title: Early Clinical Experiences for Second-Year Student Pharmacists at an Academic Medical Center.
abstract: OBJECTIVE
  To examine student outcomes associated with the Student Medication and Reconciliation Team (SMART) program, which was designed to provide second-year student pharmacists at the University of North Carolina (UNC) Eshelman School of Pharmacy direct patient care experience at UNC Medical Center.
  
  
  METHODS
  Twenty-two second-year student pharmacists were randomly selected from volunteers, given program training, and scheduled for three 5-hour evening shifts in 2013-2014. Pre/post surveys and reflection statements were collected from 19 students. Data were analyzed with a mixed methods approach.
  
  
  RESULTS
  Survey results revealed an increase in student self-efficacy (p<0.05) and positive perceptions of SMART. Qualitative findings suggest the program provided opportunities for students to develop strategies for practice, promoted an appreciation for the various roles pharmacists play in health care, and fostered an appreciation for the complexity of real-world practice.
  
  
  CONCLUSIONS
  Early clinical experiences can enhance student learning and development while fostering an appreciation for pharmacy practice.
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill.
authors.forename: Jacqueline E
authors.initials: JE
authors.lastname: McLaughlin
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill.
authors.forename: Lindsey B
authors.initials: LB
authors.lastname: Amerine
authors.affiliation: University of North Carolina Medical Center, Chapel Hill, North Carolina.
authors.forename: Sheh-Li
authors.initials: SL
authors.lastname: Chen
authors.affiliation: University of North Carolina Medical Center, Chapel Hill, North Carolina.
authors.forename: David N
authors.initials: DN
authors.lastname: Luter
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill; Wake Forest Baptist Medical Center, Winston-Salem, North Carolina.
authors.forename: Justin
authors.initials: J
authors.lastname: Arnall
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill; Florida Hospital, Orlando, Florida.
authors.forename: Shayna
authors.initials: S
authors.lastname: Smith
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill.
authors.forename: Mary T
authors.initials: MT
authors.lastname: Roth
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill.
authors.forename: Philip T
authors.initials: PT
authors.lastname: Rodgers
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill.
authors.forename: Dennis M
authors.initials: DM
authors.lastname: Williams
authors.affiliation: University of North Carolina Eshelman School of Pharmacy at Chapel Hill.
authors.forename: Nicole R
authors.initials: NR
authors.lastname: Pinelli
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration; D004512:Education, Pharmacy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009657:North Carolina; D010595:Pharmacists / Q000458:organization & administration*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D024382:Professional Role; D020377:Self Efficacy; D013339:Students, Pharmacy; D011795:Surveys and Questionnaires
keywords: clinical experiences; experiential learning; pharmacy practice; self-efficacy; student development
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