in engaging patients in decision making and management of chronic disease states, improve communication directly between patients and providers through the use of an electronic medical record, coordinate care with other health professionals through care transitions, and contribute to the transparency of comprehensive evidence based care of patients through patient education.
Results: A total of 26 Pharm.D. Candidates have completed the redesigned APPE that emphasizes the role of a pharmacist in delivering care in a PCMH practice. In the 2012-13 academic year three from a total 11 students pursued post-graduated training and acquired a residency to enhance their clinical and research skills. In the 2013-14 academic year a greater percentage of students pursued advanced training. Eight out of a total of 15 students acquired advanced training in a variety of settings including ambulatory care, managed care, and community pharmacy residency programs. One student intends to pursue an additional certification to enrich her future as community practitioner.
Implications: The structured experiences at a certified PCMH practice site has displayed the potential to encourage Pharm.D. Candidates to pursue future careers in various settings to enhance their skills in delivering collaborative patient centered care.
Ahmed-Sarwar, Nabila and Nagel, Angela, "Enhancing Ambulatory Care APPEs by Incorporating Patient-Centered Medical Home Principles" (2014). Pharmacy Faculty Publications. Paper 56.
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