CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/06/2025
Rotation Type:	APPE Elective
Comments:	?
1. During this APPE rotation, which of the following health care professionals did you interact with? Select all that apply:	Complementary / Alternative medicine - Practitioner Complementary / Alternative medicine - Student Dietitian - Practitioner Nurse Nurse practitioner
2. Values and ethics (VE) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to values and ethics were you able to demonstrate? Select all that apply:	Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives. (VE1) Advocate for social justice and health equity of persons and populations across the life span. (VE2) Uphold the dignity, privacy, identity, and autonomy of persons while maintaining confidentiality in the delivery of team-based care. (VE3) d. Value diversity, identities, cultures, and differences. (VE4) Value the expertise of health professionals and its impacts on team functions and health outcomes. (VE5) Collaborate with honesty and integrity while striving for health equity and improvements in health outcomes. (VE6) Practice trust, empathy, respect, and compassion with persons, caregivers, health professionals, and populations. (VE7) Apply high standards of ethical conduct and quality in contributions to team-based care. (VE8) Maintain competence in one's own profession in order to contribute to interprofessional care. (VE9) Contribute to a just culture that fosters self-fulfillment, collegiality, and civility across the team. (VE10) Support a workplace where differences are respected, career satisfaction is supported, and well-being is prioritized. (VE11)
3. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you demonstrated competency in working with team members (outside of the pharmacy) to maintain a climate of shared values, ethical conduct, and mutual respect.:	During my rotation at Lowell Community Health Center, I participated in an interprofessional care meeting with a dietitian to discuss a patient with poorly controlled diabetes. I contributed by reviewing the patient's medication history, identifying dosing errors, and suggesting adjustments while actively listening to the team's input on lifestyle and nutritional interventions. Together, we developed a care plan that balanced pharmacologic therapy, dietary recommendations, and follow-up monitoring. Throughout the discussion, I maintained a respectful and collaborative approach, valuing each team member's expertise and ensuring the patient's safety and best interests were prioritized. This experience reinforced the importance of teamwork, ethical conduct, and shared decision-making in patient-centered care.
4. Roles and responsibilities (RR) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to roles and responsibilities were you able to demonstrate? Select all that apply:	Include the full scope of knowledge, skills, and attitudes of team members to provide care that is person-centered, safe, cost-effective, timely, efficient, effective, and equitable. (RR1) Collaborate with others within and outside of the health system to improve health outcomes. (RR2) Incorporate complementary expertise to meet health needs including the determinants of health. (RR3) Differentiate each team member's role, scope of practice, and responsibility in promoting health outcomes. (RR4) Practice cultural humility in interprofessional teamwork. (RR5)
5. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you demonstrated competency in using your knowledge of your own role and team members' (outside of the pharmacy) expertise to address individual and population health outcomes.:	During my rotation at Lowell Community Health Center, I participated in a case review with a dietitian and a clinical pharmacist for a patient with poorly controlled diabetes. I contributed by reviewing the patient's medication history, identifying dosing errors, and suggesting adjustments while considering the dietitian's recommendations on nutrition and lifestyle interventions. Together, we developed a care plan that balanced pharmacologic therapy, dietary guidance, and follow-up monitoring. I maintained a respectful and collaborative approach, valuing each team member's expertise and prioritizing patient safety. This experience reinforced the importance of teamwork, ethical conduct, and shared decision-making in patient-centered care.
6. Communication (C) is a core competency for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to communication were you able to demonstrate? Select all that apply:	Communicate one's roles and responsibilities clearly. (C1) Use communication tools, techniques, and technologies to enhance team function, well-being, and health outcomes. (C2) Communicate clearly with authenticity and cultural humility, avoiding discipline-specific terminology. (C3) Promote common understanding of shared goals. (C4) Practice active listening that encourages ideas and opinions of other team members. (C5) Use constructive feedback to connect, align, and accomplish team goals. (C6) Examine one's position, power, role, unique experience, expertise, and culture towards improving communication and managing conflicts. (C7)
7. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you competently communicated in a responsive, responsible, respectful, and compassionate manner with team members (outside of the pharmacy).:	During my rotation at Lowell Community Health Center, I participated in a case review with a dietitian and a clinical pharmacist for a patient with poorly controlled diabetes. I communicated in a responsive, responsible, and compassionate manner while reviewing the patient's medication history and discussing dosing errors. I listened carefully to the dietitian's recommendations regarding nutrition and lifestyle changes and provided thoughtful input on medication adjustments. Our collaborative discussion allowed us to develop a comprehensive care plan that addressed both pharmacologic and non-pharmacologic needs. This experience reinforced the importance of respectful, clear, and patient-centered communication in interprofessional teamwork.
8. Teams and teamwork (TT) are core competencies for interprofessional education and collaboration. During this APPE rotation, which of the following competencies related to teams and teamwork were you able to demonstrate? Select all that apply:	Describe evidence-informed processes of team development and team practices. (TT1) Appreciate team members' diverse experiences, expertise, cultures, positions, power, and roles towards improving team function. (TT2) Practice team reasoning, problem solving, and decision making. (TT3) Use shared leadership practices to support team effectiveness. (TT4) Apply interprofessional conflict management methods, including identifying conflict cause and addressing divergent perspectives. (TT5) Reflect on self and team performance to inform and improve team effectiveness (TT6) Share team accountability for outcomes. (TT7) Facilitate team coordination to achieve safe, effective care and health outcomes. (TT8) Operate from a shared framework that supports resiliency, well-being, safety, and efficacy. (TT9) Discuss organizational structures, policies, practices, resources, access to information, and timing issues that impact the effectiveness of the team. (TT10)
9. Thinking back to the checklist in question 1, describe (in 3-5 sentences), an interprofessional encounter where you demonstrated competency in applying teamwork and adapted your role in a team setting (outside of the pharmacy).:	During my rotation at Lowell Community Health Center, I participated in a case review with a dietitian and a clinical pharmacist for a patient with poorly controlled diabetes. I demonstrated teamwork by actively contributing to the discussion, adapting my role to focus on medication review and recommendations, while supporting the dietitian's input on nutrition and lifestyle interventions. Together, we collaboratively developed a care plan that addressed both pharmacologic and non-pharmacologic needs. I practiced shared decision-making, listened to different perspectives, and adjusted my approach based on the team's feedback. This experience reinforced the importance of flexibility, collaboration, and accountability in interprofessional teamwork.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/07/2025
Rotation Type:	APPE Elective
Comments:	?
Describe a scenario where you contributed to the assessment and diagnosis of a patient's condition based on symptoms, objective/diagnostic findings, medication history, and/or other clinical information. What were the differential diagnoses you considered (if any)? What diagnosis did you arrive at? Please specify if additional triage or diagnostic testing was required.:	During my rotation at Lowell Community Health Center with Dr. Azam Mariam one of the clinical pharmacist , I participated in a patient assessment during a mid-medication reconciliation for a patient with poorly controlled diabetes. While reviewing the patient's medication history and glucose logs, I noticed persistently elevated fasting blood glucose levels despite adherence to metformin and Jardiance. I discussed with the preceptor possible causes, including suboptimal dosing, medication errors, dietary inconsistencies, and potential insulin resistance. The differential diagnoses considered were type 2 diabetes with inadequate glycemic control, secondary diabetes due to medication interactions, or progression of the disease requiring therapy adjustment. Upon review, we discovered that the patient was taking Jardiance 25 mg three times daily instead of the prescribed once daily, which likely contributed to inconsistent glycemic control and potential adverse effects. After correcting the dosing and providing patient education, the preceptor and I monitored the patient's response over follow-up visits. No additional diagnostic testing was required at that time, but continued monitoring of A1c and glucose levels was planned to ensure efficacy and safety.
For the same scenario, assume you have pharmacist prescribing privileges (independent, collaborative, or protocol-based). Please describe how you could have contributed to the development and implementation of this patient care plan. Specifically, what medication(s) would you have initiated, modified, or discontinued based on your assessment/diagnosis?:	Assuming I had pharmacist prescribing privileges under a collaborative practice agreement, I could have immediately intervened to correct the patient's Jardiance dosing from 25 mg three times daily to the appropriate once-daily regimen. Additionally, I would have reviewed the patient's overall diabetes regimen and considered optimizing therapy by evaluating A1c, fasting glucose trends, and potential drug interactions. If glycemic control remained suboptimal after correcting the dosing, I could have initiated or titrated adjunct therapy, such as adding a GLP-1 receptor agonist, considering cardiovascular and renal risk factors, or adjusting metformin dosing as appropriate. I would also provide patient education on medication adherence, diet, and lifestyle modifications to support therapy effectiveness. Finally, I would implement follow-up monitoring, including scheduled glucose checks and A1c measurements, to assess response to therapy and make further adjustments as needed. This approach ensures safe, evidence-based, and patient-centered care while utilizing pharmacist prescribing privileges effectively.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/08/2025
Rotation Type:	APPE Elective
Comments:	?
Reflect on your APPE rotation experiences over the last 6 weeks as they relate to your career goals. Consider how your career goals changed or were reaffirmed after this experience. In 150 - 200 words, describe at least two events or experiences which reaffirmed your previous goals or made you reconsider them and state why.:	During my six-week APPE rotation at Lowell Community Health Center with Dr. Amy Sullivan and her team, several experiences reaffirmed my goal of pursuing a career in ambulatory care pharmacy, while also broadening my perspective on patient advocacy. One experience that strongly reinforced my career goals was counseling patients on diabetes medications and conducting medication reconciliations. For example, I identified a patient taking Jardiance 25 mg three times daily instead of once daily and was able to educate her on proper usage. This experience emphasized the critical role pharmacists play in ensuring medication safety, improving adherence, and directly impacting patient health outcomes. Another experience that shaped my perspective was assisting patients with insurance questions and navigating the 340B program. Many patients were unable to afford their medications without these resources, and helping them access care highlighted the pharmacist's role in patient advocacy and healthcare equity. Additionally, participating in vaccine clinics for RSV and Shingrix reinforced my interest in providing direct patient care services and preventive health interventions. Overall, these experiences reaffirmed my career goal of working in an ambulatory care setting where I can combine clinical knowledge, patient education, and advocacy to make a meaningful difference in patients' lives.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/09/2025
Rotation Type:	APPE Elective
Comments:	?
During this rotation, choose the digital health technologies you interacted with and/or utilized. Select all that apply.:	Electronic Health Records (EHRs): Centralized digital systems for storing and managing patient health information to facilitate care coordination. TeleHealth: Technologies enabling remote clinical services and consultations via video or telecommunication or through a patient portal. Remote pharmacy services provided via digital platforms to conduct pharmacy dispensing or clinical services. Mobile Health (mHealth) Tools: Apps and software for health tracking, education, and communication, including chronic disease management. Wearable Devices: Gadgets such as fitness trackers or smartwatches that monitor health metrics like activity, heart rate, and sleep patterns. Remote Patient Monitoring (RPM): Devices and systems that collect patient health data (e.g., glucose levels [CGM], blood pressure) for healthcare provider review. Digital Therapeutics (DTx): Software-based interventions providing evidence-based therapeutic care for managing or treating diseases. Artificial Intelligence (AI) Tools: Algorithms and software supporting decision-making, predictive analytics, and clinical workflows in pharmacy practice. Medication Adherence Technology: Devices or apps, such as smart pill bottles, designed to track and improve patient adherence to prescribed therapies. Clinical Decision Support Systems (CDSS): Tools integrated with EHRs that offer evidence-based insights to optimize patient care decisions. Medication Therapy Management (MTM) Platforms: Systems for documenting and optimizing comprehensive medication reviews and care plans. Point-of-Care Testing (POCT) Devices: Portable diagnostic tools providing immediate results for conditions such as glucose levels or cholesterol. Medication Safety Analytics Tools: Platforms for analyzing medication errors and improving safety and compliance in pharmacy practice.
In 2-3 sentences, describe how using digital health on this rotation facilitated your workflow as a pharmacy learner/future pharmacist. If digital health was not available and/or utilized on your rotation, please write "Not Applicable" in the text box.:	Using digital health tools, such as the electronic health record and telehealth platforms, allowed me to efficiently review patient medication histories, track chronic disease management, and document counseling sessions. These tools streamlined workflow and improved my ability to identify medication discrepancies and follow up with patients. This experience showed me how digital health can enhance patient care and support pharmacy practice as a future pharmacist.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/10/2025
Rotation Type:	APPE Elective
Comments:	?
EPA #1: Collect information necessary to identify a patient's medication-related problems and health-related needs.:	Collect a history from a patient or caregiver. Collect a medication history from a patient or caregiver. Collect a patient's experience with medication. Collect information related to barriers for patients to take their medication(s). Collect objective information from the patient (e.g., physical exam, point of care testing). Collect data from a patient's electronic health, digital health, or medication record.
EPA #2: Assess collected information to determine a patient's medication-related problems and health-related needs.:	Assess the indication of the medication treatment plan. Assess the safety of the medication treatment plan including drug interactions. Assess the effectiveness of medication treatment plans, including existing, previous, and new medications. Assess the alignment of the medication plan with the patient's goals, needs, abilities, values, and beliefs. Assess the relative priority of each health-related need of the patient to create a prioritized problem list. Assess if a patient requires a referral for their health-related needs. Assess whether a patient is eligible for CDC-recommended immunizations.
EPA #3: Create a care plan in collaboration with the patient, others trusted by the patient, and other health professionals to optimize pharmacologic and nonpharmacologic treatment.:	Create person-centered treatment goals Create a prioritized list of evidence-based and patient-centered treatment options to discuss with members of the healthcare team/patient/caregiver(s) with contextual constraints (e.g. formulary list, pharmacoeconomic factors) [2.1.2] Create a person-centered treatment plan. Create a plan to mitigate the risk of drug interactions and polypharmacy. Create a treatment plan that incorporates potential strategies to minimize cost for the patient, such as formulary review, patient assistance programs, medication discount programs. Create a plan to monitor the safety and efficacy of the treatment plan. Create an individualized education plan for the patient and/or caregiver. Assure that patients' best interests are represented (e.g., beliefs, values and concerns are represented within the plan). [2.5.1] Ensure patients obtain the resources and care required in the most efficient and cost-effective manner possible. [2.5.4]
EPA #4: Contribute patient specific medication-related expertise as part of an interprofessional care team.:	Explain a pharmacist's role and responsibilities to a healthcare team Apply the PPCP as a member of an interprofessional team. Communicate a patient's medication-related problem(s) to the healthcare team. Provide recommendations to the health care team to resolve and/or monitor medication-related problems. Provide evidence-based drug information to the health care team. Use the knowledge of one's own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations. [2.7.2] Demonstrate understanding of one's role in a team-based situation, including taking responsibility for a leadership or supporting role, when appropriate. [2.9.2] Develop trusting relationships, actively listen, and value diverse perspectives to promote collaboration and teamwork. [2.9.4]
EPA #5: Answer medication related questions using scientific literature.:	Perform a systematic search of tertiary, secondary, and primary resources. Identify and retrieve high-quality scientific literature. Analyze scientific literature. Provide a written or verbal response to the true question, including findings and recommendations. Ask clarifying questions to identify and address the true question.
EPA #6:Implement a care plan in collaboration with the patient, others trusted by the patient, and other health professionals.:	Initiate, modify, or discontinue medication therapy Present necessary information to a colleague during a handoff or transition of care. Schedule follow-up care as needed (e.g., labs or tests, follow-up appointments). Document the findings, recommendations, plan, and pharmacy services provided. Discuss the care plan with a patient and/or others trusted by the patient. Empower patients to take responsibility for, and control of, their health [2.5.2] Use technology (e.g., telehealth, digital health applications) and other resources (e.g., interpreter services) to facilitate and support communication as appropriate. [2.2.11] Initiate ways to reduce biases and stereotyping within a patient care plan. [2.3.4]
EPA #7:Fulfill a medication order.:	Enter an order or prescription into an electronic health or pharmacy record system. Perform calculations required to compound, dispense, and administer medications. Perform a prospective drug utilization review. Adjudicate a third-party claim. Identify and manage drug therapy problems. Consider formulary preferred medications when making recommendations. Complete an authorization process for a non-preferred medication. Assist a patient to acquire medication(s) through support programs. Prepare non-sterile and/or sterile medications. Perform a quality assurance check on prepared medications prior to dispensing. Dispense and administer a product including injectable medications and immunizations. Adhere to state and federal laws/regulations and site quality and safety procedures. Outline the components of typical medication use processes in the pharmacy practice setting. [2.6.1] Describe the role of the pharmacist in impacting the safety and efficacy of each component of a typical medication use process (i.e., procurement, storage, prescribing, transcription, dispensing, administration, disposal, regulatory requirements, monitoring, documentation, and supervising others). [2.6.2]
EPA #8: Educate the patient and others trusted by the patient regarding the appropriate use of a medication, device to administer a medication, or self-monitoring test.:	Provide education and self-management training to the patient or caregiver. Assess the learning needs of a patient and others trusted by the patient. Select a method for providing education in the given environment. Actively engage the patient in the education session. Identify, select, or develop supportive education materials (e.g., written, models, demonstration devices, videos). Adapt the terminology and verbal delivery of information. Determine the effectiveness of education provided by assessing a patient's understanding and/or their ability to demonstrate the technique. Reinforce key points, correct misunderstandings, or address gaps with the patient as needed. Evaluate verbal feedback and nonverbal cues to assess how well communication was received and verify if it was interpreted the way intended. [2.2.7]
EPA #9: Monitor and evaluate the safety and effectiveness of a care plan.:	Collect monitoring data at the appropriate time interval(s). Evaluate the selected monitoring parameters to determine the therapeutic and adverse effects related to the treatment plan. Recommend modifications or adjustments to an existing medication therapy regimen based on patient response. Apply standards, guidelines, best practices, and established processes related to safe and effective medication use. [2.6.4]
EPA #10: Report adverse drug events and/or medication errors in accordance with site specific procedures.:	Identify factors of system(s) (e.g., personnel, infrastructure, interfaces) associated with errors or risk of errors. Determine points of intervention within system(s) to prevent or minimize medication-related errors. Report and document adverse drug events and medication errors to stakeholders.
EPA #11: Deliver medication or health-related education to health professionals or the public.:	Lead a discussion regarding published primary literature and its application to patient care (e.g., journal club). Develop and deliver a verbal, digital, or written medication or health-related educational program to health professional(s), a community, or other groups. Develop professional documents pertinent to organizational needs (e.g., monographs, clinical pearl updates, policy documents). [2.6.9]
EPA #12: Identify populations at risk for prevalent diseases and preventable adverse medication outcomes.:	Perform a screening assessment to identify patients at risk for prevalent diseases in a population and triage, when needed. Evaluate individual and/or aggregated patient data to determine patients or populations at risk for a disease. Identify personal, social, economic, and environmental factors that influence individual and population health and wellness (e.g. structural policies within the health system, state, government; factors impacting social determinants of health). [2.8.1]
EPA #13: Perform the technical, administrative, and supporting operations of a pharmacy practice site.:	Execute pharmacy policies and procedures. Delegate work activities to pharmacy team members. Provide formative feedback on pharmacy team dynamics, workflow, processes, and operations. Manage pharmacy workflow to ensure efficiency and safety. Use technology to support the pharmacy workflow. Execute pharmacy quality improvement activities. Procure inventory to ensure continued pharmacy operations. Prepare for regulatory visits and inspections. Review/discuss safety huddle procedures. Identify and utilize human, financial, and physical resources to optimize the medication use process. [2.6.6] Demonstrate the use of leadership skills, management skills, or both. [2.9.1] Identify and address factors that affect team morale and performance. [2.9.7]

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/27/2024
Rotation Type:	Wor/Man IPPE Community
Comments:	?
Patient Sex:	M
Patient Ethnicity:	Hispanic or Latino
Patient Age Category:	Adult (19-64 years old)
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?:	Yes
How many medications were involved in this intervention?:	1
Disease/Disorder:	Infectious Disease
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist::	Collaboration Problem Solving Professionalism Self-awareness Advocacy
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.:	This experience during my IPPE rotation at CVS reinforced the importance of adaptability and teamwork in my future role as a pharmacist. Witnessing the impact of our collective efforts to handle an increased patient load emphasized that successful healthcare delivery relies on effective collaboration among team members. I realized that being flexible in my responsibilities is crucial, as it allows me to better support my colleagues and address patient needs promptly. Furthermore, this experience highlighted the significance of strong communication skills, both in relaying information to team members and in ensuring patients feel heard and cared for. As I move forward in my career, I am committed to fostering a collaborative environment, actively participating in team discussions, and remaining responsive to the dynamic nature of healthcare to enhance patient outcomes and contribute to the success of my pharmacy team.
Type of Intervention:	Drug Allergy
Outcome of Intervention:	Recommendation Accepted by Provider
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/29/2024
Rotation Type:	Wor/Man IPPE Community
Comments:	?
1. During this IPPE rotation, which of the following health care professionals did you interact with? Select all that apply:	Laboratory Technician
2. Values and Ethics (VE) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to values and ethics were you involved directly with? Select all that apply:	Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives. (VE1) Uphold the dignity, privacy, identity, and autonomy of persons while maintaining confidentiality in the delivery of team-based care. (VE3) Value diversity, identities, cultures, and differences. (VE4) Value the expertise of health professionals and its impacts on team functions and health outcomes. (VE5)
3. In 3-5 sentences, describe an encounter where you were involved with team members working together to maintain a climate of shared values, ethical conduct, and mutual respect.:	During my IPPE rotation at CVS, I worked with the pharmacy team to ensure a smooth flu vaccination process. One particular day, we were short-staffed, and the team had to communicate effectively to manage both vaccinations and regular pharmacy duties. Everyone contributed equally, whether by preparing vaccines, assisting patients, or documenting, and there was a mutual understanding that patient safety and care were our top priorities. This experience highlighted the importance of shared values, as we all worked collaboratively and respectfully, supporting each other to meet the demands of the day without compromising ethical conduct or the quality of care.
4. Roles and Responsibilities (RR) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved directly with? Select all that apply:	Differentiate each team member's role, scope of practice, and responsibility in promoting health outcomes. (RR4) Practice cultural humility in interprofessional teamwork. (RR5)
5. In 3-5 sentences, describe an encounter where you observed or were directly involved with team members using knowledge of your role as well as the team members expertise to address individual and population health outcomes.:	During my IPPE rotation at CVS, I was involved in a flu vaccination clinic where the team had to manage both individual patient needs and the broader goal of increasing vaccination rates. I worked closely with the pharmacist, who used her expertise in patient counseling, while I handled documentation and ensured each patient was properly registered. Together, we addressed individual health concerns, such as questions about vaccine safety, while contributing to the larger public health goal of preventing flu outbreaks. This collaboration demonstrated how each team member's role, combined with shared expertise, contributed to improving both individual and population health outcomes.
6. Communication (C) is a core competency for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved with? Select all that apply:	Use communication tools, techniques, and technologies to enhance team function, well-being, and health outcomes. (C2) Examine one's position, power, role, unique experience, expertise, and culture towards improving communication and managing conflicts. (C7)
7. In 3-5 sentences, describe an encounter where you were directly involved with communicating in a responsive, responsible, respectful, and compassionate manner with team members.:	During my IPPE rotation at CVS, there was a day when we experienced an unusually high volume of patients coming in for flu vaccinations. As the team worked under pressure, I noticed a colleague feeling overwhelmed. I approached her and offered assistance, and together we communicated openly about our tasks and priorities. By actively listening and showing empathy, we were able to support each other, ensuring that we maintained a respectful and compassionate atmosphere. This collaborative approach not only alleviated the stress but also strengthened our teamwork, ultimately enhancing the patient experience during a busy flu season.
8. Teams and Teamwork (TT) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to teams and teamwork, were you involved with? Select all that apply:	Practice team reasoning, problem solving, and decision making. (TT3) Reflect on self and team performance to inform and improve team effectiveness (TT6)
9. In 3-5 sentences, describe an encounter where you were directly involved in teamwork and adapted your role in a team setting.:	During my IPPE rotation at CVS, our pharmacy team faced an unexpected surge in patients coming in for flu vaccinations, which put us under considerable pressure. Recognizing that my primary responsibilities needed to shift to meet the demand, I adapted my role by stepping in to assist with patient intake and registration, while also helping to prepare the vaccination supplies. This flexibility allowed the pharmacist to focus on administering vaccines and addressing patient questions more effectively. By adjusting my contributions based on the team's needs, we were able to provide efficient and timely care, ensuring that each patient received their vaccination smoothly during a busy flu season.

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CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/29/2024
Rotation Type:	Wor/Man IPPE Community
Comments:	?
Write Reflection Here::	Over the last four weeks of my IPPE community rotation at CVS, I had two significant experiences that reaffirmed my career goals in pharmacy. First, administering flu vaccines gave me hands-on experience in direct patient care, which reinforced my desire to pursue a career where I can have a tangible impact on patients' health. The satisfaction of knowing that I was helping protect individuals during flu season reminded me of the importance of public health in pharmacy. Second, I was involved in handling patient consultations regarding over-the-counter medications. This experience deepened my interest in community pharmacy, as it allowed me to apply my knowledge and provide personalized advice to patients. It highlighted how pharmacists play a crucial role in everyday healthcare, acting as accessible resources for patients. Both events confirmed my goal of working in a community pharmacy setting, where I can make a direct difference in people's lives while staying at the forefront of patient-centered care. These experiences solidified my passion for pharmacy and clarified my path forward.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/27/2024
Rotation Type:	Wor/Man IPPE Community
Comments:	?
Write Reflection Here::	I. Description During my IPPE community rotation at CVS, I was actively involved in administering flu vaccines to patients. It was a particularly busy period due to flu season, and I was responsible for verifying patient information, explaining the immunization process, administering the vaccine, and documenting the details afterward. It was my first time giving vaccines directly, so the experience was fast-paced and hands-on. II. Feelings I experienced a mix of excitement and nervousness. I was thrilled to take on such a significant role in patient care, but I also felt a bit anxious due to the responsibility of ensuring each step was done correctly. As I became more comfortable with the process, the anxiety faded, and I felt more confident in my ability to deliver quality care to patients. III. Evaluation I view this experience as very positive. Being able to administer vaccines and help patients protect their health was extremely fulfilling. It gave me practical experience that solidified my understanding of patient interactions, vaccine administration, and accurate documentation in a busy pharmacy setting like CVS. IV. Analysis I felt this way because the experience allowed me to directly apply the skills I've been learning and contribute meaningfully to patient health. Initially, I felt some nervousness because of the high level of responsibility, but as I saw the results of clear communication and careful preparation, I gained confidence and found the process rewarding. V. Conclusion/Action Based on this experience, I plan to continue refining my vaccination and patient communication skills by seeking more opportunities to immunize. I've learned the importance of staying calm and organized, especially during busy periods, and will focus on improving my multitasking abilities to provide efficient patient care in future rotations at CVS and beyond.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	09/18/1997
Rotation Type:	Wor/Man IPPE Institutional
Comments:
Patient Sex:	F
Patient Ethnicity:	Black or African American
Patient Age Category:	Adult (19-64 years old)
During this intervention did you collaborate with a prescriber, student prescriber or a member of the health care team (other than pharmacy)?:	No
How many medications were involved in this intervention?:	2
Disease/Disorder:	Cardiovascular Disorder
As part of this encounter, please select the values and skills that have contributed to your growth and development as a future pharmacist::	Collaboration Problem Solving Professionalism
Based on the values and skills you selected above, describe (in at least 5 sentences) how this experience made you think and act as future pharmacist.:	This experience made me recognize the importance of collaboration in healthcare, as I saw firsthand how pharmacists work closely with technicians, nurses, and other healthcare providers to ensure patients receive the correct medications. It taught me that problem-solving is critical, especially when addressing issues like drug interactions or clarifying unclear prescriptions. Self-awareness played a role in understanding my strengths and areas for growth, particularly in communication and technical knowledge, which are essential for effective pharmacy practice. I also observed how professionalism is vital, as the team consistently upheld high standards of accuracy, confidentiality, and patient care. These experiences have shaped my perspective on the type of pharmacist I want to become-one who is a reliable team player, a thoughtful problem-solver, and committed to maintaining professionalism in all aspects of patient care.
Type of Intervention:	Dose Adjustment
Outcome of Intervention:	Recommendation Accepted by Provider
My preceptor or pharmacist in charge has reviewed and approved this intervention prior to making any recommendations.:	Yes

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	08/30/2024
Rotation Type:	Wor/Man IPPE Institutional
Comments:
Write Reflection Here::	Over the last four weeks of my IPPE institutional rotation at Partners Pharmacy in Marlborough, I had two significant experiences that reaffirmed my career goals in pharmacy. The first was observing the medication preparation and verification process. Watching how meticulously pharmacists and technicians worked together to ensure the right medications were dispensed safely and accurately solidified my desire to work in a clinical setting. This reaffirmed my goal of becoming a pharmacist who focuses on patient safety and the technical aspects of medication management. The second experience that impacted me was the opportunity to see how closely the pharmacy team worked with healthcare providers and nurses. The collaboration between different healthcare professionals to deliver optimal patient care inspired me to further explore the interdisciplinary aspects of pharmacy. This confirmed my interest in a hospital or institutional setting where I can be part of a collaborative healthcare team, directly contributing to patient outcomes. Both experiences made me more confident that pursuing a clinical pharmacy career is the right path for me. Over the last four weeks of my IPPE institutional rotation at Partners Pharmacy in Marlborough, I had two significant experiences that reaffirmed my career goals in pharmacy. The first was observing the medication preparation and verification process. Watching how meticulously pharmacists and technicians worked together to ensure the right medications were dispensed safely and accurately solidified my desire to work in a clinical setting. This reaffirmed my goal of becoming a pharmacist who focuses on patient safety and the technical aspects of medication management. The second experience that impacted me was the opportunity to see how closely the pharmacy team worked with healthcare providers and nurses. The collaboration between different healthcare professionals to deliver optimal patient care inspired me to further explore the interdisciplinary aspects of pharmacy. This confirmed my interest in a hospital or institutional setting where I can be part of a collaborative healthcare team, directly contributing to patient outcomes. Both experiences made me more confident that pursuing a clinical pharmacy career is the right path for me. Over the last four weeks of my IPPE institutional rotation at Partners Pharmacy in Marlborough, I had two significant experiences that reaffirmed my career goals in pharmacy. The first was observing the medication preparation and verification process. Watching how meticulously pharmacists and technicians worked together to ensure the right medications were dispensed safely and accurately solidified my desire to work in a clinical setting. This reaffirmed my goal of becoming a pharmacist who focuses on patient safety and the technical aspects of medication management. The second experience that impacted me was the opportunity to see how closely the pharmacy team worked with healthcare providers and nurses. The collaboration between different healthcare professionals to deliver optimal patient care inspired me to further explore the interdisciplinary aspects of pharmacy. This confirmed my interest in a hospital or institutional setting where I can be part of a collaborative healthcare team, directly contributing to patient outcomes. Both experiences made me more confident that pursuing a clinical pharmacy career is the right path for me. Over the last four weeks of my IPPE institutional rotation at Partners Pharmacy in Marlborough, I had two significant experiences that reaffirmed my career goals in pharmacy. The first was observing the medication preparation and verification process. Watching how meticulously pharmacists and technicians worked together to ensure the right medications were dispensed safely and accurately solidified my desire to work in a clinical setting. This reaffirmed my goal of becoming a pharmacist who focuses on patient safety and the technical aspects of medication management. The second experience that impacted me was the opportunity to see how closely the pharmacy team worked with healthcare providers and nurses. The collaboration between different healthcare professionals to deliver optimal patient care inspired me to further explore the interdisciplinary aspects of pharmacy. This confirmed my interest in a hospital or institutional setting where I can be part of a collaborative healthcare team, directly contributing to patient outcomes. Both experiences made me more confident that pursuing a clinical pharmacy career is the right path for me.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

I. Description

One event that stood out during my IPPE rotation at Partners Pharmacy in Marlborough was seeing how the entire pharmacy team worked together to ensure a patient received the right medication for their care. I observed how pharmacists, pharmacy technicians, and other staff coordinated to verify orders, check patient records, and communicate with healthcare providers. Despite the fast-paced environment, the team ensured accuracy at every step, from preparing the medication to verifying it before delivery.

II. Feelings

During this event, I felt a sense of awe and respect for how well the team worked together. It was fascinating to see how everyone had a crucial role in ensuring patient safety. I also felt engaged because I could see the real-world impact of teamwork in a pharmacy setting.

III. Evaluation

My evaluation of the experience is positive. I was impressed by how streamlined the process was and how each team member contributed to ensuring the correct medication reached the patient. It demonstrated to me the importance of collaboration and communication in pharmacy practice.

IV. Analysis

I feel this way because seeing the team working as a cohesive unit helped me understand the broader role of the pharmacy in patient care. This event emphasized the importance of accuracy, attention to detail, and teamwork, which are critical elements in healthcare settings. It also made me more aware of how my role as a future pharmacist fits into this larger process.

V. Conclusion/Action

Moving forward, I plan to focus on developing strong communication and teamwork skills to be more effective in collaborative settings. I also intend to learn more about the medication verification process and how to work efficiently in a high-pressure environment. This experience has reinforced my commitment to becoming a pharmacist who values teamwork and patient safety.

CPD Plan Management: REFLECTION: Christine Idaliah Onyango

Date:	08/30/2024
Rotation Type:	Wor/Man IPPE Institutional
Comments:
1. During this IPPE rotation, which of the following health care professionals did you interact with? Select all that apply:	Laboratory Technician
2. Values and Ethics (VE) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to values and ethics were you involved directly with? Select all that apply:	Promote the values and interests of persons and populations in health care delivery, One Health, and population health initiatives. (VE1) Uphold the dignity, privacy, identity, and autonomy of persons while maintaining confidentiality in the delivery of team-based care. (VE3) Value diversity, identities, cultures, and differences. (VE4) Value the expertise of health professionals and its impacts on team functions and health outcomes. (VE5) Practice trust, empathy, respect, and compassion with persons, caregivers, health professionals, and populations. (VE7) Apply high standards of ethical conduct and quality in contributions to team-based care. (VE8)
3. In 3-5 sentences, describe an encounter where you were involved with team members working together to maintain a climate of shared values, ethical conduct, and mutual respect.:	I worked with the lead technician i was able to learn an help work together got work done as much as learning was also done
4. Roles and Responsibilities (RR) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved directly with? Select all that apply:	Differentiate each team member's role, scope of practice, and responsibility in promoting health outcomes. (RR4) Practice cultural humility in interprofessional teamwork. (RR5)
5. In 3-5 sentences, describe an encounter where you observed or were directly involved with team members using knowledge of your role as well as the team members expertise to address individual and population health outcomes.:	In the pharmacy we were able to work together to fill up to 600 pre-pack medication and we worked as a team together with the pharmacy manager and technicians
6. Communication (C) is a core competency for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to communication, were you involved with? Select all that apply:	Use communication tools, techniques, and technologies to enhance team function, well-being, and health outcomes. (C2) Examine one's position, power, role, unique experience, expertise, and culture towards improving communication and managing conflicts. (C7)
7. In 3-5 sentences, describe an encounter where you were directly involved with communicating in a responsive, responsible, respectful, and compassionate manner with team members.:	I was able to do verification of medication from the kits department under my preceptor and any mistake i got i was able to correct the person in charge in a correct and respectful was since ma is to error under high pressure of work and worked together
8. Teams and Teamwork (TT) are core competencies for interprofessional education and collaboration. During this IPPE rotation, which of the following competencies related to teams and teamwork, were you involved with? Select all that apply:	Practice team reasoning, problem solving, and decision making. (TT3) Reflect on self and team performance to inform and improve team effectiveness (TT6)
9. In 3-5 sentences, describe an encounter where you were directly involved in teamwork and adapted your role in a team setting.:	I was able to help the technician team in the Dosis area as well as transportation team in the transport sector and did my role as we worked as a team to give beat outcome

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CPD Plan Management: REFLECTION: Christine Idaliah Onyango
Personal well-being Reflection (.pdf) 0.06mb

CPD Plan Management: REFLECTION: Christine Idaliah Onyango
The Service and Care in Community class provides a dynamic learning environment where students engage in hands-on experiences at ACE Community, while also delving into essential topics such as service, reflection, communication, and diversity. Through practical application and classroom discussions, students learn to analyze root causes, deliver presentations, and lead discussions, fostering a comprehensive understanding of community service and care principles. 240323064635_SERVICE_AND_CARE_IN_COMMUNITY.pdf (.pdf) 0.04mb

CPD Plan Management: REFLECTION: Christine Idaliah Onyango
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CPD Plan Management: REFLECTION: Christine Idaliah Onyango
Evidence-based learning strategies are techniques and methods supported by research and empirical evidence to enhance learning outcomes. These strategies rely on scientific findings to identify the most effective approaches for acquiring and retaining knowledge. By implementing evidence-based learning strategies, individuals can optimize their study habits, memory retention, and overall academic performance. 240323054821_CHRISTINE_ONYANGO.docx (.docx) 0.01mb

CPD Plan Management: REFLECTION: Christine Idaliah Onyango
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Goals (Personal & Professional): Christine Idaliah Onyango
240323065757_Career_Goals_and_opportunities_for_enhancement_reflection.docx (.docx) 0.01mb

Goals (Personal & Professional): Christine Idaliah Onyango

I feel and believe it best fits me but am not sure if it will last my matches were based on your most important critical factors.

Specialty                                                   Total Score          Reference

Compounding Pharmacy                               9.32                       Career Profiles

Health System Pharmacy - Out Patient     9.32                       Career Profiles

Pharma - Medical Liaison                              9.65                       Career Profiles

Clinical Specialist                                               10.07                    Career Profiles

Academia - Clinical Practice                          10.24                    Career Profiles

 

The following careers matched your responses.

Specialty                                             Total Score          Reference

Office Based Med Management 85.79                    Career Profiles

Academia - Clinical Practice          93                           Career Profiles

Clinical Specialist                               93.22                    Career Profiles

Ambulatory Care Pharmacy         101.17                 Career Profiles

Pharmacy Benefit Management 107.23                 Career Profiles

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Interprofessional Education (IPE): Christine Idaliah Onyango
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Licenses & Certifications: Christine Idaliah Onyango
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240610023455_HIPPA_citiCompletionCertificate_13383641_63165853.pdf (.pdf) 0.07mb

Licenses & Certifications: Christine Idaliah Onyango
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Licenses & Certifications: Christine Idaliah Onyango
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240610023513_cert_IMP24NR5CLGG.pdf (.pdf) 0.24mb

Licenses & Certifications: Christine Idaliah Onyango
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Resume & CV: Christine Idaliah Onyango
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Co-Curricular Activities: Christine Idaliah Onyango
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