Bradford W. Schwarz, MS, PA-C. Mandy Jones, PharmD, PA-C, BCPS

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1 Bradford W. Schwarz, MS, PA-C Director, Physician Assistant Studies College of Health Sciences Mandy Jones, PharmD, PA-C, BCPS Department of Pharmacy Practice & Science College of Pharmacy

2 Discuss the rationale of a dual PharmD, MSPAS educational model Detail logistical considerations and essential elements of a dual PharmD, MSPAS degree program Discuss how the dual degree program prepares the future provider to deliver enhanced primary care medicine in a variety of settings Discuss the contribution of a dually trained pharmacist/physician assistant to an interprofessional team of providers

3 Originally called the College of Allied Health Professions, one of the first 13 colleges formed following passage of The Allied Health Professions Personnel Training Act of The College of Health Sciences is also among the first colleges within the University of Kentucky system to offer distance learning degree programs: 1992 PT distant education program in Hazard, KY 1996 PA distant education program in Morehead, KY MLS distant education program in Hazard, KY Mission - To help the people of the Commonwealth of Kentucky and beyond to gain and retain the highest level of health through creative leadership and productivity in education, research, and service.

4 Founded in 1973 Total number of graduates: 1278 Distance education campus established in Morehead, KY in 1996 Average enrollment annually: 56

5 Ranked within Top 10 Colleges of Pharmacy for > 30 years Currently 5 th in the US Highest passing rate on national licensing exam compared to all other COPs in the US Pharmacy Practice Residency Program ranked #1 in US Research program ranked 4 th in the US in pharmacy research productivity 4-yr professional curriculum leading to the Doctor of Pharmacy (PharmD) degree Average current enrollment: 135 Graduate program in pharmaceutical sciences leading to the PhD Postdoctoral scholars program Pharmacy residency programs in collaboration with UK Chandler Medical Center, Kroger, and American Pharmacy Services Corp. Institute for Pharmacy Outcomes and Policy (ipop) Center for the Advancement of Pharmacy Practice (CAPP) Center for Pharmaceutical Research and Innovation (CPRI)

6 1870 College is founded in Louisville, KY with over 5,700 graduates to date 1936 Bachelor of Science in Pharmacy 1947 College becomes member of UK 1962 Established first Drug Information Center in US 1968 World s first Dept. of Clinical Pharmacy within a medical center setting is created 1968 One of the first schools in US to create PharmD program 1968 Pharmacy residency program begins in Clinical Pharmacy Practice 1970 College awards its first PharmD degrees

7 Both degrees obtained in less total time than if degrees earned independently Highly desirable for students seeking: Career in ambulatory care pharmacy, primary care, or subspecialty medicine An expansion of roles, functions, and/or knowledge for clinical practice Further differentiated skill set and marketability Career in academic medicine and/or pharmacy AFFORDABLE CARE ACT Ideally suited for those seeking clinical practice in rural communities and/or areas with limited resources/healthcare access

8 PharmD, MSPAS program established March College of Pharmacy- other joint degree programs: PharmD,MPA 1997 PhamD,MBA 1999 PharmD,MPH 2009 PAS Program Director during development phase was dual PharmD, PA-C

9 Unique niche among PA and Pharmacy programs Positive return on recruitment for top pre-pharmacy and pre-pa students Potential programmatic revenue stream Increased collaboration between programs improving collegiality, shared goals, and interprofessional education initiatives Philosophically we believe this graduate will contribute to improved patient outcomes and quality care

10 PharmD/MSPAS Program At a Glance Academic Unit Admissions *Apply during PY2 year Prerequisite Courses *Prereqs currently under review by CHS Curriculum Faculty Advisor Admissions and degree program details Pharmacy Liaison Connection to pharmacy careers Program Website College of Health Sciences (CHS) GRE *Enrollment capped each year by CHS (n=3-5) PSY 100; PSY 223 (developmental); SOC 101 or ANT 101; 1000 hours direct patient care experience; 50 hours PA shadowing Extra year of classroom work and additional experiential rotations, with graduation in 5+ years Dr. Gerry Gairola, College of Health Sciences Professor Bradford Schwarz, PAS Division Director Dr. Kelly Smith

11 Master of Science in Physician Assistant Studies Graduate degree sponsored by the UK Graduate School Faculty members are tenure track within the College of Health Sciences UK PA program emphasizes rural and primary care medicine Two campuses that run concurrently: Lexington (n=40) Morehead (n=16)

12 MSPAS program independently operated by the College of Health Sciences through the Graduate School Specifics: Pre-requisites, both academic and practical Admissions tests (GRE) Admissions process (CASPA) Didactic and Clinical Clerkship requirements Lock-step curriculum with graduation timeline Limited annual capacity for pharmacy students

13 Shortened time to complete both degrees PharmD degree awarded after 5 full professional years (May) MSPAS degree awarded in subsequent semester (August) Dual degree courses satisfy the 8 elective hours required for the PharmD degree program

14 Direct patient care experience > 1000 hours Up to 500 hours are accepted from Pharmacy patient care experiences Volunteer or paid experiences; all hours must be documented on CASPA application PA-C Shadowing > 50 hours Volunteer or paid Timeline to obtain both types of experience: >200 hours by June 1 of application year >400 hours by August 1 >1050 hours by December 1

15 April 15 Internal dual degree application due to College of Pharmacy Office of Academic Affairs June 15 MSPAS application due: CASPA + Graduate School/College of Health Sciences supplemental application Summer Enroll in PPS 948 (Intro Pharmacy Practice Experience) PA Program Admission Interview Decision made by August

16 Fall Semester: PPS 950: Pharmaceutical Policy and Public Health (4 credit hours) PPS 951: Cardiopulmonary and Renal Pharmacology (5 credit hours) PPS 953: Current Topics Seminar (1 credit hour) PPS 957: Pharmacotherapy II (5 credit hours) PPS 959: Patient Care Laboratory V (2 credit hours) PPS 813: Geriatric Pharmacy (3 credit hours)

17 Spring Semester: PPS 960: Pharmaceutical Policy and Public Health (5 credit hours) PPS 966: Pharmacotherapy III (5 credit hours) PPS 967: Pharmacotherapy IV (5 credit hours) PPS 969: Patient Care Lab VI (2 credit hours) PPS 651: Introduction to the PA Profession (2 credit hours) Summer Term: PPS 991: Advanced Community Pharmacy Clerkship (6 credit hours) PPS 992: Advanced Inpatient Pharmacy Clerkship (6 credit hours)

18 Fall Semester: PAS 645: Masters Project I (1 credit hour) PAS 646: Masters Project II (2 credit hours) PAS 654: Clinical Lecture Series I (4 credit hours) PAS 650: Clinical Methods (H&P) (3 credit hours) PAS 657: Clinical Lab Procedures (3 credit hours) At this point, classified as a graduate student

19 Spring Semester: PAS 655: Psychosocial Factors in Medicine (3 credit hours) PAS 658: Clinical Lecture Series II (4 credit hours) PAS 656: Patient Management and Evaluation (3 credit hours) ANA 611: Anatomy (5 credit hours)*

20 Fall/Spring Semesters (Clinical Clerkships): PAS 660/PPS 993 Family Medicine/Ambulatory Pharmacy Practice 8 weeks Combined rotation PAS 669/PPS 994 Internal Medicine/Acute Care Inpatient Pharmacy Practice 8 weeks Combined rotation PAS 671/PPS 995 Psychiatry Combined rotation PAS 661 Pediatrics PAS 662 Obstetrics/Gynecology PAS 663 Surgery PAS 664 Geriatrics PAS 670 Emergency Medicine PAS 680: Seminar in PA Studies II

21 Chronic Disease Management & Polypharmacy 4 billion prescriptions annually (#1 reason chronic diseases) Medication Therapy Management Elderly Care (polypharmacy, Annual Wellness Visits) Transitions of Care Extensive pharmacogenomics/pharmacokinetics training Inpatient services Adult and Pediatric Medicine Surgical Services

22 Academia College of Pharmacy primary appointment Some guest lecturing in the PA program IPE activities for PA and pharmacy students Clinical practice as pharmacist and PA in UK Department of Family and Community Medicine Physician referral-based Pharmacotherapy Clinic Primary Care Provider as PA Ambulatory Care pharmacy preceptor for students and residents Included nurse practitioner, PA, and medical students as shadowing experience

23 Part-time Pharmacist in Community Pharmacy Traditional pharmacy roles associated with dispensing Immunizations and medication counseling Triage for self-care consultations PA training broadened differential diagnosis capability and when to appropriately medically refer Self-care vs. new medical condition vs. worsening of chronic condition vs. symptoms due to drug therapy problem

24 1. The future of medicine dictates that medical providers must have additional skills to meet the demands of the healthcare environment. 2. A well differentiated provider will have greater marketability and sustainability. 3. PharmD/PA the quintessential 2 in 1 clinician

25 1. Institute of Medicine. Educating for the Health Team. October 3, Available at: df. Accessed June 2, Barr H, Ross,F. Maintstreaming Interprofessional Education in the United Kingdom: A position paper. Journal of Interprofessional Care, 2006, Vol. 20, No. 2, Pages Institute of Medicine. Health Professions Education: A Bridge to Quality. April 18, Available at: Quality.aspx. Accessed June 2, Frank J, Chen L, Bhutta Z, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 2010; 376: Interprofessional Education Collaborative Expert Panel. Core competencies for interprofessional collaborative practice: Report of an expert panel. May Washington, D.C. Interprofessional Education Collaborative. Available at: Accessed June 2, 2013.

26 Bradford W. Schwarz (859) Mandy Jones (859)

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