Abstract

BackgroundBeing pharmaceutical care one of the four areas defined by the International Pharmaceutical Federation’s Global Competence Framework, the curriculum redesigned scheme is a priority task to perform a pharmaceutical workforce capable to contribute significantly to the appropriate use of medicines. Therefore, the pharmacy curriculum should be adapted, in order to provide pharmacists with new knowledge and skills to provide pharmaceutical care services. This study used a modified Delphi technique to define objectives and topical outlines for a pharmaceutical care course on a pharmacy curriculum.MethodsA modified Delphi process was used to determine a consensus among proposed course objectives and topical outlines. The preliminary phase of the study included a compilation of prospective objectives and outline topics on which to structure informational flow through the Delphi. A two-round modified Delphi process were completed by the participants in the study. The Delphi questionnaire was organized using six domains: the theoretical program foundation; recommended for teaching literature; instructional and educational objectives of the program (course structure); teaching methods; knowledge, skills and professional values considered; and students’ performance assessments. Nineteen items for evaluation within the referred domains were considered.ResultsConsensus was achieved among 15 participants regarding 10 objectives, and eleven topical outlines related to pharmaceutical care teaching in an undergraduate pharmacy course. Despite this favorable valuation and considering the qualitative evaluations provided by the participants, it was believed appropriate to analyze the recommendation for the inclusion of literature for the teaching of the course in Spanish language (73%). It resulted in a project proposal for the elaboration of a book by a group of authors from all the faculties of pharmacy in the country.ConclusionA Delphi expert panel achieved consensus on topical outline and objectives for a pharmaceutical care course. The results of this study can be used to underline the didactic guidance for pharmaceutical care teaching and learning useful for future pharmacy curriculum upgrades.

Highlights

  • Being pharmaceutical care one of the four areas defined by the International Pharmaceutical Federation’s Global Competence Framework, the curriculum redesigned scheme is a priority task to perform a pharmaceutical workforce capable to contribute significantly to the appropriate use of medicines

  • The presented information of the coefficient ‘k’ to the experts of the Delphi study concerning objectives and topic online for a pharmaceutical care course in a pharmacy curriculum was obtained from the information intreated from the participants, about their self-worth in terms of degree of knowledge on the theme and level of argumentation

  • This study provides the first evidence for pharmacy education curriculum modification toward pharmaceutical care teaching undergraduates based on the expert panel

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Summary

Introduction

Being pharmaceutical care one of the four areas defined by the International Pharmaceutical Federation’s Global Competence Framework, the curriculum redesigned scheme is a priority task to perform a pharmaceutical workforce capable to contribute significantly to the appropriate use of medicines. The estimated annual cost of drug-related morbidity and mortality resulting from nonoptimized medication therapy for the United States of America was $528.4 billion, equivalent to 16% of total US health care expenditures in 2016 [8]. DTPs represent a great challenge in the healthcare system as a result of increased patient morbidity, mortality, and healthcare costs [9]. In this stage, pharmaceutical care emerges as a patient-centered practice, in which the pharmacist assumes responsibility for the patients’ pharmacotherapeutic needs and collaborates with other members of the health-care team, becoming co-responsible for the outcomes of their pharmacotherapy [10]

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