Cultivating ‘Habits of Mind’ in the Scholarly Pharmacy Clinician: Report of the 2011-12 Argus Commission

Abstract

The American Association of Colleges of Pharmacy (AACP) Argus Commission is comprised of the five immediate past AACP presidents and is annually charged by the AACP President to examine one or more strategic questions related to pharmacy education often in the context of environmental scanning. Depending upon the specific charge, the President may appoint additional individuals to the Commission. President Crabtree requested that the 2011-12 Argus Commission examine the following questions as part of his examination of critical issues of excellence and relevance in academic pharmacy: • What is core with respect to the scientific foundation of clinical education? • How and when do we teach this foundational material? • How can we infuse an attitude of inquisitiveness and scholarly thinking in pharmacists and other health care professionals? • How can we nurture emerging scientists among our students and young faculty? • What ultimately will keep our graduates from being technicians vs. professional clinicians? The work of the Argus Commission was advanced significantly by examining related reports and projects from outside pharmacy and from engaging in dialogue with education leaders across the health professions. When the Commission met in December 2011 they were joined by leaders from academic dentistry, allopathic and osteopathic medicine, nursing, optometry, physicians assistant, public health, veterinary medicine and health administration programs. The meeting began with a presentation by Cynthia Bauerle, Ph.D., Senior Program Officer for PreCollege and Undergraduate Science Education at the Howard Hughes Medical Institute (HHMI) based in Chevy Chase, MD. HHMI and the Association of American Medical Colleges have collaborated on several projects to ensure that the scientific foundation for physician education remains contemporary and strong. They jointly published the “Report of Scientific Foundations for Future Physicians Committee”1 in 2009, which the Argus Commission considered carefully in its work. Dr. Bauerle presented an on-going HHMI project referred to as the NEXUS Project2. The National Experiment in Undergraduate Science Education is relevant to all programs in health professions education which depend on the adequate undergraduate preparation of future clinical scientists in core competencies in mathematics, physics, chemistry and biology. This four year project which began in early 2010 involves grantees at four universities (Purdue University, University of Maryland College Park, University of Maryland Baltimore County and the University of Miami) and draws heavily upon the scientific foundations for future physicians report as the project teams work to significantly modify the pedagogical approach for teaching and assessing learning in the fundamental building blocks of science at the undergraduate level. Throughout the full day meeting and subsequent analysis by the Argus Commission, participants acknowledged the continuum of learning and competency attainment so vital to ensuring that future pharmacists and colleagues across the spectrum of the health professions are inquisitive learners and problem solvers comfortable in applying both the scientific method and evidence-based content to the identification and resolution of clinical issues/problems at the individual patient and population levels. This begins far down the pipeline in pre-collegiate education and continues throughout the period of pre-professional and professional education with an ultimate goal of creating a scientific thinker with the requisite abilities to apply that knowledge in practice.