title: A demonstration study comparing "role-emergent" versus "role-established" pharmacy clinical placement experiences in long-term care facilities.
abstract: BACKGROUND
  Increasing challenges to recruit hospital sites with full-time on-site pharmacy preceptors for institutional-based Advanced Pharmacy Practice Experiences (APPE) has made it necessary to consider alternate experiential models. Sites with on-site discipline specific preceptors to supervise students have typically been referred to in the literature as "role-established" sites. In British Columbia, long-term care (LTC) facilities offered a unique opportunity to address placement capacity issues. However, since the majority of these facilities are serviced by off-site community pharmacists, this study was undertaken to explore the viability of supervising pharmacy students remotely - a model referred to in the literature as "role-emergent" placements. This paper's objectives are to discuss pharmacy preceptors' and LTC non-pharmacist staff experiences with this model.
  
  
  METHODS
  The study consisted of three phases: (1) the development phase which included delivery of a training program to create a pool of potential LTC preceptors, (2) an evaluation phase to test the viability of the LTC role-emergent model with seven pharmacists (two role-established and five role-emergent) together with their LTC staff, and (3) expansion of LTC role-emergent sites to build capacity. Both qualitative and quantitative methods were used to obtain feedback from pharmacists and staff and t-tests and Mann-Whitney U tests were used to examine equivalency of survey outcomes from staff representing both models.
  
  
  RESULTS
  The 76 pharmacists who completed the training program survey rated the modules as "largely" meeting their learning needs. All five role-emergent pharmacists and 29 LTC participating staff reported positive experiences with the pharmacy preceptor-student-staff collaboration. Preceptors reported that having students work side-by-side with facility staff promoted inter-professional collaboration. The staff viewed students' presence as a mutually beneficial experience, suggesting that the students' presence had enabled them to deliver better care to the residents. As a direct result of the study findings, the annual role-emergent placement capacity was increased to over 45 by the end of the study.
  
  
  CONCLUSIONS
  This study demonstrated that role-emergent LTC facilities were not only viable for quality institutional APPEs but also provided more available sites, greater student placement capacity, and more trained pharmacy preceptors than could be achieved in role-established facilities.
authors.affiliation: Faculty of Medicine, School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC V6T 1Z3, Canada. rosemin.kassam@ubc.ca
authors.forename: Rosemin
authors.initials: R
authors.lastname: Kassam
authors.forename: Mona
authors.initials: M
authors.lastname: Kwong
authors.forename: John B
authors.initials: JB
authors.lastname: Collins
mesh_terms: D001955:British Columbia; D004512:Education, Pharmacy / Q000379:methods*; D006801:Humans; D008134:Long-Term Care; D010604:Pharmacy; D010865:Pilot Projects; D011231:Preceptorship / Q000379:methods
references.citation: J Eval Clin Pract. 2011 Feb;17(1):97-103
references.pmid: 20825538
references.citation: Drugs Aging. 2008;25(11):947-54
references.pmid: 18947262
references.citation: Aust J Physiother. 2007;53(1):19-28
references.pmid: 17326735
references.citation: J Allied Health. 2008 Fall;37(3):127-31
references.pmid: 18847107
references.citation: J Am Pharm Assoc (Wash). 2001 May-Jun;41(3):401-10
references.pmid: 11372905
references.citation: Int J Clin Pharm. 2011 Aug;33(4):642-9
references.pmid: 21544559
references.citation: Am J Pharm Educ. 2009 Apr 7;73(2):25
references.pmid: 19513163
references.citation: Am J Pharm Educ. 2009 Aug 28;73(5):82
references.pmid: 19777097
references.citation: Am J Pharm Educ. 2012 Apr 10;76(3):51
references.pmid: 22544968
references.citation: J Am Pharm Assoc (Wash). 2001 May-Jun;41(3):411-20
references.pmid: 11372906
references.citation: Am J Pharm Educ. 2012 Apr 10;76(3):50
references.pmid: 22544967
references.citation: Am J Pharm Educ. 2012 Apr 10;76(3):49
references.pmid: 22544966